USMLE Forum Archives - USMLE Step 3 - what is your diagnosis ?
what is your diagnosis ?
conym5 - 06-24-09 10:39
A 21-year-old man presents to your office for a preemployment
physical examination. He is 6 ft 3 in. tall and weighs 70 kg. Heart examination is remarkable for a
midsystolic click and a grade 2 systolic murmur that increases with Valsalva maneuver. The patient has an arm span that exceeds his height and has long, slender fingers. The thumb sign (Steinberg sign) is positive. Which of the following is the most likely diagnosis?
a. Lesch-Nyhan syndrome
b. Turner syndrome
c. Ehlers-Danlos syndrome
d. Marfan syndrome
e. Noonan syndrome
conym5 - 06-24-09 10:39
A 21-year-old man presents to your office for a preemployment
physical examination. He is 6 ft 3 in. tall and weighs 70 kg. Heart examination is remarkable for a
midsystolic click and a grade 2 systolic murmur that increases with Valsalva maneuver. The patient has an arm span that exceeds his height and has long, slender fingers. The thumb sign (Steinberg sign) is positive. Which of the following is the most likely diagnosis?
a. Lesch-Nyhan syndrome
b. Turner syndrome
c. Ehlers-Danlos syndrome
d. Marfan syndrome
e. Noonan syndrome
The correct answer and explanation will be available after you answer.
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#5
Re: what is your diagnosis ?
conym5 - 06-25-09 12:53 yes: DDD
Persons with Marfan syndrome have arm spans that are greater
than their height and above-average crown-to-heel height. Joints are hyperextensible
and patients have long, spiderlike, slender fingers (arachnodactyly).
#14
Re: what is your diagnosis ? meduploader - 06-27-09 15:17 My answer is: d.
Persons with Marfan syndrome have arm spans that are greater
than their height and above-average crown-to-heel height. Joints are hyperextensible
and patients have long, spiderlike, slender fingers (arachnodactyly).
#18
Re: what is your diagnosis ? hytsyl - 03-08-10 11:13 My answer is: d.
clic, arm spand, very tall but underweight pt.
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