Review - Clinical - Presentations VII

liquid drum & bass, chillwave, atmospheric

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V5.5

[Block 1: The fast drum-and-bass rhythm drives forward, but the vocals are sung in a gentle, sweeping half-time rhythm.]

Lateral medullary (Wallenberg) syndrome PRESENTS Dysphagia, Dysphagia oh oh hoarseness, reduced gag reflex, nystagmus, ipsilateral Horner

Normal pressure hydrocephalus “incontinence, gait apraxia, cognitive dysfunction” Triad, trio, three, dres

[Block 2: A warm, electric piano chord progression joins the lush synths. The singer glides through the neurocutaneous syndromes with effortless grace.]

Neurofibromatosis 1  PRESENTS Café-au-lait, Axillary and inguinal freckling, freckling Lisch LischLisch nodules (iris hamartomas), neurofibromas, pheochromocytomas, optic gliomas

Neurofibromatosis 2 2 2 2   PRESENTS Bilateral vestibular schwannomas, cataracts, fewer neurofibromas, Café-au-lait “1%”

Sturge-Weber syndrome PRESENTS a facial angioma (portwine stain/nevus flammeus) and an associated leptomeningeal angioma, glaucoma

von Hippel-Lindau  Lindau  Lindau  PRESENTS (Echoing Harmony) RCC,  CNS hemangioblastomas, retinal angiomas, pheochromocytomas, renal and pancreatic cysts

[Block 3: The deep sub-bass becomes richer. The rapid ticking of the hi-hats provides endless energy, while the vocals remain incredibly peaceful.]

Tuberous sclerosis PRESENTS facial angiofibromas, Hypomelanotic “ash leaf” ash leaf ash leaf macules, 
shagreen shagreen 
patch, ungual fibromas, retinal hamartomas, renal angiomyolipomas, cortical tubers, subependymal nodules, myocardial rhabdomyoma,  WPW

Friedreich ataxia Friedreich Frredd  PRESENTS progressive gait ataxia, dysarthria, areflexia, scoliosis, pes cavus, and hypertrophic cardiomyopathy, diabetes

Facial nerve upper lesions spare forehead

[Block 4: The synths shimmer brightly. The singer's voice becomes even softer and more intimate as she details the sensory and renal symptoms.]

Ménière disease “Episodic vertigo, tinnitus, sensorineural hearing loss”. Sensation of fullness and pressure in a single ear, severe vertigo peaks within minutes, subsides over hours.  TREAT if acute “Prochlorperazine, promethazine, diazepam”; if chronic “diuretics and Lifestyle, intratympanic gentamicin if refractory”

Internuclear ophthalmoplegia “MLF lesion” (Echoing Harmony) PRESENTS Conjugate horizontal gaze palsy, horizontal diplopia

Fanconi Fanconi syndrome “polyuria,  RTA 2, growth retardation, electrolyte imbalances, hypophosphatemic rickets”

Nephrotic syndrome proteinuria (>3.5 g/day) “frothy urine”, hypercholesterolemia

Beckwith-Wiedemann Wiedemann Wiedemann 
“WT2” PRESENTS Wilms tumor, macroglossia, organomegaly, hemihyperplasia, omphalocele

[Block 5: The drums reach their most complex, rolling rhythm, yet the vocal harmonies stack up like a soothing choir in a cathedral.]

TurnerTurner Turner  PRESENTS streak ovaries, congenital heart disease “aortic stenosis, bicuspid aortic valve, aortic coarctation”, horseshoe kidney, cystic hygroma, short stature, webbed neck, lymphedema, often normal intelligence

Fragile  so Fragile  so Fragile 
Fragile X syndrome, FMR1 gene, “the most frequent inherited intellectual disability”. “Delayed or absent speech, hypotonia, delayed motor milestones,  ADHD, autism”. Female carriers “normal  IQ, sometimes learning difficulties and emotional problems”

[Outro: The fast drum break is suddenly filtered out, sounding distant, before dropping away entirely. Only the warm chords remain.]

Meigs syndrome “Ovarian fibroma, ascites, pleural effusion”

Paget disease of the breast “means underlying neoplasm”  PRESENTS scaly, itchy, sore on the nipple, can be vesicular or ulcerated

Peyronie disease “repeated minor trauma during intercourse”  PRESENTS Fibrous plaques in tunica albuginea of penis with abnormal curvature, painful erections

Sarcoidosis Sarcoidosis Sarcoidosis PRESENTS bilateral hilar adenopathy, uveitis, arthropathy, erythema nodosum, splenomegaly, hepatomegaly, cardiomyopathy, fever. Löfgren syndrome “triad of arthritis, erythema nodosum, and bilateral hilar adenopathy”

[Ending: The singer exhales a final, gentle breath. Total silence.]

