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SKELETAL IMAGINGSKELETAL IMAGINGFinal ExamFinal Exam

Practical PortionPractical Portion

Texas Chiropractic CollegeTexas Chiropractic College

Dept. of Radiology & Diagnostic ImagingDept. of Radiology & Diagnostic Imaging

Dr. Fritsch & Dr. ThompsonDr. Fritsch & Dr. Thompson

April 13, 2004April 13, 2004

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Case 1Case 1 62 year old male with62 year old male withmonoarticular joint disease.monoarticular joint disease.

Unremarkable physical exam.Unremarkable physical exam.

What is your diagnosis?What is your diagnosis?

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Case 2Case 2 30 year old male with syringomyelia.30 year old male with syringomyelia.

What is your diagnosis?What is your diagnosis?

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Case 3Case 3 Two different patients with the same jointTwo different patients with the same joint

disease.disease. What is the radiographic characteristic?What is the radiographic characteristic?

Name three arthropathies that can give thisName three arthropathies that can give thispresentation?presentation?

Calcium Pyrophosphate Dihydrate Deposition Disease (CP

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Case 4Case 4

34 year old34 year old

male withmale with

low backlow back

pain.pain. What is your What is your 

diagnosis?diagnosis?

Explain.Explain.

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Case 5Case 5 53 year old female.53 year old female. No skin lesions.No skin lesions. Chronic hand pain.Chronic hand pain. What is your diagnosis?What is your diagnosis?

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Case 6Case 6

62 year old female with chronic neck pain.62 year old female with chronic neck pain.

20 year history of “arthritis”.20 year history of “arthritis”.

Describe what is abnormal.Describe what is abnormal.

What is your differential diagnosis?What is your differential diagnosis?

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Case 7Case 7 57 year old male with 8 year history57 year old male with 8 year history

of foot and wrist pain.of foot and wrist pain. Poor patient medical compliance.Poor patient medical compliance.

What is your diagnosis?What is your diagnosis? Explain.Explain.

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Case 8Case 8 Lateral views of a 75 year old male withLateral views of a 75 year old male with

limited range of motion.limited range of motion. No history of back pain.No history of back pain. Extremities are unremarkable.Extremities are unremarkable. What is your diagnosis?What is your diagnosis?

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Case 9Case 9

Describe thisDescribe this

fracture infracture in

utilizing proper utilizing proper terminology asterminology as

taught in class.taught in class.

Simple Fracturewith slight lateraldisplacement

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Case 10Case 10 Left hip pain.Left hip pain.

What is your diagnosis?What is your diagnosis?

Left 

Left Hip

Close-up 

SlippedFemoralCapitalEpiphysis

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Case 11 - EXTRA CREDITCase 11 - EXTRA CREDIT 37 year old female with chronic non-traumatic knee pain &37 year old female with chronic non-traumatic knee pain &

swelling. What is your diagnosis?swelling. What is your diagnosis?