Radiology - Osteolytic

klistu's version from 2016-03-27 17:35

Section 1

Question Answer
A skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fractureOsteoporosis
A condition of decreased bone densityOsteopenia
Occurs in postmenopausal women <70 years oldPrimary Osteoporosis type 1
Age related bone loss that occurs in men and womenPrimary Osteoporosis type 2
Bone loss that occurs as a result of some other specific disease process or treatmentSecondary Osteoporosis
Decreased bone density affecting a majority of the axial skeletonGeneralized Osteoporosis
Bone loss occurring in a particular segment, predominantly in the appendicular skeletonRegional Osteoporosis
An area of decreased bone density where one particular part of an extremity is involvedLocalized Osteoporosis

Section 2

Question Answer
(Jhamaria Grading) Both types of trabeculae are uniformly presentGrade V
(Jhamaria Grading) Posterior compressive trabeculae are divided into 2 columnsGrade IV
(Jhamaria Grading) Recession and disappearance of posterior tensile trabeculaeGrade III
(Jhamaria Grading) Disappearance of anterior tensile trabeculaeGrade II
(Jhamaria Grading) Both sets of tensile trabeculae disappear, disappearance and reduction in number of anterior compressive trabeculaeGrade I

Section 3

Question Answer
Acute development of painful regional osteopenia following trivial traumaCRPS
Adult metabolic bone disease characterized by soft bones due to inadequate mineralizationOsteomalacia
Infantile/childhood metabolic bone disorder where a deficiency in calcium, vitamin D, and/or phosphate results in unmineralized osteoid matrixRickets
Disease resulting from a long term deficiency of ascorbic acidScurvy
Increased PTH leading to increased osteoclastic bone resorptionHyperparathyroidism

Section 4

Question Answer
Radiographic Hallmark: Subperiosteal Bone ResorptionHyperparathyroidism
Fragmented epiphyses or dysgenesis of the epiphysisHypothyroidism
Spotty OsteopeniaCRPS
Protruding forehead, pigeon chest, enlarged swollen wrists, curved bonesRickets
Spontaneous hemorrhage secondary to capillary fragilityScurvy

Section 5

Question Answer
(Scurvy) Dense zone of provisional calcificationWhite Line of Frankel
(Scurvy) Epiphyseal cortical outline appears exaggerated because of central osteopenia of the piphysisWimberger's Sign
(Scurvy) Irregular metaphyseal marginCorner Sign
(Scurvy) Bony protuberances at metaphyseal marginPelken's Spurs
(Scurvy) Radiolucent area of disorganized osteoid beneath zone of provisional calcificationScorbutic Zone (Trummerfeld Zone)
(Scurvy) Due to hemorrhaging below the periosteumEpiphyseal detachment
(Scurvy) Due to extension of extravasated bloodSub-periosteal hemorrhage
(Rickets) Due to hypertrophy of cartilage around growth platesSoft Tissue Edema
(Rickets) Due to cartilage proliferation forming costo-chondral bumpsRachitic Rosary
(Rickets) Due to muslce weaknessFloppy Baby Syndrome
(Rickets) Due to an increase in intracranial pressure before the skull sutures unitedFrontal Bossing
(Hyperparathyroidism) Due to abnormal bone remodeling from overproduction of PTHPainful Bones
(Hyperparathyroidism) Due to hypercalcuriaNephrolithiasis
(Hyperparathyroidism) Due to hemosiderin deposition in the osteolytic cystsBrown Tumors
(Hyperparathyroidism) Prominent sub-endplate densities and multiple contiguous levels producing alternating dense-lucent appearanceRugger Jersey Spine