Bone maturation Flashcards

1
Q

process issues lead to disease

A

recipe, ingredient, oven, cleanip

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2
Q

recipe

A

correct ingredients, assembly issue

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3
Q

ingredient

A

not available, poor quality, wrong quanitity

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4
Q

oven

A

environment not ideal for formation

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5
Q

cleanup

A

disposal or remodel issue

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6
Q

recipe disease

A

acondroplasia

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7
Q

acondroplasia path

A

most common dwarfism, AD, FGFR3 point mutation, chrome 4 (guan>adenosine), 90% new, paternal age

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8
Q

acondroplasia clincal

A

midface hypoplasia, frontal bossing, rizoment limb shortening, normal torso, hypotonia, hydrocephalus, resp problems, genu varum

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9
Q

FGFR3 mutation

A

normal gene is growth break in cartilage, mutation is MORE active, less growth where cartilage is- long bone, pedicles, skull

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10
Q

ingredient disease

A

osteogenic imperfecta

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11
Q

OI path

A

many Dif point mutations in T1 collagen> Dif clinical presentations, bone fragility. Mutation at amino end is less severe

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12
Q

collagen

A

CT, 3 chain bread, 1 is skin and bone, combine at carboxyl end

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13
Q

mildest OI

A

no type 1 gene- 50% less but all normal

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14
Q

OI clinical

A

blue sclera, dental, hearing, short, fractures (less after puberty)

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15
Q

treat OI

A

brace, surgery, bisphosphonates, GH, BMT, gene therapy

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16
Q

oven issue disease

A

blounts (genu varun)

17
Q

blounts path

A

decreased ossification on medial tibial physics, decreased growth, internal tibial rotation, Increased pressure, decreased growth, only occurs with weight bearing

18
Q

blounts EPI

A

obese, male, AA

19
Q

blounts histo

A

zone of resting cartilage is hypertrophic, acellular fibrocartilage, abnormal capillaries

20
Q

blounts treatment

A

osteotomy- early is cure

21
Q

clean[ disease

A

morquios- mocropolysaccharidoses

22
Q

micropolysach.

A

no lysosomal enzymes to breakdown GAGs, buildup in skin and urine. tissue thickening, decreased cell/organ function

23
Q

morquios path

A

keratin sulfate buildup in cornea/cartilage, two enzymes (IVA/IVB galact., A is worse

24
Q

morquios clinical

A

skeletal dysplasia, normal face, pulm issues, genu valium, arthritis

25
Q

morq. treat

A

cervivcal surgery, osteotomy, joint replacement