Hpi Pe

Labs Imaging Gross Pathology Micro Pathology A 19-year-old male visits his family physician because he is embarrassed at having large breasts. He also complains of frequent headaches and impotence. Tall, eunuchoid body habitus mild mental retardation testes small and firm breast enlargement (gynecomastia) female distribution of hair. UA increased urinary FSH decreased 17-ketosteroid. XR delayed physeal closure short fourth metacarpal. Testicular atrophy. Testicular fibrosis and hyalinization...

Pe

A 9-year-old boy is brought to the emergency room with pain, inability to move his left shoulder, and flattening of the normal rounded shoulder contour (shoulder dislocation)) that occurred when he tried to hit a ball with his bat at a local baseball field. He has dislocated his left shoulder nine times before and his right shoulder three times before. He also has a history of easy bruising. Hyperplastic skin cigarette paper scars in areas < > f trauma hyperextensibility of joints left...

Acute Intermittent Porphyria

ID CC A 27-year-old farmer from Florida (with abundant sun exposure) comes to see his dermatologist for an evaluation of a recent increase in size and change in color of a skin lesion that has been present on the dorsum of his hand (a sun-esjposed area) for 6 years. HPI The patient is an albino, but he has not been able) to comply with his dermatologist's orders to wear long sleeves while working in the field. PE White hair, including eyelashes and eyebrows eye exam shows nystagmus and poor...

Pi Pe

A 17-year-old male presents with episodes of painful, burning paresthesias along his palms and soles along with markedly diminished vision in his right eye. His maternal uncle died of chronic renal failure at the age of 40. Clusters of purplish-red, hyperkeratotic lesions on skin around umbilicus, buttocks, and scrotum (angiokeratomas) right corneal leukomatous opacity neurologic exam normal except for painful paresthesias along arms and soles pitting edema in lower extremities. Elevated serum...