Endocrine Bone disease Flashcards
Excess of growth hormone leads to
acromegaly
Beak like osteophytes
acromegaly
spade like overgrowths
overgrowth of the distal phalanges
Heel pad thickness greater than 24 mm (in a normal weight pt)
acromegaly
subperiosteal and subligamentous bone resportion
HPT
Skull findings in HPT
salt and pepper skull is due to trabecular resorption
Hand findings in HPT
subperiosteal resorption of the radial aspects of the 2nd and third middle phalanges
HPT finding in the clavicle
subperiosteal resorption of the distal clavicle
HPT findings in the knee
subperiosteal bone resorption in the medial proximal tibial metaphysis
HPT findings in teeth
loss of lamina dura surrounding the tooth socket
spine finding in HPT
rugger jersey sign
multiple lytic lesions in a pt with CKD
brown tumors in HPT
Soft tissue calcs, periosteal rxn, sclerosis typically seen in
secondary HPT
complications of HPT
insufficiency fx and ligamentous rupture
what is renal osteodystrophy?
combine effects of abnormal vitamin D metabolism and secondary HPT from renal failure
Spine findings in hypothyroidism
bullet shaped vertebra
bullet shaped vertebra
hypothyroidism
wormian bones and bullet shaped vertebra
hypothyroidism
SCFE is associated with
hypothyroidism
hypoparathyroidism brain finding
calcium deposition in the basal ganglia
cause of pseudohypoparathyroidism
defect of the parathyroid hormone receptor
round facies, short stature, and brachydactylyl
pseudohypoparathyroidism and pseudo-pseudohypoparathyroidism
short metacarpal of the 4th or 5th digit
pseudohypoparathyroidism
also…Turner syndrome may have a short 4th metacarpal
Hyperphosphatemia is also known as:
juvenile Paget
findings in hyperphosphatemia
cortical thickening, trabecular thickening, osteopenia, bowing of the bones in the body. SPARING of the epiphysis
