Classic Presentations Flashcards
(117 cards)
1
Q
Abdominal pain, ascites, hepatomegaly
A
Budd-Chiari syndrome
2
Q
Achilles tendon xanthoma
A
Familial hypercholesterolemia
3
Q
Adrenal hemorrhage, hypotension, DIC
A
Waterhouse- Friderichsen syndrome
4
Q
Arachodactlyl, lens dislocation aortic dissection, hyperflexible joints
A
Marfan’s syndrome
5
Q
Athlete with polycythemia
A
Secondary to EPO injection
6
Q
Back pain, fever, night sweats, weight loss
A
Pott’s disease
7
Q
Bilateral hilar adenopathy, uveitis
A
Sarcoidosis
8
Q
Blue sclera
A
Osteogenesis imperfecta
9
Q
Bluish line on gingiva
A
Burton’s line (lead poisoning)
10
Q
Bone pain bone enlargement, asthritis
A
Paget’s disease of bone
11
Q
Bounding pulses, diastolic heart murmer, head bobbing
A
Aortic regurgitation
12
Q
Butterfly facial rash and Raynaud’s phenomenon in young female
A
Systemic lupus erythematous
13
Q
Cafe-au-lait spots, Lisch nodules
A
NF-type 1
14
Q
Cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities
A
McCune-Albright syndrome
15
Q
Calf pseduohypertrophy
A
muscular dystrophy
16
Q
Cherry red spot on macula
A
Tay Sachs or Niemann-Pick, central retinal artery occlusion
17
Q
Chest pain on exertion
A
Angina
18
Q
Chest pain, pericardiatl effusion/friction rub, persistent fever following MI
A
Dressler’s syndrome
19
Q
Child uses arms to stand up
A
Gower’s sign (duchenne muscular dystrophy)
20
Q
Child with fever later develops red rash on face
A
Slapped cheek (erythema infectiosum/fifth disease, parvovirus B19)
21
Q
Chorea, dementia, caudate regeneration
A
Huntington’s disease
22
Q
Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
A
McCardle’s disease
23
Q
Cold intolerance
A
Hypothyroidism
24
Q
Conjugate lateral gaze palsy
A
Internuclear opthalmoplegia, bilateral (MS), unilateral (stroke)
25
Continuous machinary heart murmur
PDA
26
Cutaneous/dermal edema due to connective tissue depoisition
Myxedema
27
Dark purple skin/ mouth nodules
Kaposi's sarcoma
28
Deep labored breathing, hyperventilation
Kussmaul breathing (DKA)
29
Dermatitis, dementia, diarrhea
Pellagra (niacin (B3 def.))
30
Dog/cat bite resulting in infection
Pasteurella multicida
31
Dilated cardiomyopathy, edema, alcoholism or malnutrition
Wet beriberi (thiamine (B1 def))
32
Dry eyes, dry mouth, arthritis
Sjogren's syndrome
33
Dysphagia, glossitis, iron def. anemia
Plummer-Vinson syndrome
34
Elastic skin, hypermobility of joints
Ehlers-Danlos (Type III collagen defect)
35
Enlarged, hard left supraclavicular node
Virchow's node
36
Erythroderma, lymphadenopathy, helatosplenomegaly, atypical T cells
Sezary syndrome or mycosis fungoides
37
Facial muscle spasm upon tapping
Chvostek's sign (hypocalcemia)
38
Fat, female, forty, fertile
Cholelithiasis (gallstones)
39
Fever, chills, headache, myalgia following antibiotic treatment for syphilis
Jarish-Herxhemier reaction
40
Fever, cough, conjuctivitis, coryza, diffuse rash
Measles
41
Fever, night sweats, weight loss
B symptoms of Lymphoma
42
Fibrous plaques in soft tissue of penis
Peyronie's disease
43
Gout, mental retardation, self mutilating behavior in boy
Lesch-Nyhan syndrome (HGPRT def, X-linked recessive)
44
Green-yellow ring around peripheral cornea
Kayser-Fleischer rings (Cu accumulation in Wilson's)
45
Hamartomatous GI polyps, hyperpigemenation of hands/feet/mouth
Petuz-Jeghers syndrome
46
Hepatosplenomegaly, osteoporosis, neurologic symptoms
Gaucher disease (glucocerebrosidase def)
47
Hereditary nephritis, sensorineural hearing loss, cataracts
Alport symdrome (collagen IV defect)
48
Hyperphagia, hypersexuality, hyperprality, hyperdocility
Kluver-Bucy syndrome
49
Hyperreflexia, hypertonia, Babinski sign present
UMN damage
50
Hyporeflexia, hypotonia, atrophym fasiculations
LMN damage
51
hypoxemia, polycythemia, hypercapnia
Blue bloater (chronic bronchitis)
52
Indurate, ulcerated genital lesion - non painful chancre
primary spyhilis, Treponema pallidum
53
Indurate ulcerated genital lesion, painful with exudate
Chancroid (hameophilius ducreyi)
54
Infant with clef lip/palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia
Patau's syndrome (trisomy 13)
55
Infant with hypoglycemia, failure to thrive and hepatolmegaly
Cori's disease (debranching enzyme def.)
