Clinical Case: Julie Mackenzie's Cough
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

 So what's so worrisome about the X-Ray?
 
  • Nodular deformity of several ribs.
  • Intensely calcified.
  • These are non-lytic.
  • Lytic lesions, on the other hand, would indicate bone destructive lesions.

These are healed fractures

  • Densely calcified with periosteal bone formation.
  • Take another look.
  • So what does this mean?
    • She's clumsy?
    • Coughs too hard?
    • Has an inherited bone weakness?
    • Nutritional problem?
It's a problem.                                                                Back		  

Main Index | Slide Table of Contents | Case Studies Table of Contents