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WVSOM FA -- 1
WVSOM -- First Aid Classic Presentations Page 1
Question | Answer |
---|---|
Abdominal pain, ascites, hepatomegaly | budd-chiari syndrome (post hepatic venous thromobosis) |
Achilles tendon xanthoma | familial hypercholesterolemia |
Adrenal hemorrhage, Hypotension, DIC | Waterhouse-Friderichsen syndrome (meningococcemia) |
Arachnodactlyly, lens dislocation, aortic dissextion, hyperflexible joints | Marfan’s Syndrome |
Back pain, fever, night sweats, weight less | Pott’s disese (vertebral tuberculosis) |
Big toe extension/fanning upon plantar scrape | babinski’s sign (UMN lesion) |
Bilateral hilar adenopathy, uveitis | sarcoidosis (noncaseating granulomas) |
Blue sclera | osteogeneisis imperfect (collagen defect) |
Bluish line on gingival | burton’s line (lead poisoning) |
Bone pain, bone enlargement, arthritis | paget’s disease of bone (↑ osteoblastic and clastic activity) |
Café-au-lait spots, lisch nodules (iris hamartoma) | Neurofibromatosis type I (+bilateral acoustic neuromas = type II) |
Calf pseudohypertrophy | muscular dystrophy (most commonly duchenne’s) |
“cherry-red spot” on macula | tay-sachs (ganglioside accumulation) or Neimann-Pick (lysosomal storage disease) |
Chest pain, pericardial effusion/friction rub, persistent fever following MI | Dressler’s syndrome (autoimmune-mediated post MI fibrinous pericarditis) |
Child uses arms to stand up from squat | Gower’s sign (duchenne muscular dystrophy: x-linked recessive deleted dystrophin gne) |
Child with fever develops red rash on face that spreads to body | “slapped cheeks” (erythema infectiosum/fifth desase: parvovirus B19) |
Chorea, dementia, caudate degeneration | huntington’s disease (autosomal-dominant CAG repeat expansion) |
Chronic exercise intolerance with myalgia, fatigue, painful cramps | McArdle’s disease (muscle phosphorylase deficiency) |
Cold intolerance | hypothyroidism |
Conjugate lateral gaze palsy, horizontal diplopia | internuclear ophthalmoplegia (damage to MLF |
Continuous “machinery” heart murmur | PDA (close with indomethacin |
Cutaneous/dermal edema due to connective tissue deposition | myxedema (hypothyroidism, Grave’s Disease) |
Dark purple skin/mouth Nodules | Kaposi’s sarcoma (usually AIDS patients[gay men]: associated with HHV-8) |
Deep, labored breathing/hyperventilation | kussmaul breathing (diabetic ketoacidosis) |
Dermatitis, dementia, diarrhea | pellagra (niacin [vitamin B3] deficiency) |