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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.
A microangiopathy, characterized by vision loss, hearing loss, and behavioral changes. Lesions in the corpus callosum are visible on MRI.
Presentation of subacute thyroiditis
Chronic sore throat, pain that radiates to the back of the neck, and tenderness of the thyroid
Venous hum in thyroid
Seen in Grave's, due to increased vascularity
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)
- Malnutrition, dehydration (bulimia)
What might an enlarged tongue indicate?
- Angioedema (allergic reaction)
- Primary amyloidosis
White patches on the tongue and mucus membranes. Is often premalignant. Can be caused by smoking, HPV, and candida
High, arched palate
Causes of gingival hyperplasia
Most common cause of tonsilitis
EBV (infectious mono)
Patient presents with hemotysis and small red dots on the lips
Osler-Weber-Rendu syndrome/hereditary hemorrhagic telangiectasia
Causes of bilateral Bell's palsy
Lyme disease, sarcoidosis
Acute nephritic syndrome
Loss of the lateral aspect of the eyebrows
Seen in hypothyroidism
A white band around the cornea, seen with age
Recurrent inflammation of the cornea, along with hearing loss. May be AI, or associated with vasculitis that affects CN VIII