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WVSOM FA -- 4
WVSOM -- First Aid Classic Presentations Page 4
Question | Answer |
---|---|
Polyuria, acidosis, growth failure, electrolyte imbalances | fandoni’s syndrome (proximal tubular reabsorption defect) |
Positive Anterior “drawer sign” | ACL injury |
Ptosis, miosis, anhidrosis | Horner’s syndrome (sympathetic chain lesion) |
Pupil accommodates but doesn’t’ react | Argyll Robertson pupil (neurosyphilis) |
Rapidly progressive leg weakness that ascends (following GI/upper respiratory infection) | Guillain-Barre Syndrome (autoimmune acute inflammatory demyelinating polyneuropathy) |
Rash on palms and soles | 2® Syphillis, rocky Mountain spotted fever |
Recurrent colds, unusual eczema, high serum IgE | Job’s syndrome (hyper IgE syndrome: neurophil chemotaxis abnormality) |
Red “currant jelly” sputum | Klebsiella pneumonia |
Red, itchy, swollen rash of nipple/areola | Paget’s disease of the breast (represents underlying neoplasm) |
Red urine in the morning | paroxysmal nocturnal hemoglobinuria |
Renal cell carcinoma, hemangioblastomas, angiomatosis, pheochromocytoma | von Hippel-Lindau disease (dominant tumor suppressor gene mutation) |
Resting tremor, rigidity, akinesia, postural instability | Parkinson’s disease (nigrostriatal dopamine depletion) |
Restrictive cardiomyopathy (juvenile form: cardiomegaly), exercise intolerance | Pompe’s disease (lysosomal glucosidase deficiency) |
Retinal hemorrhages with pale centers | Roth’s spots (bacterial endocarditis) |
Severe jaundice ni neonate | Crigler-najjar syndrome (congenital unconjugated hyperbilirubinemia) |
Severe RLQ pain with rebound tenderness | McBurney’s sign (appendicitis) |
Short stature, ↑ incidence of tumors/leukemia, aplastic anemia | Fanconi’s anemia 9genetically inherited |
Single palm crease | simian crease (Down syndrome) |
Situs inversus, chronic sinusitis, bronchiectasis | Kartagener’s syndrome (dynein defect affecting cilia) |
Skin hyperpigmentation | Addison’s Disease (1° adrenocortical insufficiency of autoimmune or infectious etiology) |
Slow, progressive muscle weakness in boys | Becker’s muscular dystrophy 9X-linked, defective dystrophin |
Small irregular red spots on buccal/lingual mucosa with blue-white centers | Koplik spots (measles) |
Small, nontender, erythematous lesions on palms/soles | janeway lesions (infective endocarditits) |
Smooth, flat, moist white lesions on gentials | condylomata lata (2° syphilis) |
Splinter hemorrhages in fingernails | bacterial endocarditis |
“strawberry tongue” | scarlet fever, Kawasaki disease, toxic shock syndrome |