Internal Medicine Correlations and Clinical Scenarios (CCS) USMLE Step 3

CASE 5: Osteoarthritis

Setting: office

CC: “My knees hurt.”

VS: normal

HPI: A 64-year-old man comes to your office complaining of worsening pain and discomfort in his knees. This has been happening gradually over the past year. He claims “to hear them creaking” when he gets up from a seated position. He has pain in his hands in multiple joints. His grip strength is down and he has a hard time opening the lids of jars and twisting the knobs on water faucets. All the pain is definitely worse toward the end of the day and with increased use.

Worsening with Use = Osteoarthritis (OA)

Better with Use = Rheumatoid Arthritis (RA)

ROS:

Image The patient has no fever and no weight loss.

Image He denies injection drug use.

Image Discomfort makes him avoidant of exercise.

PMHX:

Image Hypertension

Image Former tobacco smoker

Medications:

Image NSAIDs

Image Nifedipine

Medications do not cause OA.

Medications do not prevent OA.

PE:

Image General: obese; cheerful as long as he does not move

Image Musculoskeletal:

Image Prominent tuberosities of the distal interphalangeal (DIP) joints

Image Crepitus palpable on movement of knees

Image No warmth, no redness, no tenderness

DIP Joints Affected = OA or Psoriatic Arthritis

Proximal Interphalangeal (PIP) and MCP Joints Affected = RA

Spine and SI Affected = AS

Single Large Joint Affected = Septic or Lyme

Articular cartilage is composed mostly of water.

Initial Orders:

Image X-ray

Image ESR, RF, CRP, ANA

Image Complete blood count (CBC)

Image CHEM-7

Which of these will be abnormal in OA?

a. None

b. X-ray of knees and hands

c. ESR, RF, CRP, ANA

d. CBC

e. CHEM-7

Answer a. None

You are not doing these tests because you expect anything to be abnormal in OA. Quite the opposite. You are doing these tests because if any of them is abnormal it is likely not OA! The reason for the CHEM-7 test is to be careful about the use of NSAIDs in those with renal insufficiency. The CBC is looking for a microcytic anemia that may have been caused by an occult ulcer. Although daily NSAID use leads to an ulcer in 10% to 20% of patients after a year, only half (5–10%) will be symptomatic and half of them (1–3%) will bleed from it.

What should all users of NSAIDs be taking along with the NSAIDs?

a. Proton pump inhibitor (PPI)

b. H2-blocker

c. Misoprostol

d. None

e. Sucralfate

Answer d. None

Although daily PPI use (e.g., omeprazole) will decrease the risk of ulcers, there is no routine recommendation to put every NSAID user on a PPI. H2-blockers, such as cimetidine or sucralfate, which coat the gastric lining, are even less effective. Misoprostol is never the right answer for anything in gastroenterology.

Misoprostol

• Increases prostaglandins

• Supposed to increase gastric mucous production

• Nice basic science idea

• Does not work

The patient returns to discuss his laboratory test results the following week. He has no change in symptoms.

Reports:

Image ANA, RF, CRP, CHEM-7, CBC: normal

Image X-ray: joint space narrowing, osteophytes

Be careful of nonspecific laboratory tests!

• ANA is positive in 5% of the population.

• RF increases with age.

CCS is more “liberal” or “forgiving” with the amount of testing you can order. In this case, getting some “extra tests” like the CHEM-7, ANA, or RF would be forgiven. On a single best answer question about OA, do not order any tests.

Joint Space Narrowing (Figure 8-4)

• There is loss of articular cartilage.

• Articular cartilage is water.

• Water is radiolucent.

Image

Figure 8-4. Radiograph of a hand showing osteoarthritis of the distal interphalangeal (DIP), proximal interphalangeal (PIP), and first carpometacarpal (CMC) joints. Note the joint-space narrowing of the DIP and PIP joints compared to the metacarpophalangeal joints, as well as the bony sclerosis (eburnation) of all joints involved by the osteoarthritis process. (Reproduced with permission from Imboden JB, et al. Current Diagnosis & Treatment: Rheumatology, 3rd ed. New York: McGraw-Hill; 2013.)

Osteophytes

• They are caused by asymptomatic widening of the articular contact area.

• They “spread the load.”

• Weak bone needs more surface area.

What is the best pain medication for OA?

a. Acetaminophen

b. Ibuprofen

c. Indomethacin

d. Chondroitin sulfate

e. Glucosamine

Answer a. Acetaminophen

Acetaminophen has an equivalent analgesic capacity to NSAIDs but no adverse effects on the gastrointestinal system. Indomethacin is an NSAID that with chronic use will practically burn a hole in your stomach. Indomethacin should never be used chronically.

Glucosamine + Chondroitin = Placebo

You switch the patient from an NSAID to acetaminophen.

Orders:

Image Advise weight loss.

Image Advise exercise and weight training.

Image Consult physical therapy.

Weight loss will decrease force on joints.

Strengthening muscles decreases work on joints.

The patient comes to see you every few months for blood pressure (BP) management. He comes to see you on a Monday morning after his knee becomes worse after going hiking with his grandchildren.

PE:

Image Worsening redness and crepitans of knee

Orders:

Image Hyaluronic acid injection

Image Intraarticular triamcinolone

Image Orthopedic surgery evaluation

• Hyaluronic acid and steroid injection helps relieve pain but lasts for a short time.

• Hyaluronic acid increases synovial fluid volume and buoyancy.

Move the clock forward an hour after the injections of steroids and hyaluronic acid. On the Interval History, there is significant improvement in pain and discomfort. Ultimately, there is no medical therapy to reverse the process of OA. Losing weight decreases the stress on the knees and ankles. Exercise will strengthen the muscles around the joint to bear more of the load. Both of these interventions can slow the process of deterioration, but cannot reverse it. Eventually, more than 100,000 people a year in the United States alone need knee replacement. When the patient gets to the point where relief of pain and immobility requires steroid and hyaluronic acid injections, referral should be made for replacement of the affected joint.



If you find an error or have any questions, please email us at admin@doctorlib.org. Thank you!