Classical Clinical Presentations Flashcards
(164 cards)
1
Q
Abdominal pain, blue gum line and constipation
A
Lead poinosing
2
Q
Beefy-red tongue and fatigue
A
Vitamin B12 deficiency
3
Q
Cafe-au-lait spots and skin nodules
A
Neurfibromatosis Type 1
4
Q
Deep labored breathing and acetone smell on breath
A
Diabetic ketoacidosis
5
Q
Abdominal pain and tenderness in the right iliac fossa
A
Appendicitis
6
Q
Bilateral hilar lymphadenopathy, erythema nodosum
A
Sarcoidosis
7
Q
Calf pseudohypertrophy and a positive Gower sign
A
Duchenne’s muscular dystrophy
8
Q
Dermatitis, diarrhea and dimentia
A
Pellagra (B3 deficiency)
9
Q
Elastic skin with hypermobile joints
A
Ehlers-Danlos Syndrome
10
Q
Fair, fat fertile woman over 40 with abdominal pain
A
Cholecystitis
11
Q
Abdominal pain following and alcoholic binge
A
Pancreatitis
12
Q
Bilateral ptosis, diplopia, and difficulty chewing in female
A
Myasthenia Gravis
13
Q
Cape-like distribution of loss of pain
A
Syringomyelia
14
Q
Enlarged nerves and anesthetic hypopigmented rashes
A
Leprosy
15
Q
Fever, cough, chest pain in a parrot breeder
A
Bird fancier’s disease
16
Q
Abdominal pain in right iliac fossa and diarrhea
A
Crohn’s disease
17
Q
Bitot’s spots in the eye
A
Vitamin A deficiency
18
Q
Bladder or bowel control problems
A
Cauda Equina syndrome
19
Q
Caput Medusa
A
Cirrhosis with portal hypertension
20
Q
Dry eyes, dry mouth and arthritis
A
Sjogren’s syndrome
21
Q
Dysphagia, glossitis and iron deficiency anemia
A
Plummer-Vinson syndrome
22
Q
Abdominal pain in the left iliac fossa, blood in stool, young female
A
Ulcerative colitis
23
Q
Bleeding swollen gums
A
Scurvy
24
Q
Carditis, chorea, polyarthritis and subcutaneous nodules
A
Rheumatic fever
25
Dyspepsia worse with eating food
Gastric type of peptic ulcer disease
26
Abdominal pain in left iliac fossa, bloood in stool, older male
Diverticulitis
27
Blue lips, swollen ankles, and dyspnea
Chronic Bronchitis
28
Blue sclera and frequent fractures as an infant
Osteogenesis imperfecta
29
Casal's necklace
Pellagra (vitamin B3 deficiency)
30
Painful, pale, cold fingers and toes
Raynaud's syndrome
31
Fever, headache and skin rash on wrists and feet
Rocky Mountain Spotted Fever (ricket ricket)
32
Galactorrhea and amenorreha
Prolactinoma
33
Haygarth's nodes
Rheumatoid arthritis
34
Indurated painless penile lesion
Primary syphilis
35
Jaundice, chills and fever
Ascending cholangitis
36
Large spatulate hands, protruding jaw
Acromegaly
37
Koilonychia and pale mucous membranes
Iron deficiency anemia
38
Magenta colored tongue
Vitamin B12 deficiency
39
Newborn with paralyzed arm after difficult vertex delivery
Erb-Duchenne palsy
40
Obesity, hirsutism and irregular periods
Polycystic Ovarian syndrome
41
Painful fingers, wrists bilaterally with morning stiffnesss greater than 1 hour
Rheumatoid arthritis
42
Fever, conjunctivitis, coryza and a fine rash on trunk
Measles
43
Gumma
Tertiary syphilis
44
Heartburn worse on lying down after meals
GERD
45
Infant with red hair and swollen abdomen
Kwashiorkor
46
Jaundice, ascites and firm, non-tender hepatomegaly
Cirrhosis
47
Low back pain, bamboo spine in young adult male
Ankylosing spondylitis
48
Male child with recurrent infection and no B-cells
Bruton's disease
49
Night blindness, dry eyes and dry skin
Vitamin A deficiency
50
Osler nodes, Janeway nodules or Roth spots
Subacute bacterial endocarditis
51
Painful hip with a limp in a young child
Legg-Calve-Perthe disease
52
Fever, neck stiffness and headache
Meningitis
53
Gottron's papules and heliotrope eyelids
Dermatomyositis
54
Heat intolerace, fine tremors, weight loss or exophthalmos
Hyperthyroidism
55
Infant with microcephaly and rocker-bottom feet
Trisomy 18, Edwards syndrome
