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Cure Arthritis Naturally

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OSTEOPENIA

GENERALIZED

Senile osteoporosis Osteomalacia Endocrine abnormalities -Cushings (too much) -Hypogonadism (too little)

Anemia/Myelofibrosis/Gauchers

-Bone marrow Congenital

-Osteogenesis imperfecta Hyperparathyroidism

FOCAL

Reflex sympathetic dystrophy (complex regional pain syndrome) Disuse

Transient osteoporosis Migratory osteoporosis

SPINE

CALCIFICATION OF THE ANNULUS FIBROSIS

Ankylosing spondylitis

-Disks unremarkable Ochronosis

-Disks calcified -Abn SI joints

OSTEOPHYTES

DISH

-Disks unremarkable -Normal SI joints

SYNDESMOPHYTES

Psoriasis Reiters

MARGINAL OSTEOPHYTES

Spondylosis or degenerative

Cervical Bone Spurs

ARTHRITIS BASICS AND ARTHRITIS BY LOCATION

ABCDS Alignment Bone

Cartilage/calcifications

Distribution

Soft tissues

Wrist

1st CMC, TFC—CPPD Radiocarpal joint—osteoarthritis CMC—gout (marginal erosions)

Hand

Osteoarthritis -Osteophytes -No erosions Erosive osteoarthritis -Osteophytes -Erosions -Females Psoriasis/Reiters -No osteophytes -Erosions

Rheumatoid -Erosions -No osteophytes -Osteopenia Psoriasis/Reiters -Erosion

-Bony proliferation

Inflammatory -Erosions CPPD/hemochromatosis -Osteophytes

Foot

MTP Joints RA Gout OA

Neuropathic

Middle/Hindfoot RA

Osteoarthritis

Bony Proliferation OA

-Superolateral migration Ankylosing spondylitis -Axial migration -SI joint involvement symmetric Psoriasis/Reiters -Axial migration -SI joint involvement asymmetric CPPD

-Chondrocalcinosis

No . Proliferation RA

-Acetabular protrusio -Osteopenia

Knee

Complete Joint Involvement RA

-No bony proliferation -Osteopenia -Cyst formation JRA/hemophilia

-Wide femoral notch -High density effusion Psoriasis/Reiter's -Asymmetric -Bony proliferation

Medial Involvement

Osteoarthritis Patellofemoral Involvement CPPD

Shoulder

Glenohumeral Joint CPPD

-vs osteoarthritis-not a weight-bearing joint

Acromioclavicular Joint

Rotator cuff tear

-Glenohumeral joint spared

Total Joint Involvement Rheumatoid -Symmetric

Normal Joint Space

Hydroxyapatite crystal deposition disease

NAMES TO KNOW

UPPER EXTREMITY

Mallet Finger

Bennett's

Rolando

Gamekeeper

Boxer's

Colle's

Smith's

Chauffer's (Hutchinson's)

Barton's

Rev. Barton's

Nightstick

Monteggia

Galleazzi

Hill Sach's

Bankart

LOWER EXTREMITY

Jones

Lisfranc

Choparts

Maisonneuve

Tillaux

Wagstaffe-Lefort

SPINE

Jefferson Hangman Clay Shovelers Lefort I Lefort II Lefort III

LOCATION OF INJURY

Dorsal Base DP

1st MC base, intraarticular

Communited

1st PP ulnar

5th MC

Distal radius

Reverse colles

Radial styloid

Dorsal rim

Anterior rim

Ulnar shaft isolated

Ulna and radial + dislocation (elbow)

Ulna and radial + dislocation (wrist)

Humeral head

Glenoid

LOCATION OF INJURY

5th MT base 2-5 MT

Talonavicular and calcaneocuboid dislocation Pronation external rotation injury-

proximal fibula Anterior tibial tubercle Fibular avulsion

LOCATION OF INJURY

C1 lateral masses C2 pars Fx Posterior elements Through maxilla Nasal—inferior orbital rims Nasal-orbits

LYMPHANGITIC CARCINOMATOSIS

"CERTAIN CANCERS SPREAD BY PLUGGING THE LYMPHATICS"

Cervix Colon Stomach Breast Pancreas Thyroid Larynx

From: Radiology: The Oral Boards Primer By: A. Mehta and D. P. Beall © Humana Press Inc., Totowa, NJ

