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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 9, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    I'll post the correct answer in about three days!

    DDx.JPG
     

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    J.P.C. Peper, Aug 9, 2012
    #1

  2. lakmalDJ

    lakmalDJ Famous Member

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    Horner's syndrome
     

    lakmalDJ, Aug 10, 2012
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  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    It may be Horners syndrome, ...possible.
     

    Emergency medicine Mike, Aug 10, 2012
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  4. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Hypothyroidism.

    This is a typical facial appaerance in hypothyroidism. The most striking feature here is the blank expression, lacking sparkle. When suspecting hypothyroidism, also look for pallor, coarse / brittle / diminished hair (scalp, axillary and pubic) and coarse features (puffy lids). The signs are often subtle, so have a low threshold for measuring TSH.
     

    J.P.C. Peper, Aug 12, 2012
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