56
Jaundice with tender hepatomegaly
Hepatitis
57
Loss of outer 1/3 of eyebrows and slow reflexes
Hypothyroidism
58
Koplik spots and fever followed by a fine maculopapular rash
Measels
59
Mental retardation, large scrotal tongue, umbilical hernia
Trisomy 21 Downs syndrome
60
Newborn with claw hand after difficult breech delivery
Klumpke's palsy
61
Painful hip with a limp in an overweight teenager
Slipped Capital Femoral Epiphysis
62
Fever, night sweats, weight loss, cough or hemoptysis
Tuberculosis
63
Gout and self mutilation in a child due to pain insensitivity
Lesch-Nyhan syndrome
64
Heberden's and Bouchard's nodes
Osteoarthritis
65
Hematemesis following protracted vomiting and retching
Mallory Weiss syndrome
66
Infant with microcephaly and indistinct philtrum
Fetal Alcohol Syndrome
67
Lower abdominal pain and 6-8 weeks of amenorrhea
Ectopic pregnancy
68
Middle aged male smoker with intermittent claudication
Buerger's disease
69
Midsystolic click and atypical chest pain
Mitral valve prolapse
70
Nocturnal back pain, recurrent infections and fatigue
Multiplle Myeloma
71
Painful, pulseless, pale perishingly cold limb
Arterial embolism
72
Fever, maculopapulovesicular rash on trunk
Chicken pox
73
Foul, floating feces, fatigue and weightloss
Celiac disease
74
Hemoptysis in a chronic cigarette smoker
Lung cancer
75
Infant with mongoloid eyes and mental retardation
Trisomy 21 Downs syndrome
76
Irregularly irregular breathing
Biot's respiration
77
Mole with irregular margins, change in color or size
Malignant Melanoma
78
Frequent urination with burning on micturition
Urinary tract infection
79
Hemoptysis and Hematuria
Goodpasture syndrome
80
Mucoid urethral discharge in a sexually active male
Chlamydia urethritis
81
Frothy urine, recurrent infections with normal blood pressure
Nephrotic syndrome
82
Honey colored crusts on face near the mouth and nose
Impetigo
83
Muscle cramps with a positive Chvostek test
Hypoparathyroidism
84
Hyperpigmented oral cavity and intestinal polyps
Peutz-Jegher syndrome
85
Abdominal pain, splenomegaly in a black child
Sickle Cell Disease
86
Bone pain, head enlargement and deafness
Paget's disease of bone
87
Cat scratch, fever and local lymphadenitis
Cat Scratch Disease
88
Coryza, conjunctivitis and "C"oplik spots
Measels
89
Hyperpigmented skin creases, bronze skin and fatigue
Addison disease
90
Adrenal hemorrhage and shock
Waterhouse-Friderichsen syndrome
91
Bronze skin, cirrhosis, and diabetes mellitus
Hemochromatosis
92
Cauliflower like lesions on the hands or genitals
HPV
93
Cherry red spot on the macula
Tay-Sachs disease
94
Condylomata lata
Secondary syphilis
95
Hypertension, hypokalemia and metabolic acidosis
Conn's disease
96
Amenorrhea, no lactation after postpartum hemorrhage
Sheehan's syndrome
97
Buffalo hump, obesity and purplish abdominal striae
Cushing's syndrome
98
Cherry red skin and headaches
Carbon monoxide poisoning
99
Hypertension, exophthalmos and goiter
Graves disease
100
Buboes in the groin, sign of the groove
Lymphogranuloma venereum
101
Arachnodactyl, lens dislocation hypermobile joints
Marfan's syndrome
102
Chest pain worse on lying down and better on sitting forward
Pericarditis
103
Argyll-Robertson pupil, aortic aneurysm and angina pectoris
Tertiary syphilis
104
Bull's eye rash
Lyme disease
105
Chest pain worse with exertion, better with rest
Angina pectoris
106
Ataxia, heart problems and scoliosis
Friedreich's disease
107
Butterfly rash and multiple painful joints in a young female
Systemic Lupus Erythematosus
108
Painful yellow genital ulcer
Chancroid
109
Rachitic rosary
Rickets
110
Scanning speech, intention tremor and nystagmus
Multiple myeloma
111
