Classic Presentations II Flashcards Preview

First Aid Rapid Review KAM > Classic Presentations II > Flashcards

Flashcards in Classic Presentations II Deck (27):
1

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

McArdle Disease (Skeletal muscle glycogen phosphorylase deficiency)

2

Cold intolerance

Hypothyroidism

3

Conjugate horizontal gaze palsy, horizontal diplopia

Internuclear opthalmoplegia (damage to MLF; may be unilateral or bilateral)

4

Continuous machine-like murmur

PDA (close with indomethacin; open with PGE analogs)

5

Cutaneous/dermal edema due to connective tissue deposition

Myxedema (caused by hypothyroidism, Graves disease if pretibial)

6

Cutaneous flushing, diarrhea, bronchospasm

Carcinoid syndrome (right-sided cardiac valvular lesions, increased 5-HIAA)

7

Dark purple skin/mouth nodules in AIDS patient

Kaposi sarcoma, associated with HHV-8

8

Deep, labored breathing/hyperventilation

Kussmaul respirations (diabetic ketoacidosis)

9

Dermatitis, dementia, diarrhea

Pallagra (niacin (B3) deficiency)

10

Dilated cardiomyopathy, edema, alcoholism or malnutrition

Wet beriberi (thiamine (B1) deficiency)

11

Dog or cat bite resulting in infection

Pasteurella multocida (cellulitis at inoculation site)

12

Dry eyes, dry mouth, arthritis

Sjogren syndrome (autoimmune destruction of exocrine glands)

13

Dysphagia (esophageal webs), glossitis, iron deficiency anemia

Plummer-Vinson syndrome (may progress to esophageal SCC)

14

Elastic skin, hypermobility of joints, increased bleeding tendency

Ehlers-Danlos syndrome (Type V collagen defect, type II collagen defect seen in vascular subtype of ED)

15

Enlarged, hard left supraclavicular node

Virchow node (abdominal metastases)

16

Episodic vertigo, tinnitus, hearing loss

Meniere disease

17

Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells

Mycosis fungoides (cutaneous T-cell lymphoma) or Sezary syndrome (mycosis fungoides + malignant T cells in blood

18

Facial muscle spasm upon tapping

Chvostek sign (hypocalcemia)

19

Fat, female, forty, and fertile

Cholelithiasis (gallstones)

20

Fever, chills, headache, myalgia following antibiotic treatment for syphilis

Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in endotoxin release)

21

Fever, cough, conjunctivitis, coryza, diffuse rash

Measles

22

Fever, night sweats, weight loss

B symptoms (staging) of lymphoma

23

Fibrous plaques in soft tissue of penis with abnormal curvature

Peyronie disease (connective tissue disorder)

24

Golden brown rings around peripheral cornea

Kayser Fleischer rings (copper accumulation from Wilson disease)

25

Gout, intellectual disability, self-mutilating behavior in a boy

Lesch-Nyhan syndrome (HGPRT deficiency, X linked recessive)

26

Hamartomatous GI polyps, hyperpigmentation of mouth/feed/hands/genitalia

Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel obstruction, increased cancer risk, mainly GI)

27

Hepatosplenomegaly, pancytopenia, osteoporosis, asepctic necrosis of femur, bone crises

Gaucher disease (glucocerebrosidase deficiency)