aconthosis nigracans is associated with
- insulin resistance
- GI malignancy
multiple skin tags is associated with
insulin resistance
pregnancy
crohns disease perianal
- Porphyria cutanea tarda
- cutaneous leukocytoclastic vasculitis - palpable purpura, secondary to cryoglobulinemia
hep C
dermatitis herpetiformis
celiac disease
sudden onset severe psoriasis, recurrent herpes zoster, disseminated molluscum contagiosum
HIV infection
severe seborrheic dermatitis
- HIV infection
- Parkinson disease
explosive onset of multiple itchy, sehorrheic keratoses
GI malignancy
pyoderma gangrenosum
inflammatory bowel disease
What is the mechanism for maternal thyroid testing in pregnancy?
- beta HCG stimulates TH in 1st trimester
- estrogen stimulates TBG - thyroid increases hormone production to maintain steady state free T4
- TSH gets decreased by negative feedback
Acute pancreatitis disease assessment markers…
APACHE II score, SIRS, Hct, BUN
Pediatric neck mass; midline and superior displacement with tongue protrusion is
Thyroglossal duct cyst
Pediatric neck mass; midline with no displacement with tongue protrusion?
Dermoid cyst
Pediatric neck mass; lateral and often associated with sinus tract / fistula?
Branchial cleft cyst
Pediatric neck mass; lateral and tender, warm, erythematous
Lymphadenitis
Eye pain, redness, variable visual loss, and a constricted and irregular pupil indicates what? How do you confirm the diagnosis?
Anterior uveitis - iritis
Confirmed by visualization of leukocytes in anterior segment
What does a hazy flare indicate in the eye?
It is indicative of protein accumulation secondary to a damaged blood aqueous barrier
ADHD first line treatment?
1) age 3 to 5 years old = behavioral therapy
2) age greater than 6 = pharmacotherapy
Hyponatremia in CHF patients?
water intake restriction
