NAIL PATELLA SYNDROME (NPS)

JOSH PERSON has NPS

Joints overextension

Osteo onycho dysplasia (alternate term)

Spurs on posterior iliac bone

Hyperhydrosis

Patella absent or hypoplastic -->knee instability

Causes of Localized Edema

ALIVE

Allergic (angioedema)

Lymphatic (e.g. elephantiasis)

Inflammatory (e.g. infection, injury)

VEnous (e.g. DVT, chronic venous insufficiency)

Symptoms of GI Obstruction

PV D&C

Pain

Vomiting

Distension

Constipation

Haematemesis

GUM BLEEDING

Gastritis,

Ulcer,

Mallory-Weiss

Biliary (Haemobilia),

Large varices,