endo 5 - showman

[ArchivalUser]

bbbbbbb

bone scan is only done to see the extent of disease in bone(after diagnosis)

x-ray,ALPO4(specific),urine,ca & po4

[ArchivalUser]

b?

[ArchivalUser]

Radiographic evidence of bone involvement does not necessarily reflect metabolically active Paget™s disease. A radionuclide bone scan and measurement of the total serum alkaline phosphatase will determine the extent of the Pagets disease and allow identification of active lesions. The active pagetic bone lesions are associated with an elevated serum alkaline phosphatase activity and avid uptake of the scanning agent. Burned out™ pagetic lesions are seen with normal or near-normal serum alkaline phosphatase activity and little or no uptake on bone scan. The bone scan is more sensitive than bone radiographs because the bone scan will detect many pagetic lesions not visualized on standard radiographs. Radiographs should be taken of bones affected by Pagets disease. In most cases, markers of bone resorption (bone-specific alkaline phosphatase and urinary hydroxyproline) add little information to the total serum alkaline phosphatase activity. Bone biopsy is rarely indicated, as the characteristic radiographic and laboratory findings are diagnostic in most instances. A decision about treatment or observation should be based on the results of the bone scan and measurement of the serum alkaline phosphatase activity.
ans is a
Select the initial diagnostic tests for a patient with Paget™s disease of bone.
honey you got it right....

[ArchivalUser]

AA

[ArchivalUser]

for those who dont know ...showman married caps on 20 june.....

[ArchivalUser]

_ hi Showman,

thanks for the qs and ans.

caps, you meant kaps?.

[ArchivalUser]

yupp kaps...sorry for the typo

[ArchivalUser]

_ Congratulation Dr.Showman and Kaps,

[ArchivalUser]

thanks..

[ArchivalUser]

thanks drkhmer