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OSTEOARTHRITIS (MANAGEMENT:
paracetamol + topical NSAIDs
oral…
OSTEOARTHRITIS
MANAGEMENT:
- paracetamol + topical NSAIDs
- oral NSAIDs /COX2 inhibitors
opioids, capcaicin cream
intraarticular injectons
- joint replacements
- consider PPI
avoid with aspirin
- topical only for knee / hand
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- revision:
LMWH 4 weeks after replacement
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RISK FACTORS
- high bone density
- femoral dysplasia
- hypermobility
XRAY changes
- decreased joint space
- subchondral sclerosis
- subchondral cysts
- osteophytes
DIAGNOSIS
45 yo
activity related joint pain <30 min stiffness
SECONDARY CAUSES
- trauma
- metabolic:
heamochromatosis, acromegaly, hyperparathyroidism
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