Wednesday, 4 June 2008

exam question 7



describe.
what is your diagnosis?
what other signs you would look for?

7 comments:

  1. elevated symetrical skin lesions over the anterior aspect of the shins wich has orange pealing appearance.

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  2. pretibial myxedema,it is a feature of Graves disease,so should look for:ophthamoplagia,thyroid acropachy(clubbing,swallon fingers,periosteal new bone formation).

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  3. pretibial myxoedema
    look for- thyroid eye disesse and thyroid bruit

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  4. Pre-tibial myxedema, characteritic of Graves:
    Specific to Graves:
    Opthalmopathy
    exopthalmos
    opthalmoplegia
    papilodema
    conjunival injection
    Acropachy
    May be hypo/eu/hyper at time!
    Check for goitre and bruit

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  5. congenital lymphatic diseas

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  6. This comment has been removed by the author.

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  7. Description:
    Oedematous, thickened skin with ?peau de orange appearance
    DD:
    Lipodermatosclerosis
    Pretibial myoxoedema
    Lymphoedema

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