Patient with tall and slender build presents with tearing substernal chest pain that radiates to back with BP of 180/98 mm Hg in right arm and 104/65 mmHg in left arm. What  would you expect in this patient based on the clinical presentation?

This patient has dark pigmentation in his eyes and cartilage as seen in the images below. Also has a history of darkening of urine on standing. What is the diagnosis?

This patient with hyper mobile joints and hyper extensible skin finding due to a collagen defect. What is the diagnosis?

This man and his brother developed heart failure as young adults. What is the likely cause of their heart failure?

This patient shown in the image presented to the clinic with multiple firm, slow-growing nodules on the tongue and was found to have an elevated calcitonin level. He is tall, slender built and has increased arm span. What is the diagnosis?

The patient shown in the image below complains of recurrent episodes of epistaxis. On further investigation she is found to have GI bleeding as well. What could be the diagnosis?

What additional finding might be present in this patient?

What finding is demonstrated in the image?

What is the most likely diagnosis?

What additional finding might be expected in this patient?

What physical finding is demonstrated in this image?

What valvular heart disease might you expect in this patient?

Which of the following ocular conditions might be present in this patient?

Which of the following murmurs might be heard in this patient?

Which of the following MEN syndromes is associated with these physical findings?

Which of the following thyroid cancers might occur in this patient?

What is the inheritance of the disease in this patient?

This patient has small, yellowish, popular lesions present on the neck. Which of the following is the most likely diagnosis?

This patient has small, yellowish, popular lesions present on the neck. Which of the following eye changes would be present?

What physical finding is demonstrated in these images?

Which of the following valvular heart diseases is expected in this patient?

This patient presents to the clinic with many non-painful skin lesions over his whole body. Which ocular finding might be expected?

This patient had renal cancer at a young age. Assuming that the right side of the patient’s body is normal, what would be the most likely diagnosis?

Which of the following metabolic abnormalities is common in these patients?

A patient’s urine gets darkened when left exposed to open air. What is the most likely diagnosis?

A patient’s urine is kept in open air for 30 minutes, and is imaged as above. This patient is likely to develop which complication later in life?

This patient came to clinic with asymptomatic ill-defined dark patches as shown. Which of the following bedside tests can be used to confirm the diagnosis of ochronosis?

This patient came to clinic with asymptomatic ill-defined dark patches as shown. Which of the following cardiac conditions might be expected?