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TODAY’S TEST QUESTION:
CORRECT ANSWER:
B) Pernicious anemia
MORE INFO:
- A beefy red smooth appearing tongue is called glossitis and sometimes seen with pernicious anemia.
- The smooth appearance is due to a loss on the papillae of the tongue.
- Pain of the tongue is sometimes also associated with glossitis (generally anterior third of the tongue)(1).
- Individuals who have pernicious anemia have difficulties absorbing vitamin B12 due to lack on intrinsic factor (which is needed for b12 absorption).
- B12 helps with RBC production.
OTHER ANSWERS:
Typical Signs & Symptoms of the other diseases listed:
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COPD:
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Barrell chest, clubbing of fingers, wheezing, shortness of air, increased sputum, chronic cough
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Congestive Heart Failure:
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Extremity swelling, sudden weight gain, jugular vein distension, S3 heart sound, crackles in lungs
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Turner syndrome:
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a chromosomal abnormality that causes clinical features such as short stature, webbed neck, primary amenorrhea, poor growth, peripheral lymphedema
REFERENCE:
- (1) Pernicious Anemia Clinical Presentation -edmedicine 11/2018
- (2) Epocrates: Turner Syndrome, COPD, CHF
- (3) Tongue picture by Martin Kronawitter under creative commons
- https://commons.m.wikimedia.org/wiki/File:Scharlach.JP