Eye Spy
Matters of the Heart
Are you Kidney-ing Me?
Derm, that itches!
100

Conjunctivitis

100

48 yo p/w N/V. Medical history is significant for hypertension, tobacco use, and hyperlipidemia. VSS.

Laboratory studies are notable for an elevated initial serum troponin I level.

An electrocardiogram shows 3-mm ST-segment elevations in leads II, III, and aVF. A chest radiograph is normal.

The patient is administered aspirin, clopidogrel, and a bolus of heparin. Transport to the nearest hospital capable of percutaneous coronary intervention would take 4 hours.

Now what? 

Give thrombolytic therapy. 

100

Intracranial aneurysms, hepatic cysts (80%), abdominal hernias, and mitral valve prolapse

100


Allergic Contact Dermatitis

200


Acute Angle Closure Glaucoma

200


Procainamide

200

50yo F w/ CAD, PVD, HTN p/w left sided abdominal bruit.

BP: 180/90, despite 4 agents.

Diagnosis? Treatment? 

Renal Artery Stenosis

Txt w/ ACE-inh/ARB

200


Tinea Corporis

300


Papilledema

300


Adenosine

300

45yo female recently started on orlistat p/w flank pain. 


What kind of stone? 

Diet? 

Calcium Oxalate

Low salt, low oxalate

300


Squamous Cell Carcinoma

400


Macular Degeneration

400

78yo p/w palpitations, worsening fatigue, and exercise intolerance. Two months ago, he was diagnosed with atrial flutter and is s/p cardioversion to NSR. EKG shows recurrent atrial flutter, avg ventricular rate of 69/min. Medical history is significant for hypertension and coronary artery disease. Medications are warfarin, metoprolol, lisinopril, low-dose aspirin, and atorvastatin.

VSS.

What's the next best step?

Catheter Ablation

400

p-ANCA w/ nasal polyps, rhinitis, sinusitis, peripheral eosinophilia, with migratory pulmonary infiltrates

Churg Strauss (Eosinohilic Granulomatosis w/ polyangiitis)


Txt w/ steroids if mild; cyclophosphamide with more severe disease

400


Scabies (Sarcoptes scabiei)

500


Diabetic Retinopathy

500


Atrial Myxoma

500

25yo w/ history of Lupus p/w 4 week hx of swelling of the legs, weight gain and SOB. VSS. 

C3, C4 - low

Creatinine - 1

ESR - 68

Anti-smith; anti-dsDNA Ab - positive

U/A - 3+ protein, no RBCs, no WBCs, no casts

Urine protein: 6000 mg/24 hr

Need kidney biopsy to see the extend of renal involvement! 

Lupus nephritis

High dose IV Steroids and aggressive immunosuppressive therapy

500


Porphyria Cutanea Tarda

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