56
Infant with microcepahly, rocker-bottom feet, clenched hands and structural heart defect
Edward's syndrome (trisomy 18)
57
Jaundice palpable distended non-tender gallbladder
Courvoisier's sign
58
Large rash with bull's-eye appearence
Erythema chronicum migrans from Ixodes tick bite (lyme diseas, Borrelia)
59
Lucid interval after brain injury
Epidermal hematoma (middle menigeal artery rupture)
60
Male child, recurrent infections, no mature B cells
Bruton's disease (x-linked agammaglobulinemia)
61
Mucosal bleeding and prolonged bleeding time
Glanzmann's thrombasthenia (defect in platelet aggregation due to lack of GpIIb/IIIa)
62
Muffled heart sounds, distended neck veins, hypotension
Beck's triad of cardiac tamponade
63
Multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth
Gardner's syndrome (FAP subtype)
64
Myopathy, exercise intolerance
Pompe's disease (lysosomal alpha-1,4-glucosidase def.)
65
Neonate with arm paralysis following difficult birth
Erb-Duchenne palsy
66
No lactation postpartum, absent menstruation, cold intolderace
Sheehan's syndrome
67
Nystagmus, intention tremor, scanning speech, bilateral intranuclear ophtalmoplegia
MS
68
Osciallying slow/fast breathing
Cheyne-stokes respirations
69
Painful pale blue fingers/toes,
Raynaud's phenomenon
70
Painful, raised red lesion on pads of fingers/toes
Osler's nodes (infective endocarditis, immune complex deposition)
71
Painless erythematous lesions on palms and soles
Janeway lesions (infective endocarditis, septic emboli)
72
Painless jaundice
Cancer of pancreatic head obstructin bile duct
73
Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria
Henoch-Schonlein purpura
74
Pancreatic, pituitary, parathyroid tumors
MEN 1
75
Periorbital and/or peripheral edema, proteinuria, hypoalbuninemeia, hypercholeerolemia
Nephrotic syndrome
76
Pink complexion, dyspnea, hyperventilation
Pink puffer (emphysema)
77
Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets
Fanconi's syndrome (proximal tubular reabsorption defect)
78
Positive anterior drawer sign
ACL injury
79
Pruritic, purple, polygonal planar papules and plaques
Lichen planus
80
Ptosis, misosis, anhidrosis
Horner's syndrome
81
Pupil accommodate but doesn't react
Argull Robertson (neurosyphilis)
82
Rapidly progressive leg weakness that ascends following GI/upper respiratory infection
Guillain-barre syndrome
83
Rash on palms and soles
Coxsackie A, secondary syphilis, Rocky mountain spotted fever
84
Recurrent colds, unusual eczema, high serum IgE
Hyper-IgE syndrome
85
Red currant jelly sputum in alcoholics or diabetic patient
Klebsiella pneumoniae
86
Red currant jelly stools
Acute mesenteric ischemia (adults), intussusception (infants)
87
Red, itchy, swollen rash of nipple/areola
Paget's disease of teh breast
88
Red urine in morning, fragile RBC's
Paroxysomal nocturnal hemoglobinuria
89
Renal cell carcinoma, hemangioblastomas, angiomatosis, pheochromocytoma
von Hippel-Lindau disease
90
Resting tremor, rigidity, akineisa, postural instability
Parkinson's disease
91
Retinal hemorrhage with pale centers
Roth's spots (bacterial endocarditis)
92
Severe jaundice in neonate
Crigler-Najjar syndrome
93
Severe RLQ pain with palpatation of LLQ
Rovsings's sign (acute appendicitis)
94
Severe RLQ pain with rebound tenderness
McBurney's sign (appendicitis)
95
Short stature, increased incidence of tumor/leukemia, aplastic anemia
fanconi's anemia
96
Single palmar crease
Simain crease (Down's syndrome)
97
Situs inversus, chronic sinusitis, bronchiectasis infertiity
Kartagener's syndrome
98
Skin hyperpigementation, hypotension, fatigue
Addison's disease
99
Slow poregressive muscle weakness in boys
Becker's muscular dystrophy
100
Small, irregular red spots on buccal/lingual mucosa with blue-white centers
Koplik spots (measles' rubeola virus)
101
Smooth, flat, moist, painless white lesions on genitals
Condylomata lata (secondary syphilis)
102
Splinter hemorrage in fingernail
Bacterial Endocarditis
103
Strawberry tongue
Scarlet fever, Kawasaki disease, toxic shock syndrome
104
Streak ovearies, congenital heart disease horseshoe kidney, cystic hygroma at birth short staure, webbed necjk, lymhedema
Turner syndrome
105
Sudden swollen/painful big toe joint
Gout/podogra
106
Swollen gums, mucosal bleeding, poor wound healing, spot on skin
Scurvy (can't hydroxylate proline/lysine for collagen synthesis)
107
Swollen, hard painful finer joints
Osteoarthritis
108
Systolic ejection murmur (crescendo-decresendo)
Aortic valve stenosis
109
Thyroid and parathryoid tumors, pheochromocytoma
MEN 2A
110
Thyroid tumors, pheochromocytoma, ganglioneuromatosis
MEN 2B
111
Toe extension/fannin upon plantar scrape
babinski sign (UMN lesion)
112
Unilateral facial drooping involving forehead
Facial nerve palsy
113
Urethritis, conjuctivitis, arthritis in male
Reactive arthritis associate with HLA-B27
114
Vascular birthmark
Hemangioma
115
Vomiting blood following gastroesophageal lacerations
Mallory Weis syndrome
116
Weight loss, diarrhea, arthritis, fever, adenopathy
Whipple's disease (Tropheryma whipplei)
117
Worst headache of my life
Subarachnoid hemorrhage