BRONCHIOLITIS OBLITERANS

CRITTERS

COP/BOOP

Rheumatoid

Infectious-Swyer James

Transplant

Toxins

Sarcoid

Bronchigenic Scc Carina Scan

MULTIPLE NODULES OR MASS >3 CM

DAYS OF THE WEEK: MTWTFSS

Mets/Carcinoma/Lymphoma

TB/granuloma

Wegeners

Rheumatoid nodules/Round pneumonia

Fungal

Sarcoid

Septic pulmonary emboli

COIN LESION <3 CM

CHANGE

Carcinoma/Congenital

Hamartoma/Hematoma

AVM/Abscess

Neoplasm-mets

Granuoma

Esoteric-TB pneumonia

A CT scan should be done to assess:

Ca2+ pattern

Benign: solid, lamellated, central Malignant: stippled, any other pattern. Density: fat - Hamartoma

Margins:

Spiculated suggestive of carcinoma

Enhancement

Four 1-min images >15HU suggestive

Growth

CAVITY CAVITY

Carcinoma-SCC Abscess-fungal/bacterial/TB Vascular-septic emboli Inflammatory-rheumatoid nodule Trauma-resolving contusion Young-bronchogenic cyst

CAVITY (continued)

BRONCHOVASCULAR SPREAD

SKILL

Sarcoid Kaposi

Infection-PCP/TB Lymphoma Lymphagitic spread

UNILATERAL HYPERLUCENT LUNG POEMS

Poland syndrome/Pneumothorax Oligemia/Obstruction (PE) Emphysema Mastectomy Swyer James

ACUTE INTERSTITIAL DISEASE (RETICULAR) HELP

Hypersensitivity pneumonitis Edema-Inhalation injuries Lymphoproliferative Pneumonia-atypicals, PCP

CHRONIC INTERSTITIAL DISEASE (RETICULAR) PAGE CHUCK AT THE CIA RIGHT NOW, THERE'S DRUGS

Upper Lung Zones

Pneumoconiosis Ankylosing spondylitis Granulomatous Eosinophilic Sarcoid/Silicosis

Mid Lung Zones

Chronic Hypersensitivity

Lower Lung Zones

Collagen vascular disease IPF

Asbestos Rheumatoid NF

Drug toxicity

ACUTE AIRSPACE DISEASE HELP LEGALIZE HEMP

Diffuse

Hemorrhage Edema

Lymphoproliferative—esoteric Pneumonia

Focal

Hemorrhage-contusion/PE Edema-inhalation (crack) MI (RUL) Pneumonia

CHRONIC AIRSPACE DISEASE

PEBBLES

PAP/PCP/Pedema

Eosinophilic pneumonia

BOOP

Lymphoma

Esoteric-Wegener 's/TB Sarcoid/Septic pulmonary emboli

GROUND GLASS DIFFUSE OPACITY

SHAKE YOUR HIPS IN BED

Sarcoid

Hypersensitivity—smokers Infection

Pneumonitis—DIP Scleroderma/CVD BOOP

Edema/aspiration Drug toxicitiy

CENTRAL OPACITIES EXTENDING FROM THE HILA OUTWARDS

PPPP

Pulmonary edema PCP

Pneumonia-atypical/influenza

MIDDLE MEDIASTINAL MASS

HABIT

Hernia, Hematoma Aneurysm

Bronchogenic cyst/duplication cyst Inflammation (sarcoidosis, histoplasmosis, coccidioidomycosis, primary TB in children) Tumors-remember the five Ls: Lung, especially oat cell Lymphoma Leukemia Leiomyoma

Lymph node hyperplasia

RETICULAR (CXR)/CYSTIC OPACITIES (CT)

ELECT CHIP

EG LAM

Emphysema CF TS

Coccidiomycosis Hydrocarbon Infectious PCP

Tuberculosis Chest Xray

FINGER IN GLOVE OPACITIES

CACACA

Asthma

Congential bronchial atresia

ABPA

Cancer

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Arthritis Relief Now

Arthritis Relief Now

When you hear the word arthritis, images of painful hands and joints comes into play. Few people fully understand arthritis and this guide is dedicated to anyone suffering with this chronic condition and wants relief now.

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