Lab/diagnostic findings Flashcards
(111 cards)
1
Q
Anticentromere antibodies
A
Scleroderma (CREST)
2
Q
Anti-desmoglein (epithelial) antibodies
A
Pemphigus vulgaris (blistering)
3
Q
Anti-glomerular basement membrane antibodies
A
Goodpasture syndrome (glomerulonephritis and hemoptysis)
4
Q
Antihistone antibodies
A
Drug-induced SLE (e.g. hyralazine, isoniazid, phenytoin, procainamide)
5
Q
Anti-IgG antibodies
A
rheumatoid arthritis 9systemic inflammation, joint pannus, boutonniere deformity)
6
Q
Antimitochondrial antibodies (AMAs) hypertension
A
1’ biliary cirrhosis (female, cholestasis, portal hypertension
7
Q
Antineutophil cytoplasmic antibiodies (ANCAs)
A
Microscopic polyangitis and eosinophilic granulomatosis with polyangitis (Churg-Strauss syndrome) (MPO-ANCA/p-ANCA); granulomatosis with polyangitis (Wegener; PR3-ANCA/c-ANCA)
8
Q
Antinuclear antibodies (ANAs; anti-Smith and anti-dsDNA)
A
SLE (type III hypersensitivity)
9
Q
Antiplatelet antibodies
A
Idiopathic thrombocytopenic purpura
10
Q
Anti-topoisomerase antibodies
A
Diffue systemic scleroderma
11
Q
Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies
A
Celiac disease (diarrhea, weight loss)
12
Q
“Apple core” lesion on barium enema x-ray
A
Colorectal cancer (usually left sided)
13
Q
Atypical lymphocytes
A
EBV
14
Q
Azurophilic peroxidase + granular inclusions in granulocytes
A
Auer rods (AML, especially the promyelocytic (M3) type)
15
Q
Bacitracin response
A
Sensitive: s. pyogenes (group A); resistsant: S.agalactiae (group B)
16
Q
“Bamboo spine” on x-ray
A
Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)
17
Q
Basophilic nuclear remnants in RBCs
A
Howell-Jolly bodies (due to splenectomy or nonfunctional spleen)
18
Q
Basophilic stippling of RBCs
A
Lead poisoning or sideroblastic anemia
19
Q
Bloody or yellow tap on lumbar puncture
A
Subarachnoid hemorrhage
20
Q
“Boot’shaped” heart on x-ray
A
Tetralogy of Fallot (due to RVH)
21
Q
Branching gram-positive rods with sulfur granules
A
Actinomyces israelii
22
Q
Bronchogenic apical lung tumor on imaging
A
Pancoast tumor (can compress cervical sympathetic chain and cause Horner syndrome)
23
Q
“Brown” tumor of bone
A
Hyperparathyroidism or osteitis fibros cystica (deposited hemosiderin from hemorrhage gives brown color)
24
Q
Cardiomegaly with apical atrophy
A
Chagas disease (Trypanosoma cruzi)
25
Cellular crescents in Bowman capsule
Rapidly progressive crescentic glomerulonephritis
26
"Chocolate cyste" of ovary
Endometriosis (frequently involves both ovaries)
27
Circular grouping of dark tumor cells surrounding pale neurofibrils
Horner-Wright rosettes (neuroblastoma, medullobastoma)
28
Colonies of mucoid Pseudomonas in lungs
Cystic fibroisis (autosomal recessive mutation in CFTR gene leads to fat=soluble vitamin deficiency and mucous plugs)
29
Decreased AFP in amniotic fluid/maternal serum
Down syndrome or other chromosomal abnormalities
30
Degeneration of dorsal column fibers
Tabes dorsalie (3' syphilis), subacute combined degeneration (dorsal columns, lateral corticospinal, spinocerebellar tracts affected)
31
"Delta wave" on EKG, short PR interval, supraventricular tachycardia
Wolf-Parkinson-White syndrome (Bundle of Kent bypasses AV node)
32
Depigmentation of neurons in substantia nigra
Parkinson disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)
33
Desquamated epithelium casts in sputum
Curschmann spirals (bronchial asthma, can result in whorled mucous plugs)
34
Disarrayed granulosa cells arranged around collections of eosinophilic fluid
Call-Exner bodies (granulosa cell tumor of the ovary)
35
Dysplastic squamous cervical cells with "raisinoid" nuclei and hyperchromasia
Koilocytes (HPV: predisposes to cervical cancer)
36
Electrical alternans (alternating amplitude on EKG)
Pericardial tamponade
37
Enlarged cells with intranuclear inclusion bodies
"Owl eye" appearance of CMV
38
Enlarged thyroid cells with ground-glass nuclei with central clearing
"Orphan Annie" eyes nuclei (papillary carcinoma of the thyroid)
39
Eosinophilic cytoplasmic inclusion in liver cell
Mallory body (alcoholic liver disease)
40
Eosinophilic globule in liver
Councilman body (viral hepatitis, yellow fever), reprsents hepatocyte undergoing apoptosis
41
Eosinophlic inclusion bodies in cytoplasm of hippocampal and cerebellar neurons
Negri bodies of rabies
42
Extracellular amyloid deposition in gray matter of brain
Senile plaques (Alzheimer disease)
43
Giant B cells with bilobed nuclei with prominent inclusions ("owl's eye")