Tall, thin male with gynecomastia and small testis
Klinefelter's syndrome
112
Unilateral facial palsy with hyperacusis
Bell's palsy
113
Vomiting blood in a jaundiced patient
Ruptured esophageal varices
114
Web neck, widely spaced nipples, underdeveloped breasts
Turner's syndrome
115
Weight loss and change in bowel habits
Carcinoma of the colon
116
Painless beef-red genital ulcer
Granuloma inguinale
117
Rash on palms and soles, oral ulcers and fever in a child
Hand, Foot Mouth disease
118
Shortness of breath, fatigue, erythema nodosum
Sarcoidosis
119
Thyroid, parathyroid and adrenal tumors
Sipple's syndrome (Multiple Endocrine Neoplasia 2a)
120
Unilateral facial palsy with vesicles in the ear
Ramsey Hunt syndrome
121
Weight loss, diarrhea, fever and arthritis
Whipple's disease
122
Painless jaundice and weightloss
Cancer of the head of the pancreas
123
Radiofemoral delay
Coarctation of the aorta
124
Recurrent crops of painful vesicles on the face
HHV 1
125
Unilateral facial palsy with deafness on the same side
Acoustic neuroma
126
Weight loss, recurrent infections in young adult
HIV/AIDS
127
Pale mucous membranes and spoon shaped nails
Iron deficiency anemia
128
Worst headache of my life
Ruptured berry aneurysm
129
Palpitations, sweating and pressure headaches
Pheochromocytoma
130
Pancreatic, pituitary and parathyroid tumors
Wermer's Syndrome (MEN1)
131
Recurrent episodes of wheezing in a child
Asthma
132
Single transverse palmar crease and mental retardation
Down syndrome
133
Unilateral facial weakness with weakness in the arm and leg
Cerebrovascular Accident
134
Wet, wacky and wonky (incontinence, dementia, ataxia)
Normal pressure hydrocephalus
135
Pectus excavatum
Rickets
136
Recurrent crops of painful ulcers on the genitals
HHV 2
137
Severe sore throat and swollen post auricular lymph nodes
Mononucleosis
138
Unilateral ptosis, anhydrosis and miosis
Horner's syndrome
139
Pheochromocytoma, mucosal tumors and thyroid cancer
MEN 2b
140
Pink color, pursed lip breathing and barrel chest
Emphysema
141
Recurrent peptic ulcers
Zollinger-Ellison syndrome
142
Situs inversus, chronic sinusitis and bronchiectasis
Kartagener's syndrome
143
Unilateral throbbing head with aura
Classic migraine
144
Polyuria, polydypsia, but no polyphagia or glycosuria
Diabetes insipidus
145
Red-currant jelly sputum with fever and cough
Klebsiella pneumonia
146
Skin rash along dermatome with prodrome of local pain
HHV
147
Unilateral throbbing headaches without an aura
Common migraine
148
Polyuria, polydypsia, polyphagia, and gycosuria
Diabetes mellitus
149
Puffy eyelids, smoky urine and hypertension in a child
Glomerulonephritis
150
Regularly irregular breathing-increase with apneic spells
Cheyne-Stokes breathing
151
Splinter hemorrhages
Subacute bacterial endocarditis
152
Unilateral swollen leg after long travel
Deep vein thrombosis
153
Strawberry tongue, fever, rash
Scarlet fever
154
Resting tremors, mask like face and shuffling gait
Parkinson's disease
155
Purplish lesions on arms, legs and oral cavity
HHV 8 Karposi sarcoma AIDS
156
Sudden tearing chest pain, sweating, feeling of doom
Dissecting thoracic aneurysm
157
Purulent urethral discharge in a sexually active male
Gonorrhea
158
Swollen ankles, shortness of breath and distended neck veins
Congestive heart failure
159
Rose-colored spots on trunk, fever and diarrhea
Typhoid fever
160
Sudden onset of dyspnea, hemoptysis and chest pain
Pulmonary embolism
161
Urethritis, conjunctivitis and arthritis
Reiter's syndrome
162
Rust colored sputum, cough, fever and pleuritic chest pain
Streptococcal pneumonia
163
Swollen bleeding gums and painful joints in a child
Scurvy
164
Sudden onset of sever painful swollen big toe
Gout
