MDcooper
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A 40 year old woman ,a non smoker with a H/O moderate alchohol use presents with a 4 month H/O weight loss and dysphagia.An important finding on physical exam related to this presentation will be
1.pigmentation of lips
2.teleniectasia of nasopharynx
3.lichen planus
4.hyperkeratosis of palms
5.psoriasis vulgaris
Edited by MDcooper on 05/29/06 - 03:07 PM
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| guayoman
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Scleroderma?
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| guayoman
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then hyperkeratosis
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| abhi01
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acanthosis nigricans? - reflection of a internal malignancy,
but it presents as velvety hyperpigmentation mainly envolving the flexural areas
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| chemamr
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1? 
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| Isther
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if # 2 is telangiectasias... then I'll pick that one as part of CREST.
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| chemamr
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what about weight loss?
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| Isther
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Patients with disphagia tend to loose weight... its just an idea though.
Can't find a reason why the others could cause disphagia
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| powerranger
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is it 2.....is it plummer syndrome
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| frontal
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The history is so minimal. I can't figure anything out.
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| fox
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whatz this? anyone?
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