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33 Cards in this Set

  • Front
  • Back
BONE DISORDERS
BONE DISORDERS
BONE DISORDERS
BONE DISORDERS
BONE DISORDERS
OSTEOGENESIS IMPERFECTA (OGI)
"BRITTLE BONE" DISEASE
Auto Dominant
OSTEOGENESIS IMPERFECTA
has a defect in:
synthesis of TYPE 1 COLLAGEN
Clinical findings of OSTEOGENESIS IMPERFECTA
1. Blue Sclera
2. deafness
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.)
OSTEOPETROSIS
"MARBLE BONE" DISEASE
AR
OSTEOPETROSIS
defect in:
osteoclasts
"too much bone": overgrowth of and sclerosis of cortical bone
can't break down bone
OSTEOPETROSIS
2 clinical findings
1. ANEMIA:
because you don't have marrow
2. CRANIAL NERVE COMPRESSION
visual & hearing loss
OSTEOPOROSIS
OSTEOPOROSIS
OSTEOPOROSIS
Is most common
metabolic abnormality of bone
D: OSTEOPOROSIS
is the overall reduction of bone mass in BOTH mineral and organic components
POSTMENOPAUSAL OSTEOPOROSIS:
is due to:
explain MOA
Estrogen deficiency
MOA: estrogen inhibits production of ostoclasts and enhances osteoblasts
POSTMENOPAUSAL OSTEOPOROSIS:
clinical findings (MC?)
1. COMPRESSION FRACTURES OF VERTEBRAL BODIES
2. COLLES' FRACTURE OF DISTAL RADIUS
name the osteoclast activating factor
IL-1
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
POSTMENOPAUSAL OSTEOPOROSIS
prevention
1. 1500mg Calcium
2. 400-800 vitamin D supplements
OSTEOPOROSIS
test
Dual--photon absorptiometry
non-invasive evaluates bone density
TUMORS OF BONE
TUMORS OF BONE
TUMORS OF BONE
TUMORS OF BONE
TUMORS OF BONE
BENIGN TUMORS OF BONE
BENIGN TUMORS OF BONE
OSTEOCHONDROMA
OVERALL MC bone tumor
EPID
OSTEOCHONDROMA
M
10-30y/o
single or multiple
OSTEOCHONDROMA
primary location
metaphysis of distal femur
OSTEOCHONDROMA
characteristics
outgrowth of bone capped by benign cartilage
ENCHONDROMA
EPID
m=f
20-50 y/o
solitary or multiple
ENCHONDROMA
primary location
medullary location
Small tubular bones in hands and feet
ENCHONDROMA
characteristics
multiple enchondromas
risk for chondrosarcoma
MALIGNANT BONE TUMORS
MALIGNANT BONE TUMORS
CHONDROSARCOMA
primary location
pelvic bones
proximal femur
CHONDROSARCOMA
characteristics
grade determines biologic behavior
metastasizes to LUNGS
MC malignant cartilage tumor
CHONDROSARCOMA
EPID
M
30-60
OSTEOGENIC SARCOMA
KEY WORDS
ADOLESCENT
KNEE
SUNBURST APPEARANCE
CODMAN'S TRIANGLE
OSTEOGENIC SARCOMA
genetics
RB suppressor gene
chromosome 13
OSTEOGENIC SARCOMA
Risk factors
Paget's disease
familial retinoblastoma
irradiation