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Bone Path II > Final > Flashcards

Final Flashcards

1
Q

Aggressive appearing lesion

  • Lytic
  • Cortical Destruction
  • Solitary lesion

with Fever and/or increased WBC

A

Osteomyelitis (infection of bone)

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2
Q

What do you have to rule out with Osteomyelitis?

How do you do this?

A

Malignancy

Biopsy

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3
Q

What is there a risk of with osteomyelitis?

A

Pathologic Fracture

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4
Q

Who do you refer to for suspected osteomyelitis

A

Orthopedic Surgon

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5
Q

What would an MRI show in the medullary cavity of somebody with Osteomyelitis?

A

High signal- consistent with edema

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6
Q

Localized osteomyelitis=

A

Brodies Abscess

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7
Q

Sclerotic lesion with luscency <1=

> 1=

A

<1= Osteoid Osteoma

> 1= Brodies Abscess

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8
Q

With infection, If bone on both sides of a joint are involved, what is the diagnosis?

A

Septic Arthritis

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9
Q

T/F: Identifying soft tissue swelling on plain film in a single, acutely inflamed joint shoulder lead to urgent referral.

A

True

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10
Q

Significant disc space loss at a single level without signs of degenerative disease, and loss of subchondral bone (endplates) should put what at the top of the ddx list?

A

Infection

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11
Q

DDX for significant destruction of two vertebra endplates

A

Septic arthritis

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12
Q

Most joint space narrowing in the spine is due to _

A

Degenerative Disease (DDD/DJD)

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13
Q

Osteophytes in spine indicate _

A

Degenerative Disc Disease

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14
Q

T/F: Degree of Radiographic findings and clinical symptoms are poorly correlated.

A

True

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15
Q

Degenerative Joint Disease is also known as:

A

Osteoarthritis

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16
Q

T/F: OA has asymmetric distribution of joint space loss.

A

True

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17
Q

Where are the only sports you will find DJD involving the metacarpals or matatarsals

A

1st carpometacarpal

1st metatarsalphalangeal

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18
Q

What are the 4 types of arthritis?

A

Infectious
Degenerative
Metabolic (crystal deposition)
Inflammatory

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19
Q

Which type of arthritis:

Single joint, acute symptoms, fever, warmth, redness, swelling

A

Infectious

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20
Q

Which type of arthritis:

Insidious/chronic, pain, stiffness, decreased ROM, Crepitus, swelling, asymptomatic

A

Degenerative

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21
Q

Which Type of Arthritis:

Acute Symptoms, Intermittent episodes

A

Inflammatory

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22
Q

Which type of arthritis:

Acute, Chronic, or asymptomatic

A

Metabolic- Crystal deposition

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23
Q

In infectious arthritis, is the joint space loss uniform or nonuniform?

Inflammatory=

Degenerative=

A

Infectious=Uniform

Inflammatory= Uniform

Degenerative= Non-uniform

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24
Q

Who do you refer for with suspected inflammatory arthritis?

A

Rheumatologist

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25
Q

How do you treat gout?

A

Manage Hyperurecemia

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26
Q

How do you manage CPPD, HADD?

A

Manage Symptoms

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27
Q

What is Neuropathic Arthropathy?

A

Severe Degenerative Arthritis secondary to loss of sensory and proprioceptive

  • Diabetes
  • Alcoholism
  • Tabes Dorsalis
  • Paralysis
  • Syringomyelia
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28
Q

What are the 6D Radiographic Findings in Neuropathic Arthropathy?

A 
Distended Joint
Density Increased
Debris
Dislocation
Disorganization
Destruction
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29
Q

Multiple Osteochondral bodies, intraarticular=

A

Synoviochondrometaplasia

  • Synovial chondromatosis
  • Osteochondromatosis
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30
Q

Digital Clubbing

Symmetric arthritis

Periostitis

may be a sign of:

A

Hypertrophic Osteoarthropathy

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31
Q

What is Hypertrophic Osteoarthropathy secondary to?

A

Major visceral disorder- MC Bronchogenic Carcinoma

32
Q

Calcific Tendonitis is also known as_

A

HADD

33
Q

Pencil in cup deformity is typical of _

A

Psoriatic Arthritis

34
Q

With Sacroilitis _= Symmetric or Asymmetric

AS=
Psoriatic=
Reactive (Reiters)=
Enteropathic=

A

AS= Symmetric
Psoriatic= Asymmetric
Reactive (Reiters)= Asymmetric
Enteropathic= Asymmetric

35
Q

What are radiographic findings of Sacroiliitis?

A

Erosions (pseudowidening

Reactive Sclerosis (wide indistinct borders)

Fusion (late)

36
Q

Psoriatic prefers _ location

Reactive prefers _ location

A

Psoriatic= hands and feet

Reactive= lower extremity

37
Q

Thick or thin paraspinal syndesmophytes?

