Term
| Known as the great imitator of bone diseases |
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Definition
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Term
| Clinically: age 8-14; pathological fractures are most commonly the symptom; bowing deformites; cafe au lait spots |
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Definition
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Term
| chestnut pigmented non elevated macules |
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Definition
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Term
| coast of main appearance is the same as |
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Definition
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Term
| Most common type of fibrous dysplasia |
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Definition
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Term
| Most common site of monostotic fibrous dysplasias |
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Definition
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Term
| Polystotic fibrous dysplasia affects |
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Definition
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Term
| Fibrous displasia location is |
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Definition
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Term
| Fibrous dysplasia when viewed radiographically is seen as |
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Definition
| radiolucent, lobulated, trabeculated ground glass, smokey appearance |
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Term
| Fibrous dysplasia viewed as very thick is known as |
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Definition
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Term
| Expecially in polystotic fibrous dysplasia there is |
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Definition
| bone expansion, endosteal thinning (inside out) |
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Term
| Fibrous dysplasia in the hip joint will have ___ deformity |
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Definition
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Term
| Fibrous dysplasia in the ribs will have___ sign |
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Definition
| extrapleural sign-expansile rib lesions |
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Term
| Fibrous dysplasia is known as pseudo___ |
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Definition
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Term
| In fibrous dysplasia the lesion grows with __ |
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Definition
| the bone (long lesion=long bone) |
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Term
| "great imitator of bone disease" of unknown etiology with a higher incidence in countries of UK, Austrailia, and New Zealand |
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Definition
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Term
| Countries of low incidence of paget's |
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Definition
| asia, africa, scandinavia |
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Term
| Clinically male 2:1 predominance, over the age 55, 90% are asymptomatic except pain associated with deformities, fractures |
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Definition
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Term
| Labs with Paget's disease will shwo |
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Definition
increase in alkaline phosphatase
Hypercalcemia |
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Term
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Definition
Osteolytic (destructive or monophasic)
Combined (mixed biphasic)
Sclerotic (ivory vertebra reabsorbtion/laying down new)
Malignant degeneration (hair on end appearance) |
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Term
| Radiographic features of Paget's |
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Definition
thickened cortex
coarsened trabeculae
bone expansion
increased or decreased density
subarticular extension
long lesions
deformity |
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Term
| What are two radiological features that causes pagets to differ from fibrous dysplasia |
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Definition
subarticular extension
long lesions |
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Term
| Pagets of the skull is known as |
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Definition
| Osteoporosis Circumscripta |
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Term
| Appearance of bone in the skull with Pagets |
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Definition
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Term
| Appearance of bone in the spine with Pagets |
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Definition
picture frame appearance
Ivory vertebra |
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Term
| Pagets of the pelvis appearance |
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Definition
| brim sign or rim sign (thickened) |
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Term
| Appearance of the femur and tibia with pagets |
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Definition
| blade of grass appearance (osteoclastic activity) |
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Term
| Pagets of long bone(femur/tibia) lesions will have a |
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Definition
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Term
| Bowing of the leg bones with Pagets is known as |
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Definition
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Term
| Pagets may cause 6 deformites of bone |
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Definition
Shepherds crook deformity
Sabre shin
Protrusio acetabuli
Leontiasis Ossea
Basiler Invagination
Frontal and parietal bossing |
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Term
| If pagets causes basiler invagination what line is going to be used to measure it |
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Definition
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Term
| McGregors line the tip of the odontoid should not exceed |
|
Definition
8mm in males
10mm in females |
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Term
| Complications of pagets may include |
|
Definition
pathological fracture
pseudo fracture
spinal stenosis
anemia
malignant degeneration |
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Term
| If there is suspected spinal stenosis you measure using |
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Definition
| Eisnesteins line (<15mm is stenosis) |
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Term
| Pagets may affect any bone including |
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Definition
| small bones of the ear causing hearing loss |
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Term
| Poverty of bone; demineralization |
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Definition
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Term
| 3 ways to visualize Osteopenia |
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Definition
Generalized
Regional
Localized (ex RA) |
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Term
| Radiographic features of osteopenia |
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Definition
