58 results
Ossification of Carpal Bones

It’s always tricky to remember the age of ossification of the carpal bones
Ossification of Carpal Bones ... of the carpal bones ... -6-7 years for Triquetral ... #Wrist #Diagnosis ... #Peds #Pediatrics
Codocytes (Target cells) - Two target cells are seen in the left photo and one in
seen in the left photo ... and one in the ... present in the left photo ... #Clinical #Path
Polychromatophilia - Note 2 large blue-gray erythrocytes as seen on H&E stain. On a stain for
The left photo also ... and the right photo ... When the bone marrow ... #Clinical #Path
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
- Differential Diagnosis ... Phosphate, Low PTH ... metastases, Hungry bone ... #Differential #Diagnosis ... #Algorithm #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
- Differential Diagnosis ... malabsorption), Hungry bone ... losses: FGF23, PTH ... #Differential #Diagnosis ... Algorithm #causes #nephrology
Nucleated red blood cells, aka normoblasts or erythroblasts, were released prematurely from the bone marrow in
prematurely from the bone ... #Clinical #Path ... #Peds #BloodSmear
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... alkalosis, Hungry bone ... Normal or High PTH ... #Differential #Diagnosis ... Workup #phosphate #nephrology
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
respiratory infection one ... Syndrome #SSSS #Clinical ... #Photo #Peds #Pediatrics
Osteosarcoma 
Most common primary malignant bone tumor in children 
Most Common Sites of Involvement:
1. Distal femur
primary malignant bone ... proximal femur Clinical ... #Osteosarcoma #Diagnosis ... Features #Oncology #Peds
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... Most cases diagnosed ... respiratory failure • Neurologic ... Difficulty walking Diagnosis ... Hyophosphatasia #hepatology #diagnosis