Quiz 2 Flashcards
Self Limiting Disease of Large Breed Dogs with Shifting Leg Lameness characterized by:
Increased Medullary Opacity
Lesion often Begins at the Nutrient Foramen
Panosteitis
Yes
*Cortex Destruction and Indistinct Transition Zone
What Joint Condition is Detected in this Radiograph
Joint Effusion
What Bone Condition can be Detected in these Radiographs
Aseptic Necrosis of Femoral Head (Legg-Calve-Perthes)
Once the Radiographs are made using PenHIP Screening, they are submitted and a Distriction Index is Calculated. What equation is used to Calculate the Distraction Index
D = Distance Center Moves Laterally
R = Radius Of Femoral Head
*Ex. A Distraction Index of 0.75 is Very Big- A Lot of Laxity
Infection of the Disk that Results in Destruction of the Endplates
Discospondylitis
*Need Two Radiographic Views on these Dogs- Lateral and Dorsoventral or Ventrodorsal
CHRONIC Disk Disease where the Annulus/Nucleus Protrudes into the vertebral canal with Spinal Cord compression that typically occurs in Large Breed Dogs
Hansen Type II
What Spine Condition is Detected in this Radiograph?
Herniated Disc within the Vertebral Canal
*Are these Herniated Disks the Cause of the Dogs Problem?- Can’t tell, these could be Chronic Type II Disks and Clinically Insignificant
When Performing a Spinal MRI, if we Perfom a _____ Image we will Only see the Fluid within the Subarachnoid Space
STIR
*STIR- Gets rid of the Signal from Fat
Must be distinguished from an Underexposed Radiograph
On Radiograph you see a Bulge between 1:00-2:00. What does the Bulge Represent?
Main Pulmonary Artery
*Enlargment of Main Pulmonary Artery- Common in Heartworm
What Bone Condition is Detected in these Radiographs
Osteochondrosis
Bone Condition that can Mimic Primary Bone Tumor, but is Often:
Polyostotic (More than One Bone)
Fungal Osteomyelitis
*Are you in an Endemic Region? California and Arizona- Coccidiodomycosis. Ohio River Valley Area- Blastomycosis
Typical Extradural Appreance of a ____
Type II Disc Herniation
Low
*Salter Harris Type I Fracture
Radiographs show Hip Dysplasia under ______ Classification
OFA
*Problems with OFA- Not evaluating Joint Laxity and is Extremely Subjective
_____ Ventricular Hypertrophy is More Common and Characterized by:
Increased Sternal Contact
Elevation of Apex from Sternum
Backward “D” Appearance
Right
*Causes of Right Ventricular Hypertrophy- Pulmonic Stenosis, Heartworm
*Backward “D” Appearance
Heart Condition seen in this Radiograph
Left Atrial Dilation
*Left Atrial Dilation- Best Seen in Lateral View
Know this Chart
*Lysis or Sclerosis is not a Factor of Bone Aggressiveness- The Opacity of the Lesion doesn’t tell us whether a Lesion is aggressive or Not
What Joint Condition is Detected in this Radiograph?
Hip Osteoarthritis
*Osteophytes are detected
Physeal Fracture Classification System where the Chance of a Secondary growth anomaly is much Higher as the Ranking Increases
Salter Harris
*Growth Plate Fracture Classification- Applies Only to Skeletally Immature Patients
*Chance of Secondary Growth Anomaly is much Higher with Type V than with Any other Type. Hardly ever get a Secondary Growth Anomaly with a Salter Harris Type I Fracture
*Salter Harris V- Compression Injury of the Growth Plate. Cannot Diagnose Radiographically
The Earliest Radiographic sign of Canine Hip Dysplasia
Joint Laxity
What can be seen in this Radiograph of Bone
Metatarsal Sequestrum
*Periosteum is Damaged, which can lead to Sequestration because of the Disruption of the Blood Supply- The piece of Bone dies off (Necrosis)
Lumbosacral (L7-S1) Spinal Cord Abnormality with these Clinical Signs:
Lumbosacral Pain
Reduced Tail Wagging- Caudal Nerve
Weakness/Lameness in One or Both Hind Limbs- Sciatic Nerve
Severe Compression of Nerve Roots
Fecal and Urinary Incontinence- Pudendal Nerve
Cauda Equina Syndrome
*Large Dog Problem
Inherited Debilitating Coxofemoral Dysplasia primarily affecting Large Dogs that causes Joint Laxity and Degenerative Joint Disease
Canine Hip Dysplasia
What Condition is Depicted in this Radiograph?
Right Ventricular Hypertrophy
*Backward “D” Appearance and Elevation of Apex from the Sternum
On Radiograph you see a Bulge between 9:30-11:30. What does the Bulge Represent?
Right Atrium
Bone Healed in an Abnormal Position
Malunion
This Radiograph Shows Necrotic Cartilage that Breaks Free. What is this Called?
Joint Fragments (Mice)
Polyostotic Bone Condition that is Usually due to Surgery or Wound that is Very Rare in Dogs and Cats
Bacterial Osteomyelitis
*Polyostotic- Occuring in Many Bones
What Joint Condition is Detected in this Radiograph?
Canine Hip Dysplasia
*Acetabulum doesn’t cover 50% of the Femoral Head
*Canine Hip Dysplasia leads to Osteoarthritis
Which of the Following Conditions is Best Seen on Radiograph
Left Atrial Dilation
Injection of Positive Contrast medium into Subarachnoid Space that can be Useful for Diagnosing Disc Herniation
Myelography
*Being Replaced by CT or MRI
Spinal Cord Condition Detected on this MRI
Type II Disc Herniation
Treatment for Ununited Anconeal Process
Removal or Fixation with Ulnar Osteotomy
*Photo- Fixation with Ulnar Osteotomy
Review Card: Radiographs of Type I-V Salter Harris Growth Plate Fractures
*No Radiographic Manifestations of a Salter Harris Type V, which is the most severe Kind
Inflammation of the Biceps Brachii Tendon and its Surrounding Synovial Sheath that leads to Mineralization and Osteophytes in the Intertubercular Groove
Bicipital Tenosynovitis
Distraction Index Greater than ____ is Associated with Significant Incidence of Degenerative Joint Disease
> 0.3
What Joint Condition is Detected on this Radiograph
Osteophytes
*New Bone forming at the edge of the Articular Cartilage- Sharp Triangular Projection of Bone
Disc Protrusion also called “Missile Disc” characterized by Acute Herniation of Hydrated Nucleus Pulposus leading to Spinal Cord Swelling and Bruising
ANNPE (Missile Disc)
Acute Non-Compressive Nucleus Pulposus Extrusion
*This occurs in disks that are NON-Degenerative
Spinal Condition Detected on this MRI in the L7-S1 Area
Cauda Equina Syndrome
What Spinal Cord Condition is Detected in this Radiograph?
Atlanto Axial Subluxation
Both of these are Radiographs of Normal Hearts. Distinguish Which Radiograph is the Ventral Dorsal View versus the Dorsal Ventral View
Left Radiograph- Ventral Dorsal View
Right Radiograph- Dorsal Ventral View
*In the Dorsal Ventral view the animal is in Sternal Recumbancy, and the Left Ventricle of the Heart will be Pointed more towards the Left Side
What Bone Condition is Pointed out in this Radiograph that is common in Patients with Elbow Dysplasia
Ununited Anconeal Process
If a Patient is Suspected of having a Traumatic Spinal Lesion, What is the Only Radiographic View we should Initially Take?
Lateral View
*One do a Lateral View in a Patient with Spinal Trauma because you don’t want to bend the dog around too much trying to take other views- Setting up a HORIZONTAL beam may work best
What Bone Condition is Detected in this Radiograph of the Humerus
Distal Humeral Osteochondrosis
*Osteochondrosis on the Humerus or Femur most commonly occurs on the Medial Side- Weight Bearing Side
What Condition can be Diagnosed in this Radiograph
Hypertrophic Cardiomyopathy
*Heart is Enlarged and Lungs shows Pulmonary Edema (Increased Opacitiy in the Lung)
What Joint Condition is Detected in this Radiograph?
Osteoarthritis
*Joint Effusion and Osteophytes are seen
No
*Cortex is not Destroyed, Distinct Transition Zone, and the Periosteal Reaction is Smooth
Most Common Cause of Left Sided Heart Failure and Secondary Pulmonary Edema
Mitral Valve Degeneration
*Increased Pressure in the Left Atrium where Blood will Push back into the Lungs from the Left Atrium- Pulmonary Edema
Radiographic Signs of which Bone Condition:
Flattening or Concavity of Subchondral Bone
Adjacent Sclerosis
+/- Mineralized Flap
Osteochondrosis/Osteochondritis Dissecans
*Osteochondrosis is commonly Bilateral! If you suspect Osteochondrosis on one side, you should take radiographs of the Other side as well
What is Surrounding the Heart in this Radiograph?
Pericardial Fat
Very Common Bone Condition in Medium and Large Breed Dogs with these Characteristics:
New Bone Formation on Proximal Aspect of Anconeal Process
Blunted Appearance of Medial Coroniod Process
Fractured Medial Coronoid Process
*Medial Coronoid Fragment is Difficult to Detect Radiographically because it is Superimposed on Radius and Ulna in Each View
True/False: This is a Radiograph of a Fractured Ulna
False
*This is a Normal Growth Plate- Normal Physes
Compared to the Normal Radiograph, what Bone Condition can be seen on the other Radiographs?
Fractured Medial Coronoid Process
True/False: Antebrachium Diaphyseal Fractures in Toy Breeds heal Slowly and have Greater Complications
True
_*_Ex. Chiuahua and Pomeranians- Will take a very long time to Heal
What Heart Condition causes Splaying of Main Stem Bronchi seen in this Radiograph
Left Atrial Dilation
*Can Also see the Bulge of the Left Auricle
Wher is the Lesion Located in this Spinal Radiograph?
Intradural-Extramedullary
*Nerve Root Tumor- Golf Tee Sign
Ex. A Dachshund comes into the clinic with Acute Pelvic Limb Paralysis. Thoracic Limbs are Normal with Normal Reflexes. Patient doesn’t have Conscious Proprioception of the Hind Limbs. Patellar Hyperreflexia is seen. What part of the Spinal Cord would you CT?
T2-L3
*KNOW THIS- always on quiz
Spinal Cord Condition detected in this MRI
ANNPE (Missile Disc)
Common Spinal Condition where New Bone Proliferation originating from Ventral aspect of Vertebral Body near the Endplate that is associated with Annular Degeneration and Tearing
Spondylosis
*Usually NOT Clinically Significant- KNOW THIS
Distal Ulnar Physis is Very Susceptible to Type V Fractures. Type V Fractures of the Ulnar Physis will lead to Insufficient Ulnar Growth and Result in One of what Three Outcomes
Humeroulnar Subluxation
Bowed Radius
Valgus of Manus (Paw Deviates Laterally)
*Only a Problem in Skeletally Immature Dogs
Radiographic Signs of _____:
Joint Effusion (Increase in Joint Fluid)
Subchondral Sclerosis (Increased Bone Density)
Osteophytes
Fragments and Subchondral Cysts
Degenerative Joint Disease (Osteoarthritis)
*Osteophyte- Osseous Metaplasia of Articular Cartilage
Five Favorite Sites of Primary Bone Tumors (Osteosarcoma)
Proximal Humerus and Distal Radius (Away from Elbow)
Distal Femur and Proximal Tibia (Toward the Stifle)
Distal Tibia (Except Distal Tibia)
*KNOW THESE 5 SITES