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lower extremity - spot diagnosis

Discussion in 'Spot Diagnosis' started by bb100, Mar 16, 2013.

  1. bb100

    bb100 Bronze Member

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    what is your differential diagnosis and leading diagnosis?

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  2. neo_star

    neo_star Moderator

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    Re: lower extremity

    MULTIPLE CARTILAGINOUS EXOSTOSIS

    Synonym: Hereditary multiple exostosis, diaphyseal aclasis, multiple osteochondromatosis

    It is a hereditary disease with autosomal dominant transmission.
    It is characterized by multiple osteocartilaginous tumors at the metaphysis of long and short tubular bones and at the sites of enchondral growth in the flat bones.
    Most frequent site is distal femur, proximal femur and distal forearm in that sequence.
    The bony projections take origin from the ends of the shaft near the cartilage-shaft junctions.
    Their longitudinal axes are almost invariably directed away from the nearest joint. The epiphyseal ossification centers are normal.

    Exostosis can occurs at any time from birth to the end of the growth period.


    ref - spotters in pediatrics

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    nat progression.jpg

    Note - Ollier's disease and Maffucci syndrome has multiple enchondromas


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  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Multiple osteochondromatosis.
     

  4. Muhammad Monowar Jahid

    Muhammad Monowar Jahid Famous Member

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    exostosis of right knee
     

  5. bb100

    bb100 Bronze Member

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    Correct Answer :multiple hereditary exostosis
     

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