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This patient is presented to you with bluish sclera, hyper mobile ligaments and repetitive fractures of the same

bone

1- What is the most possible diagnosis?!

2- Name other 2 features of this condition?!

These are clinical and radiographic pictures taken for the same patient

1- What is the most possible diagnosis?!

3- Is this condition and osteogenesis imperfecta carried on the same gene?!

This patient is presented to you with repetitive fractures of bones, anemia and also increased susceptibility to infections

1- What is the most possible diagnosis?!

2- Name two dental complications of this condition when any of the jaws is involved

This patient is presented to you with this unique clinical presentation

1- What is the most possible diagnosis?!

2- What are the bones most commonly involved?!

3- What happens to the skull?!

This radiograph is taken for the same patient

1- Name 3 dental manifestations of this condition?!

This patient is presented to you with gradually increasing painless diffuse bony swelling in the maxillary jaw bone that is associated with facial asymmetry. This bone is the only one affected

1- What is the most possible diagnosis?! 2- Of the jaws, which is more commonly involved?! 3- When the maxilla and anatomically adjacent bones get involved, what do we call this?!

This is a radiograph taken for a patient with the same condition

1- What is the affected site?! How did you know?!

2- When the condition is usually diagnosed?! Childhood or adulthood?!

3- When is it the most suitable time to treat this patient?!

4- What is the most suitable treatment: radiotherapy or Surgery?! And WHY?!

This radiograph is taken for another patient with the same condition

1- Is the lesion well defined?!

2- Abnormal bone is referred to by 1 or 2?!

3- At what stage this patient is?! Radiolucent, Mixed or Radiopaque?!

4- What do we call this unique radiographic appearance on intraoral radiographs?!

This child is presented to you with multiple fractures and bony deformities arising in only one side of his body mainly over long bones of limbs and this unique skin pigmentation

1- What is the most possible cause of segmental bony fractures?!

2- What do we call these skin pigmentations?!

3- What is the Syndrome?! Can you name other 2 manifestations?!

This is a histological appearance resembling Chinese characters

1- 1 and 2 refer to?!

2- Give 3 differential diagnoses?!

3- How can we differentiate these conditions from one another?! 1 2

This patient is presented to you with this radiographic appearance. The lesions are totally asymptomatic and Pulp vitality test was done and revealed that all involved teeth are vital. No other bones or quadrants are involved

1- What is the most likely diagnosis?!

2- What complication might extraction carry?!

This patient is presented to you with this unique clinical presentation

1- What do we call this appearance?! WHY?!

2- Describe growth pattern this condition has: A- When does it begin?! B- Period of rapid growth?! C- Period of regression?!

Describe this unique radiographic appearance for the same patient?!

This histological appearance taken for the same patient

1- 1 and 2 refer to?!

2- give me 4 differential diagnoses?!

This patient is presented to you with this well-defined radiographic appearance in the mandible and in the long bone of the arm

This is the histological appearance for the same patient

1- What is the most likely diagnosis?!

2- What biochemical findings we might find?!

This child is presented to you with this clinical appearance. He has deformed limbs, severely curved sternum, enlarged costal cartilages, and flat skull

1- What is the most likely diagnosis?!

2- What is the most possible cause?!

This old patient is presented to you with this clinical appearance. He has enlarged jaws, hands and feet

1- What is the most likely diagnosis

2- What is the most likely cause?!

3- What are the dental manifestations?!

This patient is presented to you with this clinical appearance. She has painful swelling and extraoral sinus draining pus and this is her radiographic appearance

1- What is the most likely diagnosis?!

2- What do we call this radiographic appearance?!

A young child is presented to you with this unique radiographic appearance in the mandible

1- What do we call this unique radiographic appearance?!

2- What is the most likely diagnosis?!

Patients are presented to you with this unique clinical appearance in the palate It is a bony swelling that is slowly growing in size and painless

1- What is the most likely diagnosis?!

2- Do we have to remove it?!

3- When it is necessary to surgically remove it?!

A patient is presented to you with this INCIDENTAL well defined radiopaque mass that is not surrounded with radiolucent band and found in the mandibular premolar region

1- What is the most likely diagnosis?!

2- Give 2 differential diagnoses?!

A patient is presented to you with multiple painless slowly growing bony outgrowths on the buccal surface of the maxilla

1- What is the most likely diagnosis?!

2- If solitary, then differential diagnosis is?!

This 45 years old patient is presented to you with a chief complain: My hat doesn t fit my head anymore and my denture is smaller than my ridges size

1- What is the most likely diagnosis?!

2- * refers to?! At what stage of the disease is seen?! And what do we call this histological appearance?!

3- What are the complications of: A- First phase?! B- Second active phase?!

*
C- Third phase?!

This is a skull radiograph for the same patient

1- What do we call this unique radiographic appearance?!

2- What type of malignancy is common in these patients?!

3- Other methods to confirm diagnosis other than radiographic and clinical appearances?!

4- Describe: A- Serum calcium levels B- Serum phosphate levels C- Alkaline phostphatase levels

A patient is presented to you with this unique radiographic appearance. Clinically he has swelling, pain and parasthesia in the lower lip and also ulceration and blessing. His teeth are mobile

1- What is the most likely diagnosis?!

2- What do we call this radiographic appearance?! And is it always seen in every patient?!

3- Give me a very important radiographic feature seen?!

A patient is presented to you with this Radiographic and histological Appearance. In the radiograph you can see well defined corticated radiolucency and in the histology we could find well-encapsulated lesion too

1- What is the most likely diagnosis?!

2- Give me 2 another differential diagnosis?!

A patient is presented to you with these Radiographic and clinical pictures This solitary bony swelling is gradually increasing in size and it is painless and well circumscribed

1- What is the most likely diagnosis?!

2- Give me One clinical differential diagnosis?!

3- If multiple then suspect what Syndrome?! What are its manifestations?!

A patient is presented to you with this Radiographic appearance where teeth are floating in the air And also this histological appearance Clinically he is presented with gingival ulceration and bleeding 1- What is the most likely diagnosis?!

2- 1 and 2 refer to?!

This is an electron microscope appearance for the same patient

1- What do we call these granules?!

This 75 years old patient is presented to you with this unique radiographic appearance and low back pain

1- What do we call this unique radiographic appearance?!

2- Monoclonal or polyclonal?!

This is the histological appearance for the same patient And also the immunochemistry representation

1- * refers to?! * 2- What do we call this immunochemistry representation?!

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