10/8/2021

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Skull bossing; in this case frontal bossing presents as a protuberance of the frontal bones and an enlarged brow ridge caused by increased growth hormone production associated with acromegaly.

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Skull bossing is a descriptive term in medical physical examination indicating a protuberance of the skull, most often in the frontal bones of the forehead ('frontal bossing'). Although prominence of the skull bones may be normal, skull bossing may be associated with certain medical conditions,[1] including nutritional, metabolic, hormonal, and hematologic disorders.

You simply pick one of your 4 cards (3 are roses, one is a skull), place it face down in front of you and then the first player either places a second card face down, continuing around the table until someone 'bids' on how many roses they can turn over before revealing a Skull. Skull bossing is a descriptive term in medical physical examination indicating a protuberance of the skull, most often in the frontal bones of the forehead ('frontal bossing'). Although prominence of the skull bones may be normal, skull bossing may be associated with certain medical conditions, 1 including nutritional, metabolic, hormonal. The anterior skull consists of the facial bones and provides the bony support for the eyes and structures of the face. This view of the skull is dominated by the openings of the orbits and the nasal cavity. Also seen are the upper and lower jaws, with their respective teeth. The doorknob is a glass skull. And the door is engraved with strange symbols. When you come across the only door on the third story of your new home that is, of course, down the street from a cemetery, it’s going to be locked. The content on this site is licensed under a Creative Commons Attribution 4.0 International License.

Skull

Frontal bossing[edit]

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Frontal bossing in a child
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Infant Skeleton with Frontal Bossing, A Treatise of the Diseases of Infancy and Childhood by Dr. Job Lewis Smith, 1881

Frontal bossing is the development of an unusually pronounced forehead which may also be associated with a heavier than normal brow ridge. It is caused by enlargement of the frontal bone, often in conjunction with abnormal enlargement of other facial bones, skull, mandible, and bones of the hands and feet. Frontal bossing may be seen in a few rare medical syndromes such as acromegaly – a chronic medical disorder in which the anterior pituitary gland produces excess growth hormone (GH).[2] Frontal bossing may also occur in diseases resulting in chronic anemia, where there is increased hematopoiesis and enlargement of the medullary cavities of the skull.[1]

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Associated medical disorders[edit]

  • Rickets[3]
  • Cryopyrin-Associated Periodic Syndrome (CAPS – PFS)[4]
  • Russell-Silver syndrome (Russell-Silver dwarf)
  • Trimethadione (antiseizure drug) use during pregnancy
  • Beta-thalassemia (due to expansion of bone marrow secondary to increased hematopoiesis)[5]

References[edit]

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  1. ^ abDennis, Mark; Bowen, William Talbot; Cho, Lucy (2012). 'Frontal bossing'. Mechanisms of Clinical Signs. Elsevier. p. 520.
  2. ^PubMed Health: Frontal bossing[1]
  3. ^Nelson Textbook of Pediatrics, 19e. Chapter 48
  4. ^http://www.canadiancapsnetwork.com/wp-content/uploads/2016/01/Diagnostic-Criteria-2016.pdf
  5. ^Bope, Edward T., and Rick D. Kellerman. 'Chapter 13 – Hematology.' Conn's Current Therapy: Latest Approved Methods of Treatment for the Practicing Physician. Philadelphia: Saunders Elsevier, 2012.

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