Classic Presentations II Flashcards
Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
McArdle Disease (Skeletal muscle glycogen phosphorylase deficiency)
Cold intolerance
Hypothyroidism
Conjugate horizontal gaze palsy, horizontal diplopia
Internuclear opthalmoplegia (damage to MLF; may be unilateral or bilateral)
Continuous machine-like murmur
PDA (close with indomethacin; open with PGE analogs)
Cutaneous/dermal edema due to connective tissue deposition
Myxedema (caused by hypothyroidism, Graves disease if pretibial)
Cutaneous flushing, diarrhea, bronchospasm
Carcinoid syndrome (right-sided cardiac valvular lesions, increased 5-HIAA)
Dark purple skin/mouth nodules in AIDS patient
Kaposi sarcoma, associated with HHV-8
Deep, labored breathing/hyperventilation
Kussmaul respirations (diabetic ketoacidosis)
Dermatitis, dementia, diarrhea
Pallagra (niacin (B3) deficiency)
Dilated cardiomyopathy, edema, alcoholism or malnutrition
Wet beriberi (thiamine (B1) deficiency)
Dog or cat bite resulting in infection
Pasteurella multocida (cellulitis at inoculation site)
Dry eyes, dry mouth, arthritis
Sjogren syndrome (autoimmune destruction of exocrine glands)
Dysphagia (esophageal webs), glossitis, iron deficiency anemia
Plummer-Vinson syndrome (may progress to esophageal SCC)
Elastic skin, hypermobility of joints, increased bleeding tendency
Ehlers-Danlos syndrome (Type V collagen defect, type II collagen defect seen in vascular subtype of ED)
Enlarged, hard left supraclavicular node
Virchow node (abdominal metastases)