more radiolucent
pencil thin cortices
altered trabecular patterns throughout the spine
fracture deformity |
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Term
| Altered trabecular patterns in one spinal segment only is |
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Definition
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Term
| 2 forms of generalized osteopenia |
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Definition
multiple myeloma
osteoporosis |
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Term
| 4 Osteoporosis spinal manifestations |
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Definition
decreased bone density
trabecular changes (pseudohemangiomatous appearance)
cortical thinning
changes in vertebral shape |
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Term
| What are the changes in vertebral shape of osteoporosis |
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Definition
wedge vertebra (hyperkyphotic)
vertebral plana |
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Term
| 5 things can cause a pathological compression fx |
|
Definition
metastasis (osteolytic)
multiple myeloma
infection
osteoporosis
eosinophilic granulomas (children) |
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Term
| Adult rickets that alters the quality of bone to make "soft bones" |
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Definition
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Term
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Definition
interference with the metabolism of
calcium
phosphorus
vitamin D |
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Term
| Radiographic features of osteomalacia |
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Definition
decrease in bone density
coarse trabecular pattern
Loss of cortical definition
Pseudo FX
Deformities |
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Term
| Childhood deficiency in Vitamin D, Calcium, or phosphate |
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Definition
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Term
| Clinical: tetany, pain, weakness, delayed maturity, deformities, and growth plate swelling |
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Definition
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Term
| Radiological features of rickets will show a ___ metaphysis |
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Definition
| frayed and cupped paintbrush metaphysis |
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Term
| The cortical margin of growth plate in rickets will show |
|
Definition
| absent zone of provisional calcification |
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Term
| Radiological features of rickets are |
|
Definition
generalized osteopenia
coarse trabeculation
widened growth plates
decreased bony length
scoliosis
pseudo fractures
bowing deformity |
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Term
| Patient presents with fever and cough for 3 weeks, swelling and tenderness, irritability |
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Definition
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Term
| Hypovitaminosis C (infant fed solely on pasteurized milk), spontaneous hemorrhages, swelling, irritability, pain, lying motionless (frog legged), coastal rosary |
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Definition
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Term
| Compared to scurvy, rickets has ___ physis |
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Definition
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Term
| Compared to scurvy, rickets has ___ metaphysis |
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Definition
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Term
| Compared to rickets, scurvy has ___ cortices of metaphysic at the ___ |
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Definition
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Term
| "Stones, bones, abdominal moans, and psychiatric overtones" |
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Definition
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Term
| "Stones, bones, abdominal moans, and psychiatric overtones" refers to |
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Definition
| renal calculi, bone pain, peptic ulcers, pancreatitis, and CNS problems (confusion, lethargy, weakness) |
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Term
| 3 presentations of hyperparathyroidism |
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Definition
| Primary, secondary, tertiary |
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Term
| Primary hyperparathyroidism is due to |
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Definition
| due to adenomas, carcinoma |
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Term
| Secondary hyperparathyroidism is due to |
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Definition
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Term
| Tertiary hyperparathyroidism is due to |
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Definition
|
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Term
| Clinical presenatation of hyperparathyroidism |
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Definition
| weakness, lethargy, polydipsia, polyuria, hypotonic muscles that feel weak, nephrolithiasis |
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Term
| Labs of primary hyperthyroidism |
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Definition
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Term
| Labs of secondary hyperthyroidism |
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Definition
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Term
| Labs of Primary and secondary hyperthyroidism will have |
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Definition
| increased alkaline phosphatase |
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Term
| Radiographic features of hyperparathyroidism |
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Definition
osteopenia
accentuated trabeculae
subperiosteal resorption
loss of cortical definition
brown tumors
Salt and pepper appearance |
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Term
| Subperiosteal resorption in HPT is seen |
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Definition
|
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Term
| Browns tumors in HPT is seen in |
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Definition
| radiolucency of the hands |
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Term
| Reabsorption of lamina dura seen in HPT is viewed as |
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Definition
| salt and pepper appearance in the skull |
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Term
| HPT of the spine will mimic |
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Definition
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Term
| HPT of the spine is viewed as |
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Definition
| loss of endplates, body destruction, loss of disc height |
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Term
| HPT in the soft tissue will be viewed as |
|
Definition
nephrocalcinosis
renal calculi
chondrocalcinosis |
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Term
| Thick radio-opaque cortical end plates seen in HPT is known as |
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Definition
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