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What is lid lag, and when is it seen?
Lid lag occurs when the eye moves down faster than the eyelid, so a rim of white sclera will be visible when you ask the patient to look down. Seen in patients with Grave's.
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Susac's syndrome
A microangiopathy, characterized by vision loss, hearing loss, and behavioral changes. Lesions in the corpus callosum are visible on MRI.
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Presentation of subacute thyroiditis
Chronic sore throat, pain that radiates to the back of the neck, and tenderness of the thyroid
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Venous hum in thyroid
Seen in Grave's, due to increased vascularity
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Causes of parotid enlargement
- Mumps, stones in the parotid duct
- Sjogren's, sarcoidosis, Mikulicz disease (generalized fibrosis, associated with Reidel's, AI pancreatitis, and liver dysfunction--elevated IgG4 is diagnostic)
- Cancer
- Malnutrition, dehydration (bulimia)
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What might an enlarged tongue indicate?
- Angioedema (allergic reaction)
- Tumor
- Primary amyloidosis
- Acromegaly
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Leukoplakia
White patches on the tongue and mucus membranes. Is often premalignant. Can be caused by smoking, HPV, and candida
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High, arched palate
Marfan's
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Causes of gingival hyperplasia
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Most common cause of tonsilitis
EBV (infectious mono)
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Patient presents with hemotysis and small red dots on the lips
Osler-Weber-Rendu syndrome/hereditary hemorrhagic telangiectasia
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Causes of bilateral Bell's palsy
Lyme disease, sarcoidosis
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Periorbital edema
Acute nephritic syndrome
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Loss of the lateral aspect of the eyebrows
Hypothyroidism
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Alopecia areata
Seen in hypothyroidism
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Anophthalmus
Horner's syndrome
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Arcus senilis
A white band around the cornea, seen with age
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Cogan's syndrome
Recurrent inflammation of the cornea, along with hearing loss. May be AI, or associated with vasculitis that affects CN VIII
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