DISH=
Reiters/Psoriatic=
AS/ Enteropathic Arthritis=

A

DISH= Thick

Reiters/Psoriatic= Thick

AS/ Enteropathic Arthritis= Thin

38
Q

Type of Sacroilitis
(None, Uni/Bilateral, A/Symetrical)

AS=
Enteropathic=
Reiters
Psoriatic=
DDD=
DISH=
A

AS= Bilateral/Sym

Enteropathic= Bilateral/Sym

Reiters= Unilateral

Psoriatic= Bilat/Asym

DDD= None

DISH=None

39
Q

T/F: RA can cause upper cervical instability.

A

True- Any of the inflammatory arthropathies can cause upper cerical instability.

40
Q

Squaring of vertebral bodies, erosions and “shiny corner sign” are a sign of +

A

Reactive sclerosis- due to inflammation at disc annular fiber insertion.

41
Q

If you suspect AS, but the patient also has GI symptoms, what is now at the top of your DDX list?

A

Enteropathic Arthritis.

42
Q

Asymmetric Sacroiliitis=

A

Psoriatic Arthritis

Reactive Arthritis

43
Q

Bilateral Sacroiliitis and bilateral symmetric hip changes with uniform joint space loss=

A

AS most likely

44
Q

Well defined, triangular areas of sclerosis on the iliac side of the SI joint without erosions=

A

Osteitis Condensans ilii

45
Q

Acute pain and stiffness in the upper cervical with radiographic evidence of calcification=

A

HADD

46
Q

Name 4 seronegative spondyloarthropathies

A

AS
Enteropathic
Psoriatic
Reactive

47
Q

Besides the sacroiliac joints and lumbosacral junction, where is the most common site of involvement in the spine for seronegative spondyloarthropathies?

A

TL Junction

48
Q

Enteropathic arthropathies are cause by which GI conditions?

A

Chrons

Ulcerative Colitis

49
Q

Which seronegative spondyloarthropathy has unilateral asymmetrical sacroiliitis?

A

Reactive (reiters)

50
Q

Which arthtisis do not involve the Sacroiliitis?

A

DISH
DJD
RA
Psoriatic

51
Q

Which Arthritis have Bilateral symmetrical sacroiliitis?

A

AS

Enteropathic

52
Q

Which seronegative spondyloarthropathy is associated with urethritis?

A

Reactive

53
Q

Thin marginal syndesmophyts are seen with which arthritis?

A

AS

54
Q

Coarse, nonmarginal syndesmophytes are seen typically with which two arthritides?

A

Psoriatic

Reactive

55
Q

Which arthritic conditions are associated with Atlanto-axial instability

A 
RA
AS
Psoriatic Arthritis
Enteropathic Arthritis
Reactive Arthritis

RA+ Sergonegative

56
Q

Which two conditions may exhibit distal ungual tuft resorption?

A

Psoriatic

Scleroderma

57
Q

Which condition exhibits Reversible deformities of the hands?

A

Scleroderma

58
Q

TB joint infetion is associated with what?

A

Phemister’s Triad

59
Q

What is the Triad of findings associated with Hypertrophic Osteoarthropathy?

A

Finger Clubbing

Bilateral joint pain and swelling

Bilateral, symmetric long bone solid periosteal response

60
Q

Which arthritic condition exhibits triangular sclerosis of the iiac portion of the sacroiliac joints WITHOUT showing evidence of erosions?

A

Osteitis Condesans Ilii

61
Q

Osteitis pubi may be difficult to differentiate from which more serious condition?

A

Septic (infectious) arthritis

62
Q

The “Siz Ds” are a radiographic finding associated with what arthritic condition?

A

Neuropathic Arthropathy

63
Q

What are the Siz Ds?

A 
Density Increase
Debris
Destruction
Dislocation
Distension
Disorganization
64
Q

Diffuse Idiopathich Skeletal hyperostosis involves calcification/ossification of which tissue structure?

A

ALL

65
Q

TheRadiographic features/diagnostic criteria of Diffuse idiopathich Skeletal Hyperostosis are:

A

Thick flowing hyperostosis, 4 levels

Preservation of Discs

No facet involvement

66
Q

What metabolic disease may be associated with DISH?

A

Diabetes

67
Q

50% of patients with DISH will likely develop what other spinal condition?

A

Ossification of PLL

68
Q

List 4 pathways infections can spread to bone?

A

Hematogenous MC
Contagous source
Direct implantation
Postoperative

69
Q

T/F: Osteomyelitis in adults is more insidious than in children

A

True

70
Q

name 5 groups of people who are at higher risk of developing osteomyelitis

A 
Diabetics
New Born
Drug Addicts
Alcholic
Immunosuppressed
71
Q

The latent radiographic period for osteomyelitis of the extremities is

A

10 days

72
Q

The latent radiographic period for osteomyelitis of the spine is

A

3 weeks

73
Q

The earliest radiographic changes of bone and joint infection are often seen where

A

Soft Tissues

74
Q

Acute osteomyelitis often must be differentiated from what other serious pathology?

A

Primary Malignancy

75
Q

Brodies abscess clinically presents like what neoplasm

A

Osteoid Osteoma

76
Q

List two important radiographic findings associated with septic arthritis.

A

Rapid, uniform joint space loss

Loss of subchondral bone

Bone Path II (5 decks)

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