Paget's disease
| Incidental findings | |
| +ve signs | Sabre tibia, increased head size, hearing aids, kyphosis |
| Differential diagnosis | Paget’s |
| Function | Mobility, hearing |
| Tests |
Urine analysis: renal stones Plain X rays Bone scan Calcium – normal; ↑ALP Old photos |
Extensions
- Feel tibia for warmth
- Test hearing
- Fundoscopy: optic atrophy / angioid streaks
- Cardiovascular: High output cardiac failure
Questions
- Hat size increased
- Bone pain
- Hearing loss
- Fractures
Notes
- Complications: Fractures, Cord compression / root lesions / cranial nerve signs, hypercalcaemia, high output cardiac failure, sarcomatous change
- Hearing loss can be either involvement of ossicles or compression of VIII by skull foramina
- Rx: bisphosphonaes, calcitonin