11-01-2014, 04:40 PM
A 45-year-old female presents to your office complaining of itchy eyes for the last two months. She has no other past medical history. As an addition to her chief complaint, she also requests information about vaginal lubricant because sexual intercourse with her husband has been increasing painful due to vaginal dryness for the last four months. Her vitals are as follows: blood pressure 110/70, heart rate 70 bpm, temperature 98.8F, respiratory rate 16. On head and neck exam, she has significant ocular dryness and conjunctival injection, cracking of her lips and parotid enlargement. Her cardiac, pulmonary and abdominal exam are unremarkable. Which of the following is this patient most at risk for because of her medical diagnosis?
a. B cell lymphoma
b. Cushing's syndrome
c. Pheochromocytoma
d. Syringomyelia
e. T cell lymphoma
a. B cell lymphoma
b. Cushing's syndrome
c. Pheochromocytoma
d. Syringomyelia
e. T cell lymphoma
