Periosteal Reactions Flashcards
(24 cards)
what would irritate the periosteum?
hyperemia, inflammation, and edema
What is the name of the inner layer of periosteum?
cambium layer
what are the three patterns of new bone formation?
solid
laminated
spiculated
what is the most benign periosteal reaction?
solid
which is the most aggressive periosteal reaction?
spiculated
what are the signs of local periosteal reaction?
eosinophilic granuloma
benign neoplasms
fracture
osteiod (tumor like)
what are sign of diffuse widespread periosteal reaction?
hypertrophic osteoarthropathy
what if more than one tubular bone is infected?
diffuse
what does pachydermoperiostitus mean?
skin thickening
what is the MC cause of diffuse periosteal reaction?
secondary hypertrophic osteoarthropathy
what does thyriod acropathy lead to?
Grave’s disease
what is venous stasis?
vericose veins/lower extremties
what is Cafe’s disease?
bone pain in children
swelling in the mandible possibly ribs, clavicle, upper extremites
what is the AGE GROUP for Cafe’s disease?
very young 2-3 years of age
what symptons of hypervitaminosis A?
nausea, vommiting, headache, irritability
what are symptons of scurvy?
gums bleed
what are signs of battered children?
intrinsic in bone
happens in more than one area
what are signs of acromegaly?
excessive growth hormone in adult
what is the 10th diff diagnosis for diffuse periosteal reaction?
leukemia in children
what is the 11th diff. diagnosis for diffuse periosteal reaction?
new periosteal growth in young children
what are signs of laminated periosteal recation?
stop and go (remission cycle)
what is the MC primary bone malignancy under the age of 10 y/o?
Ewing’s sarcoma
where will ewing’s sarcoma be found?
diaphysis
what are the top 5 primary bone cancers?
MOCEF
multiple myeloma osteosarcoma condrosarcoma ewings firbrocarsinoma
