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13 Cards in this Set

  • Front
  • Back
Gynecomastia

Physiological
Neonatal (due to hih palcental estrogens)
Pubertal (excess of estadiol over testosterone)
Sennile (falling androgen rising levels of estrogen
Gynecomastia

Pharmacological
estrogen
digitalis
anticancer drugs
anti androgens
reserpine
phenothiazines
tricyclic antidepressants
Methyldopa
Gynecomastia

Pathological
Ca bronchus
teratoma testis
cirrhosis
hypogonadism (Klinefelter, castration)
hypopituatrism
testicular feminization (androgen insensitivity)
Adrenal tumors
Leydig cell tumors
hypopituatrism
Linear and Curvilinear Calcificationin Soft Tissues
Arterial
atheroma/aneurysm
diabetes
hyperparathyroidism
Werner Syndrome (diabetic aging Jewish)

Nerve
Leprosy
Neurofibromatosis

Ligament
Tendonitis (Pellegrini-Stieda, supraspinatis
Ank. spond
fluorosis
Diabetes
Alkaptonuria

Bismuth Injection in Buttocks

Parasites
cysticerci (oval)
guinea worm (irregular coiled appearance)
Loa Loa (thread like coil web spaces of hand)
Armillifer (comma shaped only in trunk muscles)
Conglomerate Calcification in Soft Tissue

Collagenoses
scleroderma (acrolysis and flexion contractions in the hands)
Conglomerate Calcification in Soft Tissue

Metabolic
Hyperparathyroidism (more common secondary)
Gout
Conglomerate Calcification in Soft Tissue

Traumatic
hematoma
burns
myositis ossificans (outer part more densly calcified than the center)
Conglomerate Calcification in Soft Tissue

Infective
TB abscess/ node
Conglomerate Calcification in Soft Tissue

neoplastic
Benign
Parosteal lipoma (sometimes pressure erosins of adjacent bone)

Malignant
Paraosteal Osteosarcoma (age 20-40 Lobulated calcification aroud metaphysis inner part more densely calcified than periphery
Extraskeletal osteosarcoma
Synovial sarcoma
Hemangioma (phleboliths)
Sheets of Calcification/Ossification in Soft Tissues
Congenital Myositis Ossificans Progressiva (manifest in childhood initially neck and trunk muscles involved. Short 1st metacarpal and metatarsal)
Dermatomyositis
Periarticular Soft Tissue Calcification
Inflammatory
scleoderma
dermatomyositis
gout
bursitis

Degenerative
calcified periarthritis (calcium hydroxyapetite deposition disease)
Calcim pyrophosphate deposition disease

Renal Failure
Secondary hyperparathyroidism
Treatment Vit D

Hypercalcemia
Sarcoidosis (lacelike trabecullar pattern in tubular bones)
Hypervitamonosis D
Milk alkali syndrome

Neoplastic
synovial osteochondromatosis (20-50 large joint multiple loose calcified bodies)
synovial sarcoma (age 20-50. Soft tissue mass with amorphous calcification irregular bone destruction and osteoporosis

Idiopathic
Tumoral Calcinosis (age 20-30 adjacent to major joint. Firm non tender movable mass well defined lobulated and calcified on X ray
Soft Tissue Ossification
Traumatic myositis ossificans
burns
neurogenic

Neoplastic
synovial sarcoma parosteal sarcoma
liposarcoma

Idiopathic fibrodysplasia progressiva
CT of Swollen Legs
Normal
Venous thrombous or insufficiency
lymphodema
hematoma
popliteal cyst