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Flashcards in Classical Presentations Deck (47):
1

+ anterior drawer sign

ACL injury (anterior cruciate ligament)

2

Back pain, fever, night sweats

Potts disease (TB to the vertebrae)

3

Bilateral acoustic schwannomas

NF2 (usually CN VII)

4

bilateral hilar adenopathy, uveitis

Sarcoidosis (non caseating granulomas)

5

Blue sclera

osteogenesis imperfecta (COL1A1 alpha and COL1A2mutations ) type 1 collagen

6

butterfly rash, raynaud phenomenon in young female

SLE

7

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

fifth disease, slapped cheeks, parvovirus B19

8

Chorea, dementia, caudate degeneration

Huntington disease (autsomal dominant, CAG repeats, anticipation)

9

cold intolerance

hypothyroidism

10

conjugate horizontal gaze palsy, horizontal diplopia

MLF syndrome, INO

11

dilated cardiomyopathy, edema, alcoholism, or malnutrition

Vitamin B1 deficiency (thiamine)
wet beriberi

12

dry eyes, dry mouth, arthritis

sjogren's syndrome with sicca syndrome, exocrine glands destruction, autoimmune)

13

elastic skin, hypermobility of joints, increased bleeding

Ehler's danlos syndrome, type V collagen defect, type III collagen defect seen in vascular subtype of ED

14

fever, night sweats, weight loss

B symptoms (staging) of lymphoma

15

gout, intellectual disability, self mutilating behavior in a boy

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

16

Hyperreflexia, hypertonia, Babinski sign present

UMN damage

17

Hyporeflexia, hypotonia, atrophy, fasciculations

LMN damage

18

Indurated, ulcerated genital lesion

Nonpainful: chancre (1° syphilis, Treponema pallidum)
Painful, with exudate: chancroid (Haemophilus ducreyi)

19

hypoxemia, polycythemia, hypercapnia

blue bloater - chronic bronchitis, hyperplasia of mucous cells

20

Large rash with bull's eye appearance

Erythema chronicum migrans from Ixodes tick bite (Lyme disease: Borrelia)

21

Lucid interval after TBI

epidural hematoma (Middle meningeal artery)

22

Neonate with arm paralysis following difficult birth

Erb-Duchenne palsy (superior trunk [C5–C6] brachial plexus injury: “waiter’s tip”)

23

Nystagmus, intention tremor, scanning speech, bilateral INO (SI(i)N)

Multiple sclerosis

24

Painful fingers/toes changing color from blue to white to red with cold or stress

Raynaud phenomenon (vasospasm in extremities)

25

Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria

Henoch-Schönlein purpura (IgA vasculitis affecting skin and kidneys

26

Pink complexion, dyspnea, hyperventilation

Pink puffer” (emphysema: centriacinar [smoking], panacinar [α1-antitrypsin deficiency])

27

Ptosis, miosis, anhidrosis

Horner syndrome

28

Pruritic, purple, polygonal planar papules and plaques (6 P’s)

lichen planus

29

Rapidly progressive limb weakness that ascends following GI/URI

Guillain-Barré syndrome (acute inflammatory demyelinating polyradiculopathy subtype)

30

Red urine in the morning, fragile RBCs

Paroxysmal nocturnal hemoglobinuria

31

Resting tremor, rigidity, akinesia, postural instability, shuffling gait

Parkinson disease (loss of dopaminergic neurons in substantia nigra pars compacta)

32

Severe RLQ pain with palpation of LLQ

Rovsing sign (acute appendicitis)

33

Severe RLQ pain with rebound tenderness

McBurney sign (acute appendicitis)

34

Situs inversus, chronic sinusitis, bronchiectasis, infertility

Kartagener syndrome (dynein arm defect affecting cilia)

35

“Strawberry tongue”

Scarlet fever, Kawasaki disease

36

Sudden swollen/painful big toe joint, tophi

Gout/podagra (hyperuricemia)

37

Toe extension/fanning upon plantar scrape

Babinski sign (UMN lesion)

38

Swollen gums, mucosal bleeding, poor wound healing, petechiae

Scurvy (vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis)

39

Unilateral facial drooping involving forehead

LMN facial nerve (CN VII) palsy; Bell's palsy, UMN lesions spare the forehead

40

Urethritis, conjunctivitis, arthritis in a male (can't pee, can't see, can't climb a tree"

Reactive arthritis associated with HLA-B27

41

“Worst headache of my life”

Subarachnoid hemorrhage

42

Vascular birthmark (port-wine stain) of the face

Nevus flammeus (benign, but associated with Sturge-Weber syndrome)

43

Daily, productive cough for at least 3 months a year for 2 consecutive years

Chronic Bronchitis: daily cough with sputum for at least 3 months per year for 2 consecutive years
-mucous gland hyperplasia, mucus over secretion
-found in smokers mostly
-inflammation and mucous can clog airways - increase resistance - obstructive disease

44

Rare, fatal side effects of antipsychotics?

Neuroleptic Malignant Syndrome: FEVER symptoms
Fever
Encephalopathy
Vitals unstable
Elevated enzymes (CPR, WBC)
Rigidity of muscles
Gradual onset

45

Patient taking Prozac and is added on another medication for panic disorders. She develops muscle stiffness, altered mental status, ANS instability, and hyperthemia. What med was she given?

SSRI -Prozac (fluoxetine) + MAOIs (e.g. phenelzine, selegine) and develops serotonin syndrome. Medical emergency

46

Patient taking medications for atypical depression when she goes for a BBQ party with red wine, cheeses, and meats. She suddenly develops chest pain, headaches, and confusion. What happened?

Patient is taking MAOIs which inhibit degradation of tyramine found in wines, cheese, and smoked meats. Tyramine accumulates in GI and leads to release of NE, E from nervous tissue --> hypertensive crisis

47

Intermittent wheezing, facial flushing, and diarrhea

-carcinoid syndrome -- secretion of vasoactive amines, serotonin -- metabolized into 5-hydroxyindoleacetic acid in the urine.
-neuroendocrine tumors-- arise in the GI system -- substances escape escaped hepatic degradation -- metastasis