Skeletal System Orthopedic Office Patients



Skeletal System Orthopedic Office Patients

Exam Room 1

Scuba Steve is a 45 year old male complaining of bone pain, headaches, tooth loss, and hearing loss. Cranial abnormalities are noted and cranial measurements reveal an increase in head size. Patient has a history of Kyphosis and rheumatoid arthritis. Serum alkaline phosphatase is significantly elevated while serum calcium, phosphorus, and vitamin D levels are normal. Cranial x-ray reveals many large multinucleated osteoclasts.

Scuba Steve has:

Exam Room 2

Patricia is an 84 year female complaining of back pain, bone pain, and leg muscle weakness. Physical exam reveals bowed legs while x-rays show multiple compression fractures of lumbar vertebrae 2-4 as well as thoracic vertebrae 11-12. Patient history includes GERD, hypocalcemia, and CHF.

Patricia has:

Exam Room 3

Maria is a 52 year old female complaining of fatigue, joint pain, facial bone pain and her shoes are all suddenly too small. Patient history reveals hands appear to have enlarged as well as facial enlargement. No x-rays available to substantiate patient claim. Other significant history includes galactorrhea and decreased libido. Serum prolactin and HGH were elevated. Recommend cranial MRI.

Maria has:

Exam Room 4

Donald is a 5 year old boy presenting multiple bone fractures with unknown etiology, low muscle mass, fragile and transparent teeth, and blue-gray sclera. History includes multiple bone fractures and hypophosphatasia.

Donald has:

Exam Room 5

Lisa is a 25 year old postpartum female complaining of lower back pain. X-rays reveal an abnormal anterior- posterior curvature of the lumbar vertebrae.

Lisa has:

Achondroplasia

Acromegaly

Enchondromatosis

Kyphosis

Lordosis

Osteitis deformans (Paget’s disease)

Osteochondromatosis

Osteogenesis imperfecta

Osteomalacia

Osteomyelitis

Osteoporosis

Rickets

Rickets

Scoliosis

Von Recklinghausen’s disease

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