Classic Labs/Findings 3 Flashcards Preview

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Flashcards in Classic Labs/Findings 3 Deck (20)
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1

Giant B-cells with bilobed nuclei with prominent inclusions (owl's eye")?

Reed-Sternberg cells (Hodgkin's lymphoma)

2

Glomerulus-like structure surrounding vessel in germ cells?

Schiller-Duval bodies (yolk sac tumor)

3

"Hair on end" (crewcut) appearance on x-ray?

B-thalassemia, sickle cell (marrow expansion)

4

hCG elevated?

Choriocarcinoma, hydatidiform mole (occurs with and without embryo)

5

Heart nodules (granulomatous)?

Aschoff bodies (rheumatic fever)

6

Heterophile Abs?

Infectious mononucleosis (EBV)

7

Hexagonal, double-pointed, needle-like crystals in bronchial secretions?

Bronchial asthma (Charcot-Leyden crystals: eosinophilic granules)

8

High level of D-dimers?

DVT, pulmonary embolism, DIC

9

Hilar LAD, peripheral granulomatous lesion in middle or lower lung lobes (can calcify)?

Ghon complex (primary TB)

10

"Honeycomb lung" on x-ray or CT?

Interstitial pulmonary fibrosis

11

Hypercoagulability (leading to migrating DVTs and vasculitis)?

Trousseau's syndrome (adenocarcinoma of pancreas or lung)

12

Hypersegmented neutrophils?

Megaloblastic anemia (B12 deficiency: neuro sxs; folate deficiency: no neuro sxs)

13

HTN, hypokalemia, metabolic alkalosis?

Conn's syndrome

14

Hypochromic, microcytic anemia?

Fe deficiency anemia, lead poisoning, thalassema (fetal Hb sometimes present)

15

Increased a-fetoprotein in amniotic fluid/maternal serum?

Dating error, anencephaly, spina bifidia (neural tube defects)

16

Increased uric acid levels?

Gout, Lesch-Nyhan, tumor lysis syndrome, loop and thiazide diuretics

17

Intranuclear eosinophilic droplet-like bodies?

Cowdry type A bodies (HSV or CMV)

18

Fe-containing nodules in alveolar septum?

Ferruginous bodies (asbestosis: high chance of mesothelioma)

19

Keratin pearls on skin biopsy?

SCC

20

Large lysosomal vesicles in phagocytes, immunodeficiency?

Chediak-Higashi dz (congenital failure of phagolysosome formation)