film rheumato-2 พี่เอ
TRANSCRIPT
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Tutorial
Rheumatology film
By Ajarn Ajanee^^
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CPPD and OASoft tissuecalcificationanduncommonsite of OA
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CTG
Soft tissue mass
With somecalcification andpunch outosteolytic lesion
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RA
Symmetricallyinvolve wrist,MCP
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Dermatomyositis
No erosion
Soft tissue
calcification
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OA and gout
DIP and PIPinvolvement
Well defined lytic lesion
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Jaccouds arthropathy
Deformed
but noerosion
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Hyperparathyroidism
Subperiostealboneresorptionand soft tissuecalcification
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Psoriatic arthritis
Dactylitiswithperiostealreaction
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MM
Well definedosteolytic
lesion
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Thalassemia
Hair on endperiostealrecation
Generalizedosteopenia
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AS
Protusioacetabuli
SIinvolvement
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AVN
Severedeformedfemoral head
Normal SI
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Ricket
Pseudofracture
Deformed femur
Osteopenia
pseudofracture
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Septic hip
Clues: diffuseosteopeniaaround hip (right)
Soft tissue
swelling
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Charcots joint
Severe jointdestruction witharea of sclerotic bone formationfragmentationand
disorganizationof joint
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SpA
Puffy periostitisWhiskering ofbone
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Lead poisoning
Dense
metaphysealband
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Spinal OA
Marginalosteophyte
Narrowing disc
space
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TB spine
Increasedparavertebral softtissue
Blurring anddestruction ofvertebral end plate
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Shiny corner sign
Increaseradiodensity atthe corner ofvertebral body=osteitis
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Osteoporosis
Osteopenia
No narrowingdisc space
Cod fishcollapsespine
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Dagger sign
Calcified supraand infraspinousligament