Presentation is loading. Please wait.

Presentation is loading. Please wait.

A. Magnified x-ray of index finger on fine-grain industrial film showing classic subperiosteal resorption in a patient with severe primary hyperparathyroidism.

Published byLaura Atkinson Modified over 5 years ago

Similar presentations

Presentation on theme: "A. Magnified x-ray of index finger on fine-grain industrial film showing classic subperiosteal resorption in a patient with severe primary hyperparathyroidism."— Presentation transcript:

1 A. Magnified x-ray of index finger on fine-grain industrial film showing classic subperiosteal resorption in a patient with severe primary hyperparathyroidism. Note the left (radial) surface of the distal phalanx, where the cortex is almost completely resorbed, leaving only fine wisps of cortical bone. B. Skull x-ray from a patient with severe secondary hyperparathyroidism due to end-stage renal disease. Extensive areas of demineralization alternate with areas of increased bone density, resulting in the “salt and pepper” skull x-ray. (Used with permission from Dr. Harry Genant.) Source: Metabolic Bone Disease, Greenspan's Basic & Clinical Endocrinology, 10e Citation: Gardner DG, Shoback D. Greenspan's Basic & Clinical Endocrinology, 10e; 2017 Available at: Accessed: November 06, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

Download ppt "A. Magnified x-ray of index finger on fine-grain industrial film showing classic subperiosteal resorption in a patient with severe primary hyperparathyroidism."

Similar presentations

Girl, 13-4/12 years old, with constitutional delay in growth and puberty. History revealed a normal growth rate but short stature at all ages. Physical.

Girl, 13-4/12 years old, with constitutional delay in growth and puberty. History revealed a normal growth rate but short stature at all ages. Physical.
18 F-deoxyglucose (18FDG) PET/CT fusion scan

18 F-deoxyglucose (18FDG) PET/CT fusion scan
Lateral (A) and coronal (B) views of the brain show the location of the primary sensory cortex. Note the cortical representation of body parts, the sensory.

Lateral (A) and coronal (B) views of the brain show the location of the primary sensory cortex. Note the cortical representation of body parts, the sensory.
(Modified from Hanley NA, Arlt W

(Modified from Hanley NA, Arlt W
(A) Stages of breast development (B) and female pubic hair development (P), according to Marshall and Tanner. Stage B1: Preadolescent; elevation of papilla.

(A) Stages of breast development (B) and female pubic hair development (P), according to Marshall and Tanner. Stage B1: Preadolescent; elevation of papilla.
Stage P1: Preadolescent; the vellus over the area is no further developed than that over the anterior abdominal wall (ie, no pubic hair). Stage P2: Sparse.

Stage P1: Preadolescent; the vellus over the area is no further developed than that over the anterior abdominal wall (ie, no pubic hair). Stage P2: Sparse.
****Suppression of the serum TSH with levothyroxine has been shown to be of more benefit in patients with higher stages of disease. In older patients with.

****Suppression of the serum TSH with levothyroxine has been shown to be of more benefit in patients with higher stages of disease. In older patients with.
Hypogonadism in aging men

Hypogonadism in aging men
Radial nerve palsy creates an inability to extend the wrist and fingers. A) Wrist drop occurs with radial nerve palsy. B) With use of a wrist extension.

Radial nerve palsy creates an inability to extend the wrist and fingers. A) Wrist drop occurs with radial nerve palsy. B) With use of a wrist extension.
(Adapted, with permission, from Fagin JA

(Adapted, with permission, from Fagin JA
A 48-year-old man had a 7-year history of hypertension that was not optimally controlled on four antihypertensive drugs (β-adrenergic blocker, peripheral.

A 48-year-old man had a 7-year history of hypertension that was not optimally controlled on four antihypertensive drugs (β-adrenergic blocker, peripheral.
A 30-year-old woman had a 7-year history of hypertension and hypokalemia. Her blood pressure was not well controlled despite a four-drug program that included.

A 30-year-old woman had a 7-year history of hypertension and hypokalemia. Her blood pressure was not well controlled despite a four-drug program that included.
A simplified schema for the regulation of serum phosphate by PTH, 1,25(OH)2D and fibroblast growth factor 23 (FGF23). FGF23 is produced predominantly by.

A simplified schema for the regulation of serum phosphate by PTH, 1,25(OH)2D and fibroblast growth factor 23 (FGF23). FGF23 is produced predominantly by.
(The data are from Southard RN, et al

(The data are from Southard RN, et al
Hands of a patient with pseudohypoparathyroidism

Hands of a patient with pseudohypoparathyroidism
(Reproduced, with permission, from Findling JW, et al

(Reproduced, with permission, from Findling JW, et al
A. Relationship between serum-free thyroxine by dialysis (FT4) ng/dL and log10 TSH in euthyroid, hyperthyroid, hypothyroid, and T4-suppressed euthyroid.

A. Relationship between serum-free thyroxine by dialysis (FT4) ng/dL and log10 TSH in euthyroid, hyperthyroid, hypothyroid, and T4-suppressed euthyroid.
Pathogenesis of bone diseases in chronic kidney disease

Pathogenesis of bone diseases in chronic kidney disease
This patient has a total hip bone mineral density (BMD) of 0

This patient has a total hip bone mineral density (BMD) of 0
Nine patterns of inflammatory skin disease. (See also Table 8–1.)

Nine patterns of inflammatory skin disease. (See also Table 8–1.)

Similar presentations

Ads by Google