meet the professor - 25 year old female - prof robert g lahita
TRANSCRIPT
25 year old female
presentation
• Chest pain• Pain on breathing in and out• Severe indigestion• Severe Reynaud's• Malar rash
labs
• ANA 1:2560• Anti DNA >300• C3=10• C4=30• CH50= less than 40• WBC =2000
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
imaging
• Chest x-ray=slightly enlarged silhouette• ECHO 2D=mitral regurgitation and small
effusion around cardiac border