Sanalysis-bone And Joint 2b

BONE AND JOINT PATHOLOGY Situational Analysis

A 60y/o chubby female has been complaining of joint pains for some time. After a fall, she was not able to stand up nor walk due to severe pain when trying to support her weight.

Differentiate the schematic diagrams of hip fracture ■ Explain what causes her pain when she tries to stand up ■

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What are the causes leading to this situation – discuss osteoporosis – discuss osteomalacia

What is the management for this case? ■ What are the possible complications of this case? ■

– Discuss osteonecrosis – Discuss nonunions

Define osteophyte, eburnation, Heberden’s nodes, Bouchard’s nodes ■ Explain what causes her joint pains? What causes joint crepitus? ■

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What are the contributing factors leading to this situation? – Metabolic, genetic, chemical, mechanical factors,trauma, congenital deformity, obesity, poor posture, occupational stress

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What preventive measures must one do?

An 18y/o male frequently having cough and afternoon rises in temperature complained of back pains.

Describe the radiologic findings ■ What predisposed him to have this disease? ■ What causes the back pains? ■

A biopsy of the affected area was done and was submitted for histopathologic and microbial examination.

Describe the histopathologic findings. What type of necrosis is seen? ■ What is the most probable etiology of this disease? ■

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What microbial examination was done to ascertain the etiology?

While playing basketball, a 21y/o male had a fall. After some weeks, he noticed that his left leg is getting bigger with no remission of the pain he has felt since his fall.

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Describe the radiologic findings: – – – –

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Codman’s triangle bone spicules (sunburst pattern) non-calcified tumor epiphyseal involvement

Explain the symptoms he has been experiencing

A biopsy was done. ■ Describe the histopathologic findings ■

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existing bone trabeculae malignant bone tumor tumor osteoid large bizarre osteocytes malignant osteoblasts

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What is the management of choice?

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What is the prognosis of this case?