A 24-year-old primigravid woman at 18 weeks’ gestation… Important to contrast with age-related sicca syndrome, which is present in ~25% of individuals over 65 years old and leads to sensation of dry eyes and/or dry mouth with a negative ANA (if they are feeling generous and give you this information)ĥ.Mucosal dryness in young or middle-aged woman, especially in one with other autoimmune disease such as this patient (T1DM), should make you think of Sjogren syndrome.During the past 4 months, a 32-year-old woman has had pain… Bicuspid aortic valve with stenosis presents as symptomatic AS (syncope, angina, dyspnea) often in a 50-60 year oldĤ.Asymmetric septal hypertrophy = HOCM = Sudden cardiac death or exertional syncope in young adult.
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December 2022
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