bone and soft tissue non-neoplastic Flashcards

1. Describe the common bone related findings in genetic abnormalities of non-neoplastic bone lesions (Achondroplasia, osteogenesis imperfecta, osteopetrosis) 2. Describe the bone related findings and pathophysiology of common acquired structural abnormalities of non-neoplastic bone lesions (osteoporosis, Paget's disease, Osteomalacia, Hyperparathyroidism and renal osteodystrophy) 3. Describe the clinicopathologic features and common causes of osteonecrosis (avascular necrosis)

1
Q

major cause of dwarfism

A

achondroplasia

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2
Q

mutation in achondroplasia

A

FGFR3

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3
Q

problem in achondroplasia

A

FGFR3 mutation normally inhibits cartilage proliferation. Mutation turns it on permantly, causing it to prevent chondrocytes from bein formed

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4
Q

collegen deficiancy in osteogenesis imperfecta (OI)

A

type 1

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5
Q

blue schlera found in

A

OI

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6
Q

condition where bones are harder than usual

A

osteopetrosis

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7
Q

deficency in osteopetrosis

A

carbonic anhydrase II, which stimulates osetoclast activity

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8
Q

causes of osteoporosis

A

being female, being old, low Ca intake, low exersize, decreasin estrogen levels

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9
Q

why don’t men get osteoporosis?

A

testosterone

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10
Q

fracture sites in osteoporosis

A

femoral neck and vertabrae

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11
Q

test for osteoporosis

A

DEXA bone scan

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12
Q

abnormal bone matrix due to excessive remodelling

A

paget’s disease

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13
Q

phases of paget’s disease

A

osteolytic, mixed osteoclastic/osteoblastic, quiescent osteoschlerotic

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14
Q

“My hats don’t fit!”

A

paget’s disease

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15
Q

complications of paget’s disease

A

deafness, bone neoplasms

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16
Q

rib nodules and bowleggedness

A

osteomalcia

17
Q

issue in osteomalacia

A

decreased bone mineralization

18
Q

how to tell the difference between neoplams of PTH clands and hyperplasia

A

neoplasm will be in only one gland

19
Q

organ failure that can lead to secondary hyperparathyroidism

A

kidney

20
Q

brown tumors lead from

A

hyperPTHism

21
Q

drugs that can cause osteonecrosis

A

corticosteroids

22
Q

bug that causes pyoenic osteomyeltis, normally

A

staph A

23
Q

bug that causes pyoenic osteomyeltis in iv drug use of secondary to GU infections

A

e coli, pseudomonas, klebsiela

24
Q

bug that can cause osteomyelitis in sickle cell pts

A

salmonella