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Skin conditions and important associations
Acanthosis nigricans -- Insulin resistance (Polycystic Ovarian Syndrome), Gastrointestinal malignancy
Multiple skin tags -- Insulin resistance , Pregnancy and Crohn disease (perianal)
Porphyria cutanea tarda
Cutaneous leukocytoclastic vasculitis (palpable purpura) secondary to cryoglobulinemia, Lichen planus --
Hepatitis C
Dermatitis herpetiformis -- Celiac disease
Sudden-onset severe psoriasis
Recurrent herpes zoster
Disseminated molluscum contagiosum -- HIV infection
Severe seborrheic dermatitis -- HIV infection and Parkinson disease
Explosive onset of multiple itchy seborrheic keratosis -- GI malignancy
Pyoderma gangrenosum -- IBD (inflammatory bowel disease)
Vitiligo -- other autoimmune conditions such as Celiac disease, Pernicious anemia , autoimmune thyroid disease, type 1 diabetes mellitus, primary adrenal insufficiency, hypopituitarism, and alopecia areata.
Congenital Pyloric Stenois - Important Signs
1. String sign: thin column of barium leaking through the tightened muscle
2. Shoulder sign: filling defect in the antrum due to prolapse of muscle inward
3. Mushroom sign: hypertrophic pylorus against the duodenum
4. Railroad track sign: excess mucosa in the pyloric lumen resulting in 2 columns of barium.
Abnormal Pulses and Possible Etiologies
Abnormal Pulses
Pulsus alternans: sign of left ventricular systolic dysfunction
Pulsus bigeminus: sign of hypertrophic obstructive cardiomyopathy
(HOCM)
Pulsus bisferiens: in aortic regurgitation
Pulsus tardus et parvus: aortic stenosis
Pulsus paradoxus: cardiac tamponade and tension pneumothorax
Irregularly irregular: atrial fibrillation
Pulsus alternans: sign of left ventricular systolic dysfunction
Pulsus bigeminus: sign of hypertrophic obstructive cardiomyopathy
(HOCM)
Pulsus bisferiens: in aortic regurgitation
Pulsus tardus et parvus: aortic stenosis
Pulsus paradoxus: cardiac tamponade and tension pneumothorax
Irregularly irregular: atrial fibrillation
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Definition : Expulsion of product of conception at any time before full term. After a pregnancy is apparent, the loss of the fet...
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A medical instrument is any tool, apparatus, appliance, material, used alone or in combination with other such items meant to be used on...
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