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X-ray Diagnosis pt 2

clinical pearls with associated conditions

QuestionAnswer
With what conditions will you see Non-marginal syndesmophytes? 1. Psoriatic Arthritis 2. Reiter's syndrome
With what conditions will you see Marginal syndesmophytes? 1. AS 2. Enteropathic Arthritis
What are the radiographic findings of DJD? 1. Subchondral Sclerosing 2. Decreased joint space
Where are Heberden's nodes located? DIP jts
Where are Bouchard's nodes located? PIP jts
How is DJD distributed throughout the body? Asymmetrically
What are the radiographic findings of RA? 1. Juxtaarticular osteoporosis 2. Marginal erosions at PIP jts and MCP jts 3. **Ulnar deviation of MCP jts 4. Boutnniere deformity 5. Swan neck deformity 6. Uniform loss of jt space at PIP and MCP jts 7. ST swelling around the PIP and MCP jts
What are common locations where RA is seen radiographically? MCP and IP jts
How is RA distributed throughout the body? Bilaterally and symmetrically
What are the radiographic findings of Psoriatic Arthritis? 1. Bone density maintained 2. Ray pattern:affects all joints of a single digit 3. ST swelling 4. fluffy periostitis 5. "Pencil in cup" deformity 6. Marginal erosions and tapered bone ends
What location in the body can Psoriatic arthritis be seen radiographically? DIP and PIP jts of the hands and feet
How is Psoriatic Arthritis distributed throughout the body in radiographs? Asymmetrically with uniform loss of jt space
What are the radiographic findings of erosive osteoarthritis? 1. Gull wing deformity 2. Osteophytes
What areas do you commonly see erosive osteoarthritis radiographically? DIP and PIP jts
How is erosive osteoarthritis distributed as seen on radiographs? There is a Non-uniform loss of joint space
What are the radiographic findings of SLE? 1. REVERSIBLE boutonierre deformity, swan neck deformity 2. Osteoporosis 3. REVERSIBLE ulnar deviation
What type of joint destruction do you see with SLE? None
How is SLE distributed as seen radiographically? Bilaterally and symmetrically
What are some types of Arthritis can be commonly seen in the hands? 1. DJD 2. RA 3. Psoriatic Arthritis 4. Erosive Osteoarthritis 5. Systemic Lupus Erythematosis
What are some types of Arthritis seen in the SI joints? 1. AS 2. Psoriasis 3. DJD 4. Osteitis Condensans Ilii
What is Gout? Gout is a form of rheumatic disease caused by uric acid deposits in the joints
What can be seen clinically with Gout? Hyperuricemia with acute inflammatory arthritis due to intraarticular deposits of Sodium Monourate (Uric Acid)
What sex is gout commonly seen in? Males (20:1)
What locations are common to see Gout? 1. **Big toe 2. Knee 3. Wrist 4. Elbow 5. Sacroiliac Joint 6. Symphsis Pubis
What are the radiographic findings seen in Gout? 1. Podagra (first MCP jt affected) 2. Avascular Necrosis 3. Normal bone density 4. Marginal erosions 5. "Overhanging Margins" sign 6. Chondrocalcinosis 7. Normal jt space, uniform loss occurs late 8. Tophi 9. Asymmetrical 10. Lg ST masses
What is another common name for Calcium Pyrophosphate Dihydrate Crystal Deposition Disease (CPPD)? Pseudogout
What age and sex is common with Pseudogout? >30; M=F
Where in the body can you commonly find Pseudogout radiographically? 1. Knee 2. Wrist 3. MCP jts 4. Elbow 5. Shoulder
What are some radiographic findings of Pseudogout? 1. ST calcification 2. Chondrocalcinosis in hyaline and fibrocartilage
What is Sarcoidosis? multisystem granulomatous disorder of unknown etiology, characterized histologically by noncaseating epithelioid granulomas involving various organs or tissues, with symptoms dependent on the site and degree of involvement
What age and gender are common with Sarcoidosis? 20-40; M=F; Blacks 10:1; Scandinavians
What locations do you commonly seen the effects of Sarcoidosis radiographically? Peripheral bones of hands and feet; Spinal involvement is rare
What are the radiographic findings of Sarcoidosis? 1. Potato nodes 2. "1-2-3" Sign (potato nodes with paratracheal lymphadenopathy) 3. Diffuse Interstitional lung field densities 4. Bilateral and symmetrical 5. Lace-like trabecular patterns due to infiltrate of perivascular granulomas in the Haversian cnl
Created by: soccerdocpj
 

 



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