1. MSK Search pattern John C.S. Cho, DC Department of Radiology Logan College of Chiropractic

2. Cervical Spine

4. Lumbar Spine

6. Shoulder

7. Elbow

8. Wrist

9. Hand

10. Knee

11. Ankle

12. Foot

13. Quiz

14. 1. 25 y.o male with LBP <>

15. 2. 50 y.o female asymptomatic <>

16. 3. Foot pain <>

17. 4. Multiple joint pain <>

18. 5. 45 y.o male neck pain

19. 6. 11 y.o male with left leg pain

20. Answer

21. 1. Ankylosing Spondylitis M:F= 3:1-10:1 HLA-B 27 in 96% “Dagger sign” “Trolley-track sign”

22. 2. Paget’s disease Elevated alkaline phosphatase; normal/hypercalcemia; hydroxyproline 3 phases Cx- malignant degeneration (~1%) Osteosarcoma> fibrosarcoma, MFH, chondrosarcoma

23. 3. Jones fx. <> 1.5 cm distal to the 5 th metatarsal tuberosity

24. 4. Rheumatoid Arthritis <>

25. 5. Plasmacytoma Malignant proliferation of plasma cell Early stage of multiple myeloma Bence Jones proteinuria; A/G ratio; Hypercalcemia; normochromic normocytic anemia 20% 5-yr survival rate

26. 6. Osteosarcoma 10-25; 60-75 Lung metastases (15%); Skeletal mets uncommon Malignant degeneration from radiation, paget’s

27. References: University of Washington: www. rad.washing.edu Learning Radiology