Flashcards in gold usmle: Pathology Deck (234)
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1
Mobitz I
Usually due to inferior MI. Rarely goes into 3rd degree block.
118. Txt w/ Atropine or Isoproterenol.
2
Mobitz II
BBB association. Often goes to 3rd degree AV block. Usually due to anterior MI.
3
P wave
Atrial depol.
4
a wave
LA contraction
5
T wave
Vetricular repol.
6
Wavy fibers
Eosinophilic bands of necrotic myocytes. Early sign of MI.
7
Janeways lesions
Acute bacterial endocarditis.
125. Nontender, erythematous lesions of palms & soles.
8
Oslers nodes
Subacute bacterial endocarditis.
127. Tender lesions of fingers & toes.
9
Thiamine defcy
Wet Beri Beri heart. Dilated (congested) cardiomyopathy due to chronic alcohol consumption
129. Dyr Beri Beri = peripheral neuropathy
130. Wernicke-Korsakoff = ataxia; confusion; confabulation; memory loss
10
Fibrinous Pericarditis
Associated w/ MI: Dresslers
11
Serous Pericarditis
Associated w/ nonbacterial; viral (Coxsackie) infection; immunologic reaction.
12
Friction Rub
Pericarditis association
13
Hemorrhagic Pericarditis
Associated w/ TB or neoplasm
14
Restrictive Cardiomyopathy
Aka infiltrative cardiomyopathy that stiffens the heart
136. Due to amyloidosis in the elderly
137. Due to , also see schaumann & asteroid bodies in young (
15
PMLs infectious agent
JC Virus (Papovavirus = dsDNA, naked icosahedral capsid)
16
Edema
↑Pc (more seeps out)
140. ↓πc (less reabsorbed)
141. ↑ permeability
142. Block lymphatic drainage
17
Adult Polycystic Kidney
Disease
Commonly see liver cysts & Berry aneurysms along w/ kidney cysts. Hematuria & HTN also present.
144. 3 cysts in ea. Kidney w/ + family history confirms diagnosis
18
Malignant HTN & Kidneys
Petehial hemorrhages are seen on kidney surfaces = Flea-Bitten surface = young black men
19
Nephritic signs
Hematuria; RBC casts; HTN
20
Nephrotic signs
Proteinuria; Hypoalbuminemia; Edema
21
Podocyte Effacement seen
w/
Minimal Change (Lipoid nephrosis) disease
22
ASO seen in
Acute post-streptococcal GN (due to βHGASrtep)
150. Anti streptolysin O
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Crescentic GN
Rapidly progressive GN nephritic syndrome
152. Associated w/ multi system disease or post-strep/post infectious glomerular nephritis
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Hereditary Nephritis
Alports syndrome. X linked
154. Renal disease w/ deafness & ocualr abnormalities
25
Membranoproliferative GN
Can be secondary to complement deficiency; chronic infections; CLL
156. See tram tracking
26
TypeI Membrano
Proliferative GN deposits
C3 & IgG deposits
27
TypeII Membrano
Proliferative GN deposits
Only C3 deposits
159. Aka Dense deposit disease
28
Focal segmental
glomerulosclerosis deposits
IgM & C3 deposits
29
Cold agglutinins
Seen in atypical pneumonia
Mycoplasma pneumoniae
162. It is IgM Ab with specificity for I Ag on adult RBCs
30
