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#case 24 Solution Part 2

@medic_altimes

The answer to the given question is “Osteogenesis imperfecta (OI)”

Clinical Features:

Orthopaedic manifestations:

Multiple Fractures
Extreme skeletal fragility
Reduced Bone Density
Bone Deformity
Wormian skull bones (puzzle piece intrasutural skull bones)
Asymmetric Chest
Pectus Deformity

Non-Orthopaedic manifestations:

Blue sclera
Hearing loss
Dental imperfections
Thin skin

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A 70Y male Rohan with advanced visceral cancer dies of extensive myocardial infarction. Autopsy also reveals sterile non-destructive vegetations along the mitral leaflet edges. The pathogenesis of this patient’s vegetations is most similar to that of:
Anonymous Quiz
36%
Hypercalcemia of malignancy
27%
Trousseau syndrome
23%
Distant metastases
14%
Raynaud’s phenomenon
#case 24 Solution Last part

@medic_altimes

The answer to the given question is “Osteogenesis imperfecta (OI)”
also known as:

Treatment:

Early Bracing
Bisphosphonates (Oral or IV)
Fixation with telescoping rods (Bailey-Dubow rod)
Realignment osteotomy with rod fixation (Sofield-Miller procedure)


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Autopsy of a 14 year-old male who died in a motor vehicle accident shows many yellow spots on the inner surface of the aorta. Which of the following best describes the lesions?
Anonymous Quiz
17%
They are a very uncommon finding for a patient of this age
31%
Their distribution closely mimics that of future atherosclerosis.
13%
Once formed, they inevitably progress to atheromas
39%
They show predominantly intracellular lipid accumulation.
In MI with hypothyroidism, what is the marker of choice?
Anonymous Quiz
15%
LDH
33%
CPK-MB
9%
Aldolase
43%
Troponin-I
In myocardial reperfusion injury, the maximum effect is caused due to which of the following?
Anonymous Quiz
21%
Neutrophil
11%
Monocytes
10%
Eosinophils
58%
Free radicals
The cells seen after 72 hours in the infarcted area in MI are:
Anonymous Quiz
26%
Neutrophils
18%
Lymphocytes
48%
Macrophages
8%
Monocytes
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case 25 Solution Part 1

@medic_altimesMT

The answer to the given question is “Osteopetrosis” also known as:

Marble bone disease
Albers-Schönberg disease

The following may be noted:

Usually seen in infants

On X-ray:

Widening of Diploic Space
Erlenmeyer Flask Deformity
Endobones sign (Bone within a bone sign)

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2025/07/09 13:31:52
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