Cedrick
Esculapio
Topics: 324
Posts: 2,058
|
a 60 year old woman with osteoarthritis has recurrence of pain and stiffness in her joints
she is afrebrile.the most appropiate therapy
is ?
a.-allopurinol
b.-aspirin
c.-colchicine
d.-estrogen
e.-probenecid
|
| mjl1717
Forum Hero
Topics: 960
Posts: 5,468
|
of course shes afebrile! OA -not associated with fever..
{simple is best here.} answer- a {aspirin}, maybe consider adding glucosamine /chondroitin and maybe an omega 3 or omega 6 oil
allopurinol-inh xanthine oxidase -for chronic gout.
colchicine inhibits mitotic spindal to dx and rx acute gout.
estrogen has multitude of uses can work at intranuclear receptor sometimes used in postmenopause
probenenecid can inh tubuar secretion to enhance pennicillin or in gout sometimes
if she cant tolerate asa consider acetominophen or cox 2 inh.
if aspirin is given worry about a bleed
___________________
Smell the coffee! "Is That an Osler move??"
|
| Cedrick
Esculapio
Topics: 324
Posts: 2,058
|
So estrogen I did was not thinking
yeah Ok
D.-estrogen
|
| nadiabarati
|
why estrogen?
does it affect after so many years of menopause??
|
| mjl1717
Forum Hero
Topics: 960
Posts: 5,468
|
estrogen may help osteoporosis///estrogen has no use in OA
___________________
Smell the coffee! "Is That an Osler move??"
|
| yonela78
Forum Newbie
Topics: 1
Posts: 7
|
Cedrick wrote:So estrogen I did was not thinking yeah Ok D.-estrogen
Isn't B- Aspirin the answer?
|
| nadiabarati
|
B
|
| Cedrick
Esculapio
Topics: 324
Posts: 2,058
|
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
D. ESTROGEN
osteoarthritis is mostly in postmenopausals
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| Diego Casali
Forum Elite
Topics: 7
Posts: 235
|
B
|
| mjl1717
Forum Hero
Topics: 960
Posts: 5,468
|
postmenopause associated with osteoporosis possibly because of decreased estrogen
most people get osteoarthritis "wear and tear" of cartilage- just depens how bad you get it.
aspirin is the answer!!!!
theres a long list of osteo's --osteochondrosis, osteoporosis, osteomyelitis,, osteosarcoma, osteoarthritis, osteomalacia-[ assoc with Vit def.}, osteitis deformans -{Paget's excesive bone}, osteitis fibrosa cystica, etc. this is just the tip of the iceberg, all completely different. A good task would be for someone to write down and briefly define the top 10 osteos.
___________________
Smell the coffee! "Is That an Osler move??"
|
| pocas
Forum Elite
Topics: 7
Posts: 169
|
B
|
| eaguin
Forum Senior
Topics: 9
Posts: 162
|
D
|
| Allison
Forum Senior
Topics: 20
Posts: 117
|
B Aspirin Osteoarthritis is a group 1 noninflammatory digenerative disease that affect articular cartige
|
| X-Ray
Forum Senior
Topics: 25
Posts: 139
|
I think allopurinol
|
| yasmeen
Forum Guru
Topics: 72
Posts: 954
|
DEFINITELY ASPRIN
|
| mousa
Forum Senior
Topics: 3
Posts: 64
|
yaaaaaaaa yasmeen....it is aspirin
|
| mjl1717
Forum Hero
Topics: 960
Posts: 5,468
|
After many months to ponder:
All choices are wrong!! Correct answer is acetominophen!!! OA is NONINFLAMMATORY Arthritis. ! Allopurinol is good if this person had gout and overexcreted uric acid at a rate greater then 600mg/day in the urine.
___________________
Smell the coffee! "Is That an Osler move??"
|
| solitarius
Forum Junior
Topics: 7
Posts: 71
|
...hey guys..i think its aspirin...first of all just get rid of allopurinlo,colchicin,and probenecid bcz they all have nothing to do with osteoarthritis....and this lady doesnt have any underlying serious diseases..so i think its B..a baby dose regularly.and calcium pills also.
|
| Ancylostoma
Forum Guru
Topics: 42
Posts: 636
|
This is funny, I dont know why there is so much debate over this, the answer is clearly asprin.
|
|
| |
| | | | | | | | | | | | | | | | | | | | |
Similar forum topics