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WVSOM FA -- 5
WVSOM -- First Aid Classic Presentations Page 5
Question | Answer |
---|---|
Streak ovaries, congenital heart disease, horseshoe kidney | Turner’s syndrome (XO, short stature, webbed neck, lymphedema) |
Sudden swollen/painful big toe joint, tophi | Gout/podagra (hyperuricemia) |
Swollen gums, mucous bleeding, poor wound healing, spots on skin | scury (vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis) |
Swollen hard, painful finger joints | osteoarthritis (osteophytes on PIP [Bouchard’s nodes], DIP [herberden’s Nodes]) |
Systolic ejection murmur (crescendo-decrescendo) | aoritic valve stenosis |
Thyroid, parathyroid, adrenal tumors | Sipple’s Syndrome (Men2A) |
Ulcerated genital lesions with exudates (painful) | Chancroid (Haemophilus ducreyi) |
Unilateral facial drooping | Bell’s palsy (LMN CN VII Palsy) |
Urethritis, conjunctivitis, arthritis in a male | Reiter’s syndrome (reactive arthritis associated with HLA-B27) |
Vascular birthmark (port-wine stain) | Hemangioma (benign, but associated with Sturge-Weber Syndrome) |
Vasculitis from exposure to endotoxin causing glomerular thrombosis | Scwartzman reaction |
Vomiting blood following esophagogastric lacerations | Mallory-Weiss syndrome (alcoholics and eating disorders) |
“Waxy” casts with very low urine flow | chronic end-stage renal disease |
WBC casts in urine | acute pyelonephritis or cystitis |
Weight loss, diarrhea, arthritis, fever, adenopathy | Whipple’s disease (Tropheryma whippelii) |
“worst headache of my life” | berry aneurysm (associated with APKD) |