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33 Cards in this Set
- Front
- Back
BONE DISORDERS
BONE DISORDERS BONE DISORDERS BONE DISORDERS |
BONE DISORDERS
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OSTEOGENESIS IMPERFECTA (OGI)
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"BRITTLE BONE" DISEASE
Auto Dominant |
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OSTEOGENESIS IMPERFECTA
has a defect in: |
synthesis of TYPE 1 COLLAGEN
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Clinical findings of OSTEOGENESIS IMPERFECTA
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1. Blue Sclera
2. deafness |
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VIP BQ:
OSTEOGENESIS IMPERFECTA MOA OF BLUE SCLERA IN OGI |
IS THE REFLECTION OF UNDERLYING CHOROIDAL VEINS
(there is collagen in sclera & b/c collagen synthesis is defective in OGI, the sclera is very thin.) |
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OSTEOPETROSIS
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"MARBLE BONE" DISEASE
AR |
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OSTEOPETROSIS
defect in: |
osteoclasts
"too much bone": overgrowth of and sclerosis of cortical bone can't break down bone |
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OSTEOPETROSIS
2 clinical findings |
1. ANEMIA:
because you don't have marrow 2. CRANIAL NERVE COMPRESSION visual & hearing loss |
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OSTEOPOROSIS
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OSTEOPOROSIS
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OSTEOPOROSIS
Is most common |
metabolic abnormality of bone
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D: OSTEOPOROSIS
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is the overall reduction of bone mass in BOTH mineral and organic components
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POSTMENOPAUSAL OSTEOPOROSIS:
is due to: explain MOA |
Estrogen deficiency
MOA: estrogen inhibits production of ostoclasts and enhances osteoblasts |
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POSTMENOPAUSAL OSTEOPOROSIS:
clinical findings (MC?) |
1. COMPRESSION FRACTURES OF VERTEBRAL BODIES
2. COLLES' FRACTURE OF DISTAL RADIUS |
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name the osteoclast activating factor
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IL-1
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VIP BQ: OSTEOPOROSIS:
IS SWIMMING A GOOD EXERCISE TO PREVENT OSTEOPOROSIS? |
NO! b/c it does not stress bones... you need stress bone to build it up
GOOD ONES: 1. WALKING 2. WEIGHTS |
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POSTMENOPAUSAL OSTEOPOROSIS
prevention |
1. 1500mg Calcium
2. 400-800 vitamin D supplements |
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OSTEOPOROSIS
test |
Dual--photon absorptiometry
non-invasive evaluates bone density |
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TUMORS OF BONE
TUMORS OF BONE TUMORS OF BONE TUMORS OF BONE |
TUMORS OF BONE
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BENIGN TUMORS OF BONE
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BENIGN TUMORS OF BONE
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OSTEOCHONDROMA
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OVERALL MC bone tumor
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EPID
OSTEOCHONDROMA |
M
10-30y/o single or multiple |
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OSTEOCHONDROMA
primary location |
metaphysis of distal femur
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OSTEOCHONDROMA
characteristics |
outgrowth of bone capped by benign cartilage
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ENCHONDROMA
EPID |
m=f
20-50 y/o solitary or multiple |
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ENCHONDROMA
primary location |
medullary location
Small tubular bones in hands and feet |
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ENCHONDROMA
characteristics |
multiple enchondromas
risk for chondrosarcoma |
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MALIGNANT BONE TUMORS
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MALIGNANT BONE TUMORS
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CHONDROSARCOMA
primary location |
pelvic bones
proximal femur |
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CHONDROSARCOMA
characteristics |
grade determines biologic behavior
metastasizes to LUNGS MC malignant cartilage tumor |
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CHONDROSARCOMA
EPID |
M
30-60 |
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OSTEOGENIC SARCOMA
KEY WORDS |
ADOLESCENT
KNEE SUNBURST APPEARANCE CODMAN'S TRIANGLE |
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OSTEOGENIC SARCOMA
genetics |
RB suppressor gene
chromosome 13 |
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OSTEOGENIC SARCOMA
Risk factors |
Paget's disease
familial retinoblastoma irradiation |