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Podiatric Radiology- Jr Year
NYCPM
61
Medical
Professional
02/26/2007

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Cards

Term
Neurotrophic Foot
Definition
Peripheral Neuropathy
subchondral bone intact
obliteration of facial planes
multiplicity of sites
Term
Knee
Definition
Most common joint for charcot of syphilis
Term
Foot
Definition
Most common joint for charcot of diabetes
Term
Neurotrophic Foot
Definition
Red, swollen toe w/ no pain. Patient denies trauma. Chronic ulcer. Fracture on x-ray.
Term
Neurotrophic Foot
Definition
2nd met head degeneration. Multiplicity of sites. Fusion of joint.
Term
Neurotrophic Joint
Definition
Hypertrophic uniform narrowing of 1st MPJ. Fusion of PIPJ of hallux. Lytic destruction of 5th met head.
Term
Concentric atrophy
Definition
when an amputation is done straight across and biomechanical forces erode the sides of the bone causing a point in the center of the bone.
Term
Boney apposition
Definition
When an amputation is done obliquely and an eccentric stump develops over time on one side of the bone.
Term
Diabetic Neurotrophic Gangrene
Definition
Type of gangrene that has:
osteopathy
variable sensory neuropathy
good pulses
no intermittent claudication
warm skin
little pain
Term
Atherosclerotic Ischemic Gangrene
Definition
Type of gangrene that has:
no bone disease
diminished/non palpable pulses
presence of intermittent claudication
cool skin
moderate to severe pain
Term
Gout
Definition
52 yo male w/ significant swelling around 1st MPJ. Erosions around 1st met head. No ulcer. No peripheral neuropathy.
Term
Clostridium Gas Gangrene
Definition
Gas forming infection that appears streaky and deep on x-ray
Term
Crepital Cellulitis
Definition
Gas forming infection that is superficial and usually seen in LE of diabetics.
Term
Solitary Bone Cyst
Definition
Mostly occurs in children under 10.
Most often in femur, humerus, and tibia
Asymptomatic
Occurs in Metaphysis and diaphysis
Cyst filled w/ sanguinous fluid
Mildly expansile
Fallen fragment sign
Treatment is intralesional steriod IM
Term
Aneurismal Bone Cyst
Definition
Occurs below age 20
Painful
Metaphysis and diaphysis
Benign
Finger in Ballon Sign
Cyst filled w/ Blood
Very Expansile
Term
Osteoid Osteoma
Definition
Bone tumor that has pain worse at night and relieved by salicylates
Term
Chronicity
Definition
A sclerotic rim around a bone tumor indicates what?
Term
Radiolucent
Definition
A lytic bone tumor will show up how on x-ray?
Term
1.5 cm
Definition
How big must a tumor be to show up on x-ray?
Term
Enchondroma
Definition
MC osseous tumor of the phalanges
painful
expansile
cyst filled w/ cartilage
bilateral serpentine densities
Term
Osteoid Osteoma
Definition
Benign
has nidus of 2cm or less
seen in children and young adults
Term
Enostosis/ Bony Island
Definition
Well demarcated, radiodense lesion
less than 1 cm
asymptomatic
hot on bone scan
Term
Fibrous Displasia
Definition
anatomical variant
seen in 1st decade of life
well demarcated, radiolucent
occurs in metaphysis and diaphysis
ground glass or sandy appreance
Term
Myositis Ossificans
Definition
Ossification of soft tissue due to excessive inflammatory rxn brought about by unrelenting trauma.
Starts peripherally and gets smaller as it moves centrally.
Term
Prostatic Carcinoma
Definition
Blastic
has focal hot spots that join together
Term
Osteochondroma
Definition
MC benign osseous tumor
Only grow while closest epiphyseal plate is open.
