Classic Presentations Flashcards Preview

First Aid Step 1 Rapid Review > Classic Presentations > Flashcards

Flashcards in Classic Presentations Deck (118)
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1

Abdominal pain, ascites, hepatomegaly

Budd-Chiari syndrome (posthepatic venous thrombosis)

2

Achilles tendon xanthoma

Familial hypercholesterolemia (less LDL receptor signaling)

3

Adrenal hemorrhage, hypotension, DIC

Waterhouse-Friderichsen syndrome (meningococcemia)

4

Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints

Marfan's syndrome (fibrillin defect)

5

Athlete with polycythemia

Secondary to erythropoietin injection

6

Back pain, fever, night sweats, weight loss

Pott's disease (vertebral tuberculosis)

7

Bilateral hilar adenopathy, uveitis

Sarcoidosis (noncaseating granulomas)

8

Blue sclera

Osteogenesis imperfecta (type 1 collagen defect)

9

Bluish line on gingiva

Burton's line (lead poisoning)

10

Bone pain, bone enlargement, arthritis

Paget's diesease of bone (Increase in osteoblastic and osteoclastic activity)

11

Bounding pulses, diastolic heart murmur, head bobbing

Aortic regurgitation

12

"Butterfly" facial rach and Raynaud's phenomenon in you female

Systemic lupus erythematosus

13

Cafe-au-lait spots, Lisch nodules (iris hamartoma)

Neurofibromatosis type I (+ pheochromocytoma, optic gliomas)

14

Cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities

McCune-Albright syndrome (mosaic G-protein signaling mutation)

15

Calf pseudohypertrophy

Muscular dystrophy (most commonly Duchenne's): X-linked recessive deletion of dystrophin gene

16

"Cherry-red spot" on macula

Tay-Sachs (ganglioside accumulation) or Niemann-pick (sphingomyelin accululation), central retinal artery occlusion

17

Chest pain on exertion

Angina (stable: with moderate exertion; unstable: with minimal exertion)

18

Chest pain, pericardial effusion/friction rub, persistent fever following MI

Dressler's syndrome (AI-mediated post-MI fibrinous pericarditis, 1-12 weeks after acute episode)

19

Child uses arms to stand up from squat

Gowers' sign (Duchenne muscular dystrophy)

20

Child with fever later develops red rash on face that spreads to body

"Slapped cheeks" (erythema infectionsum/fifth disease: parvovirus B19)

21

Chorea, dementia, caudate degeneration

Huntington's disease (autosomal-dominated CAG repeat expansion)

22

Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria

McArdle's disease (muscle glycogen phosphorylase deficiency)

23

Cold intolerance

Hypothyroidism

24

Conugate lateral gaze palsy, horizontal diplopia

Internuclear ophthalmolplegia (damage to MLF; bilateral {multiple sclerosis}, unilateral {stroke})

25

Continuous "machinery" heart murmur

PDA (close with indomethacin; open or maintain with misoprostol)

26

Cutaneous/ dermal edema due to connective tissue deposition

Myxedema (caused by hypothyroidism, Graves' disease {pretibial})

27

Dark purple skin/mouth nodules in a patient with AIDS

Kaposi sarcoma, associated with HHV-8

28

Deep, labored breathing/hyperventilation

Kussmaul respirations (diabetic ketoacidosis)

29

Dermatitis, dementia, diarrhea

Pellagra (niacin [vitamin B3] deficiency)

30

Anterior “drawer sign”

Anterior cruciate ligament injury