Hand, skin, nails class session

Question 1

Marfan syndrome findins

Answer 1

long limbs, ectopia lentis, spine and chest deformities, MVP, skin striae, aortic root dilation

Question 2

Acrocyanosis and clubbing

Answer 2

congenital heart dz

Question 3

Findings in alcoholism

Lab values

Answer 3

HTN, DC, Enlarged p/L glands, Exopthalmos, alcoholic cardiomyopathy

High MCV. serum uric acid, GGT

Question 4

Blasto areas of involvement

Recurrent HSV

Answer 4

Lung, skin, bone, GU, brain

Oral/perioral lesions

Question 5

Livedo reticularis patho

Causes transiet

Persistent

Answer 5

Occlusion of dermal/subdermal venules/arterioles

Cold/Reynaud’s Phenomenon

Vasculitis, cholesterol embolism, DIC, antiphospholipid/anticardiolipin antibody

Question 6

Cirrhosis spider angiomas

Paraspinous abscess

Answer 6

Blanch with compression

Paralysis, possible complication of IE

Question 7

Secondary syphillis

N meningitidis

Answer 7

Rash and constitutional symptoms

Diffuse, purpuric lesions

Question 8

Vitiligo and pt risk for

Such as

Answer 8

Autoimmune conditions

Autoimmune thyroid dz, psoriasis, RA, SLE

Question 9

Reynaud’s phenomenon

Exacerbated by

When severe, causes

Answer 9

Spasm of small arteries of hand, producing pain (pulses normal)

Cold (go pale to cyanotic, to red)

Distal ulceration