Dx in 2nd and 3rd decades of life
juxta-cortical
cartilagenous cap
Term
Ollier's Disease/Systemic Enchondromatosis
Definition
Large bubbly-collar marked radiolucencies
high malignant transformation rate
bilateral, but asymmetrical
Term
Marfucci's Syndrome
Definition
a systemic enchondromatosis with calcified hemangiomas that look like pebble shaped densities
Term
Juxta-cortical chondroma
Definition
Elliptical erosions that looks like a Martel's sing with a overhanging cartilagenous margin
Term
Fibrous Cortical defect
Definition
anatomical variant
less than 2 cm
elliptical radiolucency
seen in metaphysis of children
asymptomatic
usually self limiting
Term
Non-ossifying Fibroma
Definition
Anatomical variant
multi-locular
well demarcated
longer than it is wide
goes within 2cm of epiphyseal plate but doesn't cross it
Term
Chondromyxoid Fibroma
Definition
Tumor of children and young adults
benign
Calcified cartilage
Scalloped appearance
Term
Giant Cell Tumor
Definition
can be malignant
seen in adults, rare b4 age 15
generally no calcifications
no periosteal reaction
seen in metaphysis
multilocular
soap bubbly appearance
Term
Chondroblastoma
Definition
Epiphyseal tumor!
calcified cartilage
seen in young adults and even young kids
Term
Osteogenic Sarcoma
Definition
MC primary malignant bone tumor in children and young adults
Term
Osteoid Sarcoma
Definition
MC primary malignant bone tumor in the foot
Term
Osteoid Sarcoma
Definition
seen in children and youn adults
cumulus cloud appearance
sunburst effect
codman's triangle
poorly demarcated
Term
chondrosarcoma
Definition
MC primary malignant bone tumor in 50, 60, 70 yo
seen in pelvis, ribs, and femur
chondrocalcification
involves soft tissue
Term
Multiple Myeloma
Definition
MC primary malignant bone tumor in the whole body
Term
Fibrosarcoma
Definition
Doesn't ossify or calcify
no hot spots on bone scan
erosive, lytic, destructive
white on T1 and T2
Term
Osteoporosis
Osteomalacia
Osteitis fibrosa cystica
Definition
Metabolic disorders that cause a decrease in bone density.
Term
Osteopetrosis
Hyperthyroidism
Heavy Metal poisoning
Osteopoikosis
Definition
Metabolic disorders that cause a increase in bone density.
Term
Osteitis deformans
Osteogenesis imperfecta
Definition
Metabolic disorders that cause a decrease and increase in bone density.
Term
High Kv
High ma
close distance
Definition
Causes of poor x'ray technique
Term
Senile
Scurvy
Ovarian agenesis
Disuse
Space Travel
Sudeck's Atrophy
Definition
Etiology of Osteoporosis
Term
Osteoporosis
Definition
99% calcified cortex( disease of bone qantity)
effects females more
can be age related
can be diet related
can be hormonal
normal alk.phos, serum phos, and serum calcium
Term
Osteomalacia
Definition
has wide border of uncalcified bone
high levels of alk.phos.
low levels of serum phos
normal levels of calcium
disease of bone quality
Term
Osteitis Fibrosa Cystica
Definition
disease of hyperparathyroidism
disease of quality and quantity
serum calcium is high
alk. phos is high
serum phos is low
Term
Heavy metal poisoning
Definition
produces radiodense ring just proximal to growth plate
Term
osteopoikilosis
Definition
see little ossicles within the bone
usually long bone
Term
Paget's disease of the bone
Osteititis Defermans
Definition
very high level alk phosph.
layering effect to periosteum
tri phasic bone scan lights up ALOT
whole bones are invloved
Term
Rheumatoid Arthritis
Definition
fusions
arthritis mutilans
pseudocysts
fusiform swelling
fibular deviation
Term
Reiter's Disease
Definition
periarticular osteoporosis
balanitis circinata
heel pathology
Auspitz sign
Term
Osteoarthritis
Definition
non uniform joint space narrowing
subchondral sclerosis
osteophytes
pseudocysts
Term
Knee
Definition
Osteochondritis dissicans occus most commonly in which joint.
Term
lymphocytes
Definition
The most radiosensitive tissue
Term
Heel effect
Definition
variation in the intensity of the beam
Term
psoriatic arthritis
Definition
sausage type swelling
erosions within 1st IPJ
Term
Reiter's disease
Definition
pauciarticular erosions
periarticular osteoporosis
Term
nerve
Definition
least radiosensitive tissue
Term
Infarct
Resorption
Revascularization
Remodeling
Definition
Stages of infarct
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