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Musculoskeletal Pathology
Musculoskeletal Pathology
27
Biology
Undergraduate 2
06/01/2012

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Cards

Term
Activating mutation in fibroblast growth factor receptor 3 (FGRF3)

Short extremities, normal sized head and chest
Poor endochondral bone formation
Definition
Achondroplasia
Term
Autosomal dominant defect in Type I collagen synthesis
Blue sclera
Fragile bones
Definition
Osteogenesis imperfecta

Blue sclera from underlying choroidal veins
Term
Poor bone resorption resulting in abnormally thick heavy bones that fracture easily

Poor osteoclast function
Definition
Osteopetrosis

Fractures
Anemia (bony replacement of marrow; myelophthisic process)
Vision and hearing impairment (impingement on cranial nerves)
hydrocephalus
Renal tubular acidosis
Term
Defective mineralization of osteoid due to no calcium and phosphate because of low levels of vitamin D

Pigeon breast deformity
Frontal bossing
Rachitic rosary
Bowing of the legs
Definition
Rickets in children
Osteomalacia in adults
Term
Reduction in trabecular bone mass with porous bone. Increased risk for fracture
Definition
Osteoporosis

Peak bone mass depends on genetics, diet, and exercise
Term
Bone pain
Increasing hat size
Hearing loss
Lion-like facies
Isolated elevated alkaline phosphatase

Mosaic pattern of lamellar bone
Definition
Paget's Disease of the bone

Due to imbalance bweetween osteoclast and osteoblast function

High output cardiac failure results due to formation of AV shunts in bone
Term
Most common bacteria causing osteomyelitis (90%)
Definition
Staphylococcus aureus
Term
Bacteria causing osteomyelitis of sexually active young adults
Definition
Neisseria gonorrhoeae
Term
Bacteria causing osteomyelitis associated with sickle cell patients
Definition
Salmonella
Term
Bacteria causing osteomyelitis associated with diabetics or IV drug users
Definition
Pseudomonas
Term
Bacteria causing osteomyelitis associated with dog/cat bites
Definition
Pasteurella Multicocida
Term
Bacteria causing osteomyelitis of vertebra
Definition
Mycobacterium tuberculosis
(Pott's disease)
Term
Lytic focus (abscess) surrounded by sclerosis of bone on x-ray
Definition
Osteomyelitis

Kids: metaphysis
Adults: epiphysis
Term
Disruption of cartilage that lines articular surface
Eburnation of bone
Osteophyte formation
Definition
Degenerative Joint disease (osteoarthritis)

Worsens with use/activity
Term
Hallmark is synovitis leading to formation of a pannus (inflamed granulation tissue)
Definition
Rheumatoid arthritis

Improves with movement (crankin' out the inflammatory debris)
Associated with HLA DR4
Term
Sacroiliac joint and spine arthritis
Bamboo spine
Uveitis
Aortitis (aortic insufficiency)
Definition
Seronegative spondyloarthritis:
Ankylosing spondyloarthritis
Term
Arthritis
Uveitis
Conjunctivitis

Usually after a GI or Chlamydia infection
Definition
Seronegative spondyloarthritis:
Reiters Syndrome
Term
Involvement of the DIP joints to cause "sausage" fingers or toes
Definition
Seronegative spondyloarthritis:
Psoriatic arthritis
Term
Negative birefringement in polarized light
Appears like yellow needle shaped crystals
Definition
Gout

Excess uric acid, forming monosodium urate crystals
Term
Rhomboid crystals that turn weakly positive refringement on polarized light (blue)

Due to calcium pyrophosphate
Definition
Pseudogout

Due to calcium pyrophosphate
Term
IgM antibody against Fc portion of IgG
Associated with HLA-DR4
Definition
Rheumatoid arthritis
Term
Bilateral proximal muscle weakness
Rush of upper eyelids
Red papules on elbows, knuckles, and knees

Perimysial inflammation with perifascicular atrophy on biopsy
Definition
Dermatomyositis

Heliotrope rash
Grotton lesion
Term
Resembles dermatomyositis clinically, but skin not involved

endomysial inflammation with necrotic muscle fibers on biopsy
Definition
Polymyositis
Term
Muscle wasting and replacement of muscle by adipose tissue
Calf pseudohypertrophy

Dystrophin deletion
Definition
Duchenne Muscular dystrophy

Death occurs from cardiac or respiratory failure
Term
Muscle wasting and replacement of muscle by adipose tissue
Calf pseudohypertrophy

Dystrophin mutation
Definition
Becker Muscular Dystrophy
Term
Antibodies that compete with the post synaptic ACh receptors.
Diplopia/Ptosis
Weakness that improves with rest

Thymic hyperplasia/thymoma
Definition
Myasthenia gravis
Term
Antibodies compete against presynaptic calcium channels of NMJ

Eye weakness spared
Improvement with muscle use
Associated with malignancy
Definition
Eaton-Lambert Syndrome

Resolves with resection of cancer
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