Totting fence post appearance of femur is seen in:
Ans: B (Hyperparathyroidism) Ref: Harrison's Principles of Internal Medicine, 18th ed. and Internet Source Explanation: Renal Osteodystrophy CRF leading on to hyperparathyroidism Signs of chronic renal failure Findings of osteomalacia Hyperparathyroidism Bone sclerosis Rugger jersey spine Totting fence post appearance: Due to Rickets + Hyperparathyroidism In children, metaphyseal changes resembling rickets are seen, which together with cortical erosions can give rise to the so-called Totting fence-post' appearance, particularly at the femoral neck. Looser's zone
Fibrous dysplasia
Hyper parathyroidism
Pagets disease
Fracture neck of femur