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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) |