Reed-Sternberg cells (Hodgkin lymphoma)
44
Glomerulus-like structure surrounding vessel in germ cells
Schiller-Duval bodies (yolk sac tumor)
45
"Hair on end" ("Crew-cut") appearnce on x-ray hCG elevated
B-thalassemic, sickle cell disease (marrow expansion)
46
hCG elevated
Choriocarcinoma, hydatiform mole (occurs with and without embryo, and multiple pregnancy)
47
Heart nodules (granulomatous)
Aschoff bodies (rheumatic fever)
48
Heterophile antibodies
infectious mononucleosis (EBV)
49
Hexagonal, double-pointed, needle-like crystals in bronchial secretions
Bronchial asthma (Charcot-Leyden crystals: eosinophilic granules)
50
high leve of D-dimers
DVT, PE, DIC
51
Hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lung lobes (can calcify)
Ghon complex (1' TB: Mycobacterium bacilli)
52
"Honeycomb lung" on x-ray or CT
Interstitial pulmonary fibrosis
53
Hypercoagulability (leading to migrating DVT's and vasculitis)
Trousseau syndrome (adenocarcinoma of pancreas or lung)
54
Hypersegmented neutrophils
Megaloblastic anemia (B12 deficiency: neurologic symptoms; folate deficiency; no neurologic symptoms)
55
Hypertension, hypokalemia, metabolic alkalosis
Conn syndrome (primary hyperaldosteronism)
56
Hypochromic, microcytic anemia
Iron deficiency anemia, lead poisoning, thalassemia (fetal hemoglobin sometimes present)
57
Incresaed AFP inamniotic fluid/maternal serum
Dating error, anencephaly, spina bifida (neural tube defects)
58
Increased uric acid levels
Gout, Lesch-Nylan syndrome, tumor lysis syndrome, loop and thiazide diuretics
59
Intranuclear eosinophilic droplet-like bodies
Cowdry type A bodies (HSV or VZV)
60
Iron-containing nodules in alveolar septum
Ferruginous bodies (asbestosis: increased chance of mesothelioma)
61
Keratin pearls on a skin biopsy
Squamous cell carcinoma
62
Large granules in phagocytes, immunodeficiency
Chediak-Higashi disease (congenital failure of phagolysosome formation)
63
"Lead pipe" appearance of colon on abdominal imaging
Ulcerative colitis (loss of haustra)
64
Linear appearance of IgG deposition on glomerular and alveolar basement membranes
Goodpasture syndrome
65
Low serum ceruloplasmin
Wilson disease (hepatolenticular degeneration)
66
"Lumpy bumpy" appearance of glomeruli on immunofluorescence
Poststreptococcal glomerulonephritis (due to deposition of IgG, IgM and C3)
67
Lytic ("punched-out") bone lesions on x-ray
Multiple myeloma
68
Mammary gland ("blue domed") cystq
Fibrocystic change of the breast
69
Monoclonal antibody spike
. Multiple myeloma (usually IgG or IgA)
. Monoclonal gammopathy of undetermined significance (MGUS consequence of aging)
. Waldenstrom (M protein = IgM) macroglobulinemia
. Primary amyloidosis
70
Mucin-filled cell with peripheral nucleus
"Signet ring" (gastric carcinoma)
71
Narrowing of bowel lumen on barium x-ray
"String sign" (Crohn disease)
72
Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis
Granulomatosis with polyangitis (Wegener; PR#-ANCA/c-ANCE) and Goodpasture syndrome (anti-basement membrane antibodies)
73
Needle-shaped, negatively briefringent crystals
Gout (monosodium urate crystals)
74
Nodular hyadline deposits in glomeruli
Kimmelstiel-Wilson nodules (diabetic nephropathy)
75
Novobiocin response
Sensitivie: S. epidermidis; resistant: s.saprophyticus
76
"Nutmeg" appearance of liver
Chronic passive congestion of liver due to right heart failure or Budd-Chiari syndrome
77
"Onion skin" periosteal reaction
Ewing sarcona (malignant small blue cell tumor)
78
Optochin response
qSensitive: S. pneumoniae; resistant: viridans streptococci (S. mutans, S. sanguis)
79
Periosteum raised from bone, creating triangular area
Codman triangle on x-ray, Ewing sarcoma, pyogenic osteomyelitis)
80
Podocyte fusion or "effacement" on electron microscopy
Minimal change disease (child with nephrotic syndrome)
81
Polished, "ivory-like" appearance of bone at cartilage erosion
Eburnation (osteoarthritis resulting in bony sclerosis)
82
Protein aggregates inneurons from hyperphosphorylation of tau protein
Neurofibrillary tangles (Alzheimer disease) and Pick bodies (Pick disease)
83
Psammoma bodies
Meningiomas, papillary thyroid carcinoma, mesothelioma, papillary serous carcinoma of the endometrium and ovary
84
Pseudopalisading tumor cells on brain biopsy
Glioblastoma multiforme
85
RBC casts in urine
Glomerulonephritis
86
Rectangular, crystal-like, cytoplasmic inclusions in Leydig cells
Reinke crystals (Leydig cell tