Osteoarticular 1 Flashcards

1
Q

What is cretisnism due to

A

congenital hypothyrodism

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2
Q

what is symptoms of cretisnism

A

Delayed growth since 1st year
thickened skin
enlarged tongue
reduced mm tone/coordination

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3
Q

What constitues dwarfism

A

(skeletal dysplasia)

-3 or more SD below mean height

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4
Q

What accounts for 70% of dwarfism

A

achondroplasia

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5
Q

What is the main mutation in achondroplasia and what is the effect

A

muation in gene for FGF receptor 3 on p arm of chromosome 4

usually an inhibitor off cartilage prolif

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6
Q

What is scurvy due to

A

def of vit c

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7
Q

What type of rash is typical of scurvy

A

perifolicular rash

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8
Q

manifestations of survy def

A

(overall impaires collagen synthesis)

  • poor wound healing
  • defective dentine
  • hemorraging
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9
Q

What is osteopetrosis

A

disorder where bones become extremely dense, hard and brittle

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10
Q

What is osteopetrosis due to

A

Decreased resorption of bone by osteoclasts results in increased amount of bone but structurally weak

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11
Q

Symptoms of osteopetrosis

A

marrow cavities become filled w compact bone

  • reduced hematopoisis
  • CNs become compressed
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12
Q

How is osteopetrosis aquired in that form

A

Caused by fluride deposition in bone tissue ((well water))

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13
Q

What are the 4 types of congenital osteopetrosis

A
  1. infantile malignant
  2. autosomal dom 1
  3. autosomal dom 2
  4. Carbonic anhydrase II def
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14
Q

tx of osteopetrosis

A

Bone marrow transplant

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15
Q

What is progressive diaphyseal disease also called and what is it caused by

A

Camurati- engelmann disease

-mutations of TGFbeta 1

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16
Q

Symptoms of progressive diaphyseal disease

A
  • tall w long bones (diaphyseal dysplasia, metaphyseal expation)
  • delayed sexual dev
  • increased ESR
17
Q

What is osteogenesis imperfecta 1 due to (mutation)

A

Decreased synthesis of pro alpha 1 collagen chain

18
Q

What are the complications of osteogenesis imperfecta

A
  • increased fxs
  • blue sclerea
  • hearing loss
  • defective dentition
19
Q

What constitues familial short stature

A

Standing height more than 2sd below mean

20
Q

Continued mvmt at unhealed fracture causes

A

pseidoarthrosis

21
Q

Histology of osteoporosis

A

Bone corticies thin w/ widened haversian canals

-the ratio of osteoid to mineralization is normal

22
Q

What is osteomalacia

A

-accumulation of unmineralized bone

inadequate mineralization of newly formed bone matrix

23
Q

blood markers in osteomalacia

A

Low vit D w/or w/o low calc/phosphorus with HIGH levels of alkaline posphatase

24
Q

What is rickets due to and when

A

Vit d, calc or phosphoruus depletion

Impaired mineralization of bones in children before growth plate closure