Deficiency
Syndromes
Physical exam
Don't like needles
Diagnoses
100

Deficiency of Vit C causes this disease 

Scurvy 

100

This chromosomal disorder, caused by trisomy 21, is the most common genetic cause of intellectual disability

Down syndrome

100

This sign involves palpating the right upper quadrant while the patient takes a deep breath, causing inspiratory arrest due to gallbladder inflammation touching the examiner's hand

Murphy's sign 

100

Pregnancy, severe immunodeficiency, and being a close contact of severely immunosuppressed persons are absolute contraindications to this type of vaccine

live attenuated vaccines

100

This condition presents with the triad of encephalopathy, myelopathy, and optic neuropathy in patients with strict vegan diets, caused by functional B12 deficiency

subacute combined degeneration

200

Deficiency of this Vitamin can cause dry and wet beriberi

Vit b1 (thiamine)

200

Patients with this syndrome classically present with arachnodactyly, lens dislocation, and aortic root dilation.

 Marfan syndrome

200

This sign is positive when passive flexion of the neck causes involuntary flexion of the hips and knees, suggesting meningeal irritation

Brudzinski's sign

200

This vaccine should be administered during each pregnancy, preferably between 27-36 weeks' gestation

TDAP 

200

This condition is Characterized by the pentad of fever, thrombocytopenia, microangiopathic hemolytic anemia, renal dysfunction, and neurologic changes,

TTP 

300

These are the 3 " D" symptoms associated with pellagra ( Vit B3 deficiency )

Dermatitis , dementia, diarrhea

300

Necrolytic migratory erythema, weight loss, diabetes mellitus, anemia, and venous thrombosis comprise the classic syndrome associated with this pancreatic tumor

Glucagonoma

300

This sign is elicited by tapping over the facial nerve anterior to the ear, causing ipsilateral facial muscle contraction, indicating hypocalcemia or hyperexcitability

 Chvostek's sign

300

Adults traveling to certain endemic areas may need this vaccine to prevent a food- and water-borne viral liver infection

Hep A vaccine 

300

Finding birefringent calcium pyrophosphate crystals in synovial fluid, chondrocalcinosis on X-ray, and associated hyperparathyroidism, hemochromatosis, or hypomagnesemia suggests this diagnosis

calcium pyrophosphate deposition disease (CPPD) / Pseudogout 

400

Supplementation of this can interfere with thyroid blood testing assays, and cause falsely high levels of T4 and
T3, falsely low levels of thyroid stimulating hormone (TSH) - be specific

Biotin ( Vit B7)  

400

This syndrome is characterized by multiple café-au-lait spots, cutaneous neurofibromas, freckling, Lisch nodules, and bone abnormalities


Neurofibromatosis type 1

400

This name describes a bounding, "water-hammer" pulse with rapid upstroke and collapse, classically associated with severe aortic regurgitation

Corrigan's pulse (or a collapsing pulse)

400

This interval must elapse between administering a live attenuated vaccine and giving immunoglobulin to avoid interference with vaccine immunogenicity.

2 weeks  

400

This diagnosis should be suspected when a patient develops acute flaccid paralysis, bulbar weakness, and autonomic instability after eating home-canned foods, with descending paralysis and normal CSF findings.

Botulism 

500

Selenium deficiency can cause this serious heart condition

Keshan disease  

500

A deletion on chromosome 22q11.2 causes this syndrome known for congenital heart defects, cleft palate, and immunodeficiency

DiGeorge syndrome

500

This sign is elicited by inflating a blood pressure cuff above systolic pressure for 3 minutes, causing carpopedal spasm in hypocalcemia or hypomagnesemia

Trousseau's sign

500

Recommendations for shingles vaccine- type, age, number of doses, schedule 

recombinant , 50 years & older, 2 doses, 2- 6 months apart 

500

This diagnosis is made when a patient presents with recurrent oral and genital ulcers, pathergy test positivity, and anterior uveitis

Behcet disease 

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