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Ense bones hypervitamanosis a - cortical thickening of tubular bones diaphyseal & symetric, diffuse periosteal rxn no subperiosteal hem seen, no mandibular involvement metaphyseal spurring & increased icp assoc w itching, dec appetite, hard tender lumps on ext hepatosplenomegaly, anorexia, alopecia never seen under 1y/o ddx - ricketts, caffey's, syphillis, healing scurvy hypervitaminosis d - affects adults & children opposite child - thickening of provisional zone of calc & cortex adult - osteoporosis & tumoral st calc esp at joints hyperphosphatemia - "juvenile paget's dz", auto rec in puerto rican's fusiform expansion of spongiosa, no normal maturation dwarfism, bowed bones, wide irreg epiphysis sim to rickets skull enlarged w sclerotic patches, cranial nerve deficits biconcave vert bodies, cystic lesions poss hypoparathyroidism - hypocalcemia & resulting neuromusc sx parathyroid defeciency - usually ii' type, iatrogenic osteosclerosis & calveral thickening is i' manifestation basal ganglia & subq tissue calc also pseudohypoparathyroidism - end organ resistance characteristic short stature, round face, obesity & mr result hypocalcemia & hyperphosphatemia but elevated pth level pseudopseudohypoparathyroidism - clinical syndrome, normal labs cushings - axial osteoporosis #1, 3:1 female assoc w adrenal hyperplasia in adults vertebra - prom vertical striations, dense cupped endplates fx's heal w excessive callus (esp ribs), mult bone infarcts calveria stippled, demineralized sella adrenal tumors in children - delayed skeletal maturation thyroid acropachy - periosteal rxn & thickening of tubular bones fuzy periostitis on radial side of metacarpals & mid phalanges very distinctive present hypo or euthyroid w exopthalmos & pretibial edema occurs years after tx for hyperthyroidism cretinism - hypothryoid from birth, delayed skeletal maturation endosteal cortical thickening obliterating marrow cavity irreg ossifacation esp in femoral epiphysis vert bodies flat & hypoplastic, esp t12-l1 causing kyphosis acromegaly - eosinophilic adenoma #1 cause, equal in sexes 50% show skull thickening esp at base, 20% w n sella periosteal apositional bone formation in long bones exagerated tuberosities, generalized st thickening, esp heal pad to >21mm premature oteoarthritis - cartilage thickens then dies due to inadequate blood supply, post vert scalloping vert - post scalloping in 30% enthesopathy - "spade digits" & lg spurs of distal metacarpals post radiation tx - pattern matches ports, st calc assoc worth syndrome - auto dom, endosteal hyperostosis endosteal thickening of tubular bones obliterating marro osteosclerosis of skull begins at base, extends to face. Can i buy viagra over the ciunter australia generic version viagra india Buy viagra cialis online canada Generico de viagra mexico Viagra online with a prescription Viagra uk cheap where can you buy generic viagra cipla generic viagra reviews Viagra online xl viagra generico venda no brasil low cost generic viagra Viagra foodviagra for cheap online Generic viagra customer review online generic viagra reviews cheap generic viagra online uk Free samples viagra online indian generic viagra reviews Buy brand viagrabuy cheap viagra online generic viagra in mexico low cost generic viagra Buying viagra over the counter in the us Discount viagra australia
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