AMSA Health Fair

Yesterday I participated in another AMSA (American Medical Student Association) Health Fair. Basically we medical students go out into the community and do histories, physicals, vital signs (blood pressure, pulse, etc), and other various screenings (blood glucose, vision, hearing, etc.) Those patients where an abnormality was discovered were examined by a real doctor (one of the clinical tutors from our path lab). A lot of the "patients" just came out because heard it on the radio and wanted a general check up. Most of them didn't really have anything wrong with them. Other things we found out: 1) If you don't take your anti-hypertensive (blood pressure) pill, your blood pressure will be high, and 2) if you don't take your oral diabetic pill, your blood sugar will be high. Who woulda thunk. Anyways, there was this one gentleman, 26 years old, that complained of bleeding from the mouth when the sun was too hot, as well as when he wakes up in the morning after sleeping. Mouth/gums looked fine, and the case had everyone stumped because no one could think of a etiological link between the sun being hot and oral bleeding. Can anyone out there think of anything?


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Barbados Butterfly Says:

I’ve got no thoughts on the association with hot weather but I’d really like to know what his platelet count is.

Carsten Says:

No clue… The patient was sent to follow up with the district health center since we had no diagnostic lab facilities at the Health Fair (other than BG), and it had been happening for months, without major consequence.

 
 
Renwick Veleros Says:

Two possibilities include Sjogren’s Syndrome or porphyria. Sjogren’s syndrome can cause oral bleeding bcause of dry cracking gums, sunlight makes the condition worse. Porphyria is also made worse by sunlight and causes bleeding gums. They use to think people with porphyria were vampires because their mouths would be full of blood and they would avoid the sun. You may also want to test for lupus because that can have weird symptoms.

Carsten Says:

Interesting thought. Definitely a possibility, but the buccal mucosa wasn’t abnormally dry. Hmm…

 
 

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