[End]

4359/7500

[Intro: 170 BPM. The track opens with beautiful, oceanic synthesizer swells. Suddenly, a fast, crisp, and highly kinetic drum break rolls into the mix. The energy is high, but the vibe remains completely relaxing. The singer hums a smooth, breathy melody.] [Block 1: The fast drum-and-bass rhythm drives forward, but the vocals are sung in a gentle, sweeping half-time rhythm.] Lateral medullary (Wallenberg) syndrome PRESENTS Dysphagia, Dysphagia oh oh hoarseness, reduced gag reflex, nystagmus, ipsilateral Horner Normal pressure hydrocephalus “incontinence, gait apraxia, cognitive dysfunction” Triad, trio, three, dres [Block 2: A warm, electric piano chord progression joins the lush synths. The singer glides through the neurocutaneous syndromes with effortless grace.] Neurofibromatosis 1 PRESENTS Café-au-lait, Axillary and inguinal freckling, freckling Lisch LischLisch nodules (iris hamartomas), neurofibromas, pheochromocytomas, optic gliomas Neurofibromatosis 2 2 2 2 PRESENTS Bilateral vestibular schwannomas, cataracts, fewer neurofibromas, Café-au-lait “1%” Sturge-Weber syndrome PRESENTS a facial angioma (portwine stain/nevus flammeus) and an associated leptomeningeal angioma, glaucoma von Hippel-Lindau Lindau Lindau PRESENTS (Echoing Harmony) RCC, CNS hemangioblastomas, retinal angiomas, pheochromocytomas, renal and pancreatic cysts [Block 3: The deep sub-bass becomes richer. The rapid ticking of the hi-hats provides endless energy, while the vocals remain incredibly peaceful.] Tuberous sclerosis PRESENTS facial angiofibromas, Hypomelanotic “ash leaf” ash leaf ash leaf macules, shagreen shagreen patch, ungual fibromas, retinal hamartomas, renal angiomyolipomas, cortical tubers, subependymal nodules, myocardial rhabdomyoma, WPW Friedreich ataxia Friedreich Frredd PRESENTS progressive gait ataxia, dysarthria, areflexia, scoliosis, pes cavus, and hypertrophic cardiomyopathy, diabetes Facial nerve upper lesions spare forehead [Block 4: The synths shimmer brightly. The singer's voice becomes even softer and more intimate as she details the sensory and renal symptoms.] Ménière disease “Episodic vertigo, tinnitus, sensorineural hearing loss”. Sensation of fullness and pressure in a single ear, severe vertigo peaks within minutes, subsides over hours. TREAT if acute “Prochlorperazine, promethazine, diazepam”; if chronic “diuretics and Lifestyle, intratympanic gentamicin if refractory” Internuclear ophthalmoplegia “MLF lesion” (Echoing Harmony) PRESENTS Conjugate horizontal gaze palsy, horizontal diplopia Fanconi Fanconi syndrome “polyuria, RTA 2, growth retardation, electrolyte imbalances, hypophosphatemic rickets” Nephrotic syndrome proteinuria (>3.5 g/day) “frothy urine”, hypercholesterolemia Beckwith-Wiedemann Wiedemann Wiedemann “WT2” PRESENTS Wilms tumor, macroglossia, organomegaly, hemihyperplasia, omphalocele [Block 5: The drums reach their most complex, rolling rhythm, yet the vocal harmonies stack up like a soothing choir in a cathedral.] TurnerTurner Turner PRESENTS streak ovaries, congenital heart disease “aortic stenosis, bicuspid aortic valve, aortic coarctation”, horseshoe kidney, cystic hygroma, short stature, webbed neck, lymphedema, often normal intelligence Fragile so Fragile so Fragile Fragile X syndrome, FMR1 gene, “the most frequent inherited intellectual disability”. “Delayed or absent speech, hypotonia, delayed motor milestones, ADHD, autism”. Female carriers “normal IQ, sometimes learning difficulties and emotional problems” [Outro: The fast drum break is suddenly filtered out, sounding distant, before dropping away entirely. Only the warm chords remain.] Meigs syndrome “Ovarian fibroma, ascites, pleural effusion” Paget disease of the breast “means underlying neoplasm” PRESENTS scaly, itchy, sore on the nipple, can be vesicular or ulcerated Peyronie disease “repeated minor trauma during intercourse” PRESENTS Fibrous plaques in tunica albuginea of penis with abnormal curvature, painful erections Sarcoidosis Sarcoidosis Sarcoidosis PRESENTS bilateral hilar adenopathy, uveitis, arthropathy, erythema nodosum, splenomegaly, hepatomegaly, cardiomyopathy, fever. Löfgren syndrome “triad of arthritis, erythema nodosum, and bilateral hilar adenopathy” [Ending: The singer exhales a final, gentle breath. Total silence.] [End]

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