MSK Search pattern

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MSK Search pattern

• John C.S. Cho, DC
• Department of Radiology
• Logan College of Chiropractic

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Cervical Spine
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(No Transcript)
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Lumbar Spine
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(No Transcript)
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Shoulder
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Elbow
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Wrist
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Hand
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Knee
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Ankle
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Foot
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• Quiz

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1. 25 y.o male with LBP
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2. 50 y.o female asymptomatic
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3. Foot pain
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4. Multiple joint pain
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5. 45 y.o male neck pain
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6. 11 y.o male with left leg pain
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• Answer

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1. Ankylosing Spondylitis

• MF 31-101
• HLA-B 27 in 96
• Dagger sign
• Trolley-track sign

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2. Pagets disease

• Elevated alkaline phosphatase normal/hypercalcemi
  a hydroxyproline
• 3 phases
• Cx- malignant degeneration (1)
• Osteosarcomagt fibrosarcoma, MFH, chondrosarcoma

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3. Jones fx.
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• 1.5 cm distal to the 5th metatarsal tuberosity

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4. Rheumatoid Arthritis
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5. Plasmacytoma

• Malignant proliferation of plasma cell
• Early stage of multiple myeloma
• Bence Jones proteinuria A/G ratio
  Hypercalcemia normochromic normocytic anemia
• 20 5-yr survival rate

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6. Osteosarcoma

• 10-25 60-75
• Lung metastases (15) Skeletal mets uncommon
• Malignant degeneration from radiation, pagets

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References

• University of Washington www. rad.washing.edu
• Learning Radiology