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Flashcards in gold usmle: Hallmark Findings Deck (154)
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91

Reinke Crystals

Leydig cell tumor

92

Rouleaux Formation

Multiple myeloma RBC’s stacked as poker chips

93

S3 Heart Sound

L→R Shunt (VSD, PDA, ASD)
306. Mitral Regurg
307. LV Failure

94

S4 Heart Sound

Pulmonary Stenosis
309. Pulmonary HTN

95

Schwartzman Reaction

Neisseria meningitidis impressive rash with bugs

96

Smith Antigen

SLE (also anti-dsDNA)
312. Malar Rash, Wire loop kidney lesions, Joint pain, False (+) syphilis test (VDRL)
313. 90% 14-45 yo females
314. also seen w/ use of INH; Procainamide; Hydralazine = SLE-like syndrome

97

Soap Bubble on X-Ray

Giant cell tumor of bone

98

Spike & Dome Glomeruli

Membranous glomerulonephritis = Nephrotic syndrome
317. Spike = basement membrane material & Dome = immune complex deposits (IgG orC3)

99

String Sign on X-ray

Crohn’s bowel wall thickening

100

Target Cells

Thalassemia in α Thalassemia w/ no α gene: Hydrops Fetalis & Intrauterine death associations = HbBarts

101

Tendinous Xanthomas

Familial Hypercholesterolemia

102

Thyroidization of Kidney

Chronic pyelonephritis

103

Tophi

Gout

104

Tram-Track Glomeruli

Membranoproliferative GN: Nephritic syndrome – basement membrane is duplicated into 2 layers

105

Trousseau'’s Sign

324. Visceral ca, classically pancreatic (migratory thrombophlebitis)
325. Hypocalcemia (carpal spasm)
326. These are two entirely different disease processes and different signs, but they unfortunately have the same
name.

106

Virchow’s Node

Supraclavicular node enlargement by metastatic carcinoma of the stomach

107

Warthin-Finkeldey Giant Cells

Measles

108

WBC Casts

Pyelonephritis

109

Whipple’s Triad

CNS disfunction – Hypoglycemic episodes – glu injection reverses CNS Sympt’s

110

Wire Loop Glomeruli

Lupus nephropathy, type IV (diffuse proliferative form)

111

↑ Alpha Feto Protein in amniotic fluid or mother’s
serum

Spina Bifida
333. Anencephaly

112

↑ Uric Acid

Gout
335. Lesch Nyhan
336. Myeloproliferative Disorders
337. Diuretics (Loop & Thiazides)

113

↓ FEV1/FVC

COPD

114

“Ground Glass” on chest x-ray
(Hyaline)

Due to Pneumocystis carinii
340. Seen w/ Atelectasia

115

Honey Combing of the lung

Seen w/ Asbestosis (a restrictive lung disease)

116

Crescents

Goodpastures syndrome (pneumonia w/ hemoptysis & rapidly progressive glomerulonephritis)

117

Linear Ig Deposits

Goodpastures syndrome

118

45 Degree Branch Points

Aspergillosis

119

PAS(+) Dutcher Bodies

Waldenstrom’s Macroglobulinemia = ↑IgM = Hyperviscosity

120

“Ground Glass” in Abdomen(Hyaline)

Seen in the hepatocytes of healthy carriers of HBsAg in liver biopsies