Case Discussion - Dr Rajeev Anand
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Transcript of Case Discussion - Dr Rajeev Anand
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CASE DISCUSSIONDr Rajeev Anand,
MDRD, DNB, MNAMS,FRCRMedical Trust Hospital
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RADIOLOGIC INVESTIGATIONS
1. X-RAY - Hands and Pelvis.2. MRI - Pelvis.
3. CT - Spine , Pelvis and Lower limb.
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X-RAY HANDS
-B/L.-Poly articular.-Almost symmetrical..-Reduced joint space.-Subarticular erosion.-Dislocations.-Ankylosis and deformity.-Mild soft tissue swelling.-No significant osteopenia
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X- RAY PELVIS
-Mild B/L Sacroilitis.-B/L OA Hip
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MRI- PELVIS
- Mild B/L Sacroilitis.- Enhancing juxtaaarticular soft tissue.
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CT SCAN
B/L Hip OA
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CT SCAN
B/L Shoulder OA
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CT SCAN
B/L Knee OA
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CT SCAN
B/L Facet ArthorpathyB/L Sacroilitis.
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CT SCAN
SOFT TISSUE CALCIFICATION
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CT SCAN
SOFT TISSUE CALCIFICATION
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INFERENCEInvolves joints.Axial skeleton and the Appendicular skeleton.B/L and almost symmetrical.Involvement of small and large joints.Juxta-articular soft tissue swelling .Juxta articular soft tissue mass/ Calcification. Joint space reduction, Subchondral erosions,
OA changes, Ankylosis and Dislocations.
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DIAGNOSIS Erosive Osteoarthropathy. DD - Rheumatoid / CTD ? No signft Osteopenia. Associate soft tissue - Deposition diseases.
Final conclusion: Deposition diseases.