Somali Medical Forums

Medical Student Forums => Problem-Based Learning Center => Topic started by: Admin on December 08, 2007, 02:26:20 PM

Title: X-ray Case (2)
Post by: Admin on December 08, 2007, 02:26:20 PM

(http://myweb.lsbu.ac.uk/dirt/museum/margaret/438-711-1320221.jpg)
What is wrong with this X-ray & What is your diagnosis?

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Dr.Mahdi

Title: Re: X-ray Case (2)
Post by: Doctoor on December 22, 2007, 07:04:17 PM

I think it's rhematoid arthritis because:
1- Erosion in fingres
2- Fusion of carpal bone in left hand

Title: Re: X-ray Case (2)
Post by: Admin on December 23, 2007, 01:47:53 AM

Yes it's correct
Old rheumatoid arthritis (burned-out)
Findings:
1-Fragmanted carbal bones without joint spaces
2-sub-articular cysts in the distal metaphysis of the radius
3-Loss of the ulnar styloid
4-visible erosions in the head of metacarpals of thumb and index finger
5-Increased joint space of the metacarpo-phalangeal joint related to the index finger
6-The interphalangeal joints show loss of joint space or subluxation

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The 15 points of this case goes to Doctoor