Diagnostic Imaging Part 1 Flashcards
1 cause of calcaneal spur
Plantar fascitis
2 cause of calcaneal spur
Reiter’s
HLA B27 + Arthropathies
PEAR Psoriatic Enteropathic AS Reiter's (Reactive)
MC BBT of appendicualr skeleton
Osteochondroma
HME description
Multiple Osteochondromas–> 20% undergo malignancy
Fallen fragment sign is associated with
Unicameral Bone Cyst
ABC location
Eccentrically
Giant cell tumor location
Epiphyseal/ Metaphyseal
Giant cell tumor age
20-40
Giant Cell tumor appearance
Soap bubble
Chondroblastoma location and MC age
Epiphysel/ Metaphyseal
<20 y/o
Radiolucent central nidus with sever reactive sclerosis
Osteoid Osteoma
MC BBT of the hand
Enchondroma
What is Ollier’s DZ?
Multiple Enchondromas
Ollier’s chance of malignant degeneration
10-50%
MC BBT of the spine
Hemangioma
Hemangioma appearance
Vertical striations (Corduroy cloth)
MC BBT to affect neural arch
Osteoblastoma
MC place to see Osteoma
Frontal Sinus
MC BBT to affect the skull
Osteoma
Best view for Osteoma
Caldwell projection
Signs of Fibrous Dysplasia
Rind Sign
Saber Shin Tibia
Sheppard’s Crook
Coast of Maine appearance (jagged)
Neurofibromatosis signs
Cafe Au lait spots
IVF enlargement
Coast of California
MC primary malignancy of bone
Multiple Myeloma
Rain drop skull
Multiple Myeloma
Multiple myeloma xray appearance
Multiple dark densities similar in size aka Punched out lesions
Multiple myeloma can cause…
Pathological collapse (vertebra plana)
Labs for multiple myeloma
M spike on electrophoresis Reversal of A/G ratio Bence Jones Proteinuria Elevated ESR Bone Scan is COLD
Lytic METs appearance
Bone darker in color–> Eats away at pedicle
Swiss cheese appearance
MC malignancy of Bone
METs
Lab for lytic mets
Alkaline Phosphatase
MC Mets age 20-40
Hodgkin’s (Caucasian Male)
Hodgkin’s appearance on film
Ivory white vertebrae with anterior body scalloping
How to confirm Hodgkin’s
Biopsy –> Reed Sternberg cells
Stages of Paget’s
- Lytic/ Destructive
- Combined
- Sclerotic
- Malignant (Osteosarcoma)
Labs for Paget’s
Alkaline Phosphatase
Urinary hydroxyproline
Hot on Bone scan
Blastic Mets appearance
Ivory White –> No cortical thickening or bone enlargement
MC malignancy seen in children
Osteosarcoma
Ewing’s Sarcoma appearance
Multi paralleled onion skin (laminated)
MC and 2nd MC location of a Chordoma
MC–> Skull
2nd MC –> Sacrum
Best way to measure Scoliosis
Cobb’s* and Riser Ferguson
Scoliosis Tx under 20 degrees
Adjust and monitor
Scoliosis risk over 50 degrees
Cardiopulmonary compromise and DJD
3 ways to monitior scoliosis
Risser’s Sign
Wrist Films
Tanner’s SIgn/ Scale
RA radiologic signs
Rat bite erosions DIPs spared* Atlanto-axial instability Heygarth's nodes Ulnar/fibular deviation--> Lanois Deformity
MC ages for AS
Male 15-35 y/o
Signs of RA
Iritis Shiny corner sign --> early Bamboo Spine Dagger sign Trolley track sign poker spine
Labs for AS
+ HLA B27
+ ESR
PA signs
Increased joint space Mouse ear deformity pencil in cup deformity Ray sign AA Instability Non- marginal Syndesmophytes in spine
Reiter’s signs on film
Fluffy periostitis
Reiter’s Symptoms
*Can't see, can't pee, can't dance with me* Urethritis Conjunctivitis Arthritis Oral Ulcers
Cause of Reiter’s
Chlamydia
Labs for Reiter’s
+ESR
+HLA B27