Transcript
![Page 1: MEET THE PROFESSOR - 25 year old female - Prof Robert G Lahita](https://reader036.vdocument.in/reader036/viewer/2022081810/58a3124e1a28ab1d068b507b/html5/thumbnails/1.jpg)
25 year old female
![Page 2: MEET THE PROFESSOR - 25 year old female - Prof Robert G Lahita](https://reader036.vdocument.in/reader036/viewer/2022081810/58a3124e1a28ab1d068b507b/html5/thumbnails/2.jpg)
presentation
• Chest pain• Pain on breathing in and out• Severe indigestion• Severe Reynaud's• Malar rash
![Page 3: MEET THE PROFESSOR - 25 year old female - Prof Robert G Lahita](https://reader036.vdocument.in/reader036/viewer/2022081810/58a3124e1a28ab1d068b507b/html5/thumbnails/3.jpg)
labs
• ANA 1:2560• Anti DNA >300• C3=10• C4=30• CH50= less than 40• WBC =2000
![Page 4: MEET THE PROFESSOR - 25 year old female - Prof Robert G Lahita](https://reader036.vdocument.in/reader036/viewer/2022081810/58a3124e1a28ab1d068b507b/html5/thumbnails/4.jpg)
Physical exam
• Tender abdomen• No rash• Discolored fingers• Pain in trigger areas• Cardiac: 2/6 murmur systolic at left sternal
border radiating to axilla• Cardiac rub
![Page 5: MEET THE PROFESSOR - 25 year old female - Prof Robert G Lahita](https://reader036.vdocument.in/reader036/viewer/2022081810/58a3124e1a28ab1d068b507b/html5/thumbnails/5.jpg)
imaging
• Chest x-ray=slightly enlarged silhouette• ECHO 2D=mitral regurgitation and small
effusion around cardiac border