Images - Smears, skin, etc Flashcards Preview

American Board of Internal Medicine > Images - Smears, skin, etc > Flashcards

Flashcards in Images - Smears, skin, etc Deck (19):
1


Identify the abnormality (2) and diagnosis

Hereditary Elliptocytosis - numerous elliptocytes and smaller numbers of ovalocytes.

2


Identify the abnormality (1) and diagnosis

Microangiopathic Hemolytic Anemia - from cyclosporine therapy, with numerous red-cell fragments.

3

Identify the abnormality (1) and diagnosis

Acute Hemolysis in glucose-6-phosphate dehydrogenase (G6PD) deficiency, with the
presence of a “bite” cells

4

Identify the abnormality (1) and diagnosis

Acute Hemolysis in G6PD deficiency, with two “blister
cells” (arrows), as well as polychromatic macrocytes and irregularly contracted cells

5

Identify the abnormality (1) and diagnosis

Hereditary Spherocytosis - numerous spherocytes (hyperchromatic cells with a regular outline)

6


Identify the abnormality (3) and diagnosis

Pernicious Anemia - anisocytosis, macrocytosis, and a hypersegmented neutrophil.

7

Identify the abnormality (2) and diagnosis

Myelodysplastic Syndrome - blast cell and two neutrophils that have hypolobulated nuclei, one of which is binucleated and the other hypogranular

8


Identify the abnormality (5) and diagnosis

Myelodysplastic Syndrome

1. Anisocytosis

2. Poikilocytosis

3. Macrocytes

4. Stomatocytes

5. RBC with Pappenheimer bodies

9


Identify the abnormality and provide differential diagnosis

Baso BAsoBBasfBaso BAsoBasophilic Stippling:

1. Sideroblastic Anemia

2. Arsenic Poisoning

3. Lead Poisoning (with microcytic anemia)

4. Thalassemias

**Mnemonic = Peppered with SALT

10

Identify Two Abnormal Cells

1. Nucleated Red Cell

2. Sickle Cell

11

What is the abnormality?

Platelet clumping - leads to artificially low platelet count

12

What is the abnormality?

Cryoglobulinemia in patient with HCV

13

Identify three abnormalities and provide the diagnosis

1. Target Cell

2. Howell-Jolly Body

3. Acanthocyte

Dx: Hyposplenism

14

  What is the lesion and what is the differential (3 and 2)?

1 1. alq. 111.  1. 1. Erythema Multiforme

2. Drugs: PCN, Dilantin, Sulfa

   Infections: HSV, mycoplasma

15

1. What is the lesion and what are its features?

2. Where does it usually occur?

3. Etiologies (4)?

1. Lichen Planus - purple, puritic, planar, polygonal, papules

2. Wrists and ankles along lines of prior trauma

3. HCV, HCTZ, ACEI, sulfonylureas

16

1. What is the lesion and what are its features?

2. Etiology (6)?

1. Fixed Drug Eruption - Circular red-purple lesions with sharp borders

2. PCN, tetracyclines, dilantin, sulfonadmides, barbituates, phenolthalein

17

1. What is the lesion and what are its features?

2. Etiology (3)?

1. Pityriasis Rosea - large "herald" patch, salmon-colored oval lesions with fine scale

 

2. a. Secondary Syphilis

     b. Drug eruption

     c. Tinea

18

1. What is the lesion and what are its features?

2. Etiology (1)

3. Treatment (4)

1. Tinea Versicolor - round red-to-coffee colored lesions on back/chest/neck that are hypopigmented when exposed to sun

2. Malassezia Furfur - KOH with spores and hyphae in a “spaghetti and meatball” pattern

3. a. Selenium sulfide 2.5% lotion

    b. Ketoconazole shampoo

    c. Imidazole or triazole creams

    d. Ketoconazole 400 mg

19

1. What is the lesion and what are its features?

2. Treatment

1. Tinea Corporis - annular patch with scaly pink edges

2. Topical antifungals