Scalp Itch When Sweating?

(C) Aphthous stomatitis?

Answers: 1-B; 2-A; 3-D; 4-C.

42. A 29-year old man presents to the emergency department with a history of heavy sweating for about 12 hours and an intense burning sensation in his mouth that is worse at night. He has never experienced these symptoms before, nor has he had any other medical problems. His vital signs are within normal limits, but his respiratory rate is slow and there are no obvious abnormalities on physical examination. Blood tests reveal markedly elevated levels of lipase (300 U/L). Of your choices, which one would be most likely to explain this patient’s unusual presenting symptom?

(A) Keratinization disorder?

(B) Hyperlipidemia?

(C) Acute pancreatitis?

(D) Dental abscesses?

Answers: 1-B; 2-A; 3-D; 4-C.

43. A 20 year old male was brought into the ED by ambulance after being found bleeding profusely from his nose while playing hockey outdoors during a thunderstorm accompanied by severe pain in both shoulders and knees along with nausea, vomiting, tachycardia, diaphoresis, hypotension followed by collapse associated with shock as evidenced by blood pressure below 50 mm Hg despite administering fluids intravenously over 60 minutes without improvement in pulse or

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