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Exam 1
Neoplasia & Osteomyelitis
23
Veterinary Medicine
Professional
02/09/2016

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Cards

Term
what are the top two differentials for aggressive bone lesions? How do we distinguish them radiographically?
Definition
-neoplasia or osteomyelitis
-no reliable rad signs to ditinguish the two
Term
A solitary, metaphyseal, aggressive bone lesion in dogs or cats should be considered to be a (what?) until proven otherwise.
Definition
-primary bone neoplasia
Term
What are the main types of primary bone neoplasia?
Definition
-osteosarcoma
-chondrosarcoma
others: fibrosarcoma, hemangiosarcoma
Term
Describe primary bone neoplasia. In which age group is it most commonly seen?
Definition
-monostotic aggressive osseouus lesion with metaphyseal origin
-older patients
Term
What are the typical radiographic findings of primary bone neoplasia?
Definition
-aggressive osseous lesion
-monostotic
-metaphyseal origin
-older patients
Term
What are the atypical radiographic findings of primary bone neoplasia?
Definition
-younger patients
-epiphyseal or diaphyseal origin
-CROSSES JOINTS ABNORMALLY
Term
wHAT IS THE MOST COMMON PRIMARY BONE NEOPLASM IN DOGS AND CATS?
Definition
-OSTEOSARCOMAS
Term
Which age group is predisposed to osteosarcoma? Common locations?
Definition
-young and old
-away from the elbow and towards the knee
Term
Where do osteosarcomas usually start?
Definition
-metaphysis
Term
What clinical signs can hint at the different between fungal and infectious osteosarcomas?
Definition
-fungal infections are usually systemically ill
-neoplasia are often not sstemically ill
Term
What does an osteosarcoma radiographically look like?
Definition
-permeative lysis
-cortical destruction
-mixed/palisading periosteal reaction
-moderate zone of transition
-mixed lytic and proliferative
Term
True or False: Any tumor type may metastasize to the skeleton.
Definition
-TRUE
Term
Which type of tumors most commonly metastasize to bone?
Definition
-epithelial tumors
Term
Can we distinguish radiographically b/n osteosarcoma and metastasis?
Definition
-No
Term
what are the common causes of osteomyelitis in dogs?
Definition
-fungal infection
-bacterial infection
-Protozoan: Hepatozoonosis
Term
What are the types of mycotic osteomyelitis?
Definition
-coccidiomycosis
-Histoplasmosis
-Blastomycosis
Term
What are the typical findings of fungal osteomyelitis?
Definition
-very aggressive osseous lesions
-found in regional geographic locations
-most often of hematogenous origin
-polyostotic distribution
-metaphyseal site is more common than diaphyseal location
Term
What are the causes of bacterial osteomyelitis?
Definition
-usually secondary to direct inoculation
-extension of regional disease
-hematogenous dissmeination
Term
What are the typical radiogrpahic findings of bacterial osteomyelitis?
Definition
-less aggressive, aggressive osseous lesion: palisading/spiculated/columnar periosteal reaction
-monostotic, regional, or polyostotic depending on the source
Term
What is Hepatozooonosis? Localized or systemic?
Definition
-infection from protozoa
-systemic
Term
What are hte radiographic findingsasssociated with Hepatozoonosis?
Definition
-causes periosteal proliferation of bones
usually smooth lamellar but can be irregular to palisading
Term
What is Hypertrophic osteopathy? Treatment
Definition
-abaxiallesions secondary to mass in throacic cavity, abdomen, or urinary bladder
-resolves after mass removal
Term
What are the radiographic findings associated with hypertrophic osteopathy?
Definition
-periosteal proliferation of appendicular long bones on abaxial sides
-begins distally with soft tissue swelling
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