Sandbox: foreverbones algorithm: Difference between revisions
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Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | ||
{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
{{familytree | | | | A01 | | | A01= }} | {{familytree | | | | A01 | | | A01=<div style="width: 10em; padding:0.2em;">'''Plain Radiograph'''</div>}} | ||
{{familytree | | | | |!| | | | }} | {{familytree | | | | |!| | | | }} | ||
{{familytree | | | | C01-|-|.| }} | {{familytree | | | | C01-|-|.| }} | ||
| Line 114: | Line 114: | ||
{{familytree/end}} | {{familytree/end}} | ||
<br> | <br> | ||
{{familytree/start |summary=PE diagnosis Algorithm.}} | |||
{{familytree | | | | A01 | | | A01=<div style="width: 15em; padding:1em;">'''What type of bone is involved?''' <br> ❑ Long bone <br> ❑ Flat bone <br>'''Where is the lesion located?'''<br> ❑ Epiphysis<br> ❑ Diaphysis<br> ❑ Metaphysis<br> ❑ Apophysis </div>}} | |||
{{familytree | | | | |!| | | | }} | |||
{{familytree | | | | C01-|-|.| C01=<div style="width: 15em; padding:1em;">'''What is the pattern involved?''' <br> ❑ Osteoblastic <br> ❑ Osteolytic <br> ❑ Mixed <br>'''What is the transversal location? ''' <br> ❑ Medullary <br> ❑ Cortical<br> ❑ Juxtacortical <br>'''What type of margin is involved? '''<br> ❑ Well defined <br> ❑ Ill-defined <br> ❑ Sclerotic <br> '''Is there a periosteal reaction?''' <br> ❑ Yes <br> ❑ No <br> '''What is the size? '''</div>}} | |||
{{familytree | | | | |!| | B01 B01=<div style="width: 15em; padding:1em;">'''Flat bone'''</div>}} | |||
{{familytree | | | | |!| | |!| }} | |||
{{familytree | | | | |)|-|-|'| }} | |||
{{familytree | | | | B01 | | | B01=<div style="width: 10em; padding:1em;">'''See differential diagnosis [[Differential diagnosis bone or cartilage mass|here]]'''</div>}} | |||
{{familytree | | |,|-|^|-|.| | }} | |||
{{familytree | | C01 | | C02 | C01=<div style="width: 10em; padding:1em;">'''Benign'''</div>|C02=<div style="width: 15em; padding:1em;">'''Malignant'''</div>}}}} | |||
{{familytree/end}} | |||
Revision as of 16:34, 16 February 2016
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Plain Radiograph | |||||||||||||||||
| {{{ C01-}}} | |||||||||||||||||
| {{{ B01 }}} | |||||||||||||||||
Plain Radiograph | |||||||||||||||||||||||||
What type of bone is involved? ❑ Long bone ❑ Flat bone Where is the lesion located? ❑ Epiphysis ❑ Diaphysis ❑ Metaphysis ❑ Apophysis | |||||||||||||||||||||||||
Imaging Evaluation | |||||||||||||||||||||||||
What is the pattern involved? ❑ Osteoblastic ❑ Osteolytic ❑ Mixed What is the transversal location? ❑ Medullary ❑ Cortical ❑ Yuxtacortical What type of margin is involved? ❑ Well defined ❑ Ill-defined ❑ Sclerotic Is there a periosteal reaction? ❑ Yes ❑ No What is the size? | |||||||||||||||||||||||||
Malignant | Benign | ||||||||||||||||||||||||
Imaging Evaluation
}}
A05=Flat bone
}}
| {{{ A02-}}} | {{{. }}} | ||||||||||||||||||||||||||||
What type of bone is involved? ❑ Long bone ❑ Flat bone Where is the lesion located? ❑ Epiphysis ❑ Diaphysis ❑ Metaphysis ❑ Apophysis | |||||||||||||||||||||||||||||
| {{{ A05}}} | |||||||||||||||||||||||||||||
What is the pattern involved? ❑ Osteoblastic ❑ Osteolytic ❑ Mixed What is the transversal location? ❑ Medullary ❑ Cortical ❑ Yuxtacortical What type of margin is involved? ❑ Well defined ❑ Ill-defined ❑ Sclerotic Is there a periosteal reaction? ❑ Yes ❑ No What is the size? | |||||||||||||||||||||||||||||
Malignant | Benign | ||||||||||||||||||||||||||||
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Pain ❑ Response to analgesics Physical examination Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
Children and adolescents | Adults | ||||||||||||||||||||||||||||||||
See children and adolescent evaluation of bone and cartilage mass | Lesion characteristics | ||||||||||||||||||||||||||||||||
Well-defined Listed in frequency order | Ill-defined lesions Listed in frequency order | Sclerotic Listed in frequency order | |||||||||||||||||||||||||||||||
❑ Metastases ❑ Myeloma ❑ Lymphoma ❑ Bone cyst ❑ Brown tumor | ❑ Metastases ❑ Giant cell tumor ❑ Myeloma ❑ Chondrosarcoma | ❑ Enchondroma ❑ Osteoma ❑ Fibrous dysplasia ❑ Bone islands ❑ Infection | |||||||||||||||||||||||||||||||
=ADULT
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Pain ❑ Response to analgesics Physical examination Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
More than 30 years Adults | Less than 30 years Children and adolescents | ||||||||||||||||||||||||||||||||
See adult evaluation of bone and cartilage mass | Lesion characteristics | ||||||||||||||||||||||||||||||||
Well-defined | Ill-defined lesions | Sclerotic | |||||||||||||||||||||||||||||||
❑ Chondroblastoma ❑ Fibrous dysplasia ❑ Aneurysmal bone cyst ❑ Simple bone cyst ❑ Non ossifying fibroma ❑ Chondromyxoid fibroma ❑ Infection | ❑ Ewing tumor ❑ Eosinophilic granuloma ❑ Osteosarcoma ❑ Infection | ❑ Osteosarcoma ❑ Osteoid osteoma ❑ Fibrous dysplasia ❑ Eosinophilic granuloma ❑ Infection | |||||||||||||||||||||||||||||||
What type of bone is involved? ❑ Long bone ❑ Flat bone Where is the lesion located? ❑ Epiphysis ❑ Diaphysis ❑ Metaphysis ❑ Apophysis | |||||||||||||||||
| {{{ C01-}}} | |||||||||||||||||
See differential diagnosis here | |||||||||||||||||
Benign | Malignant | ||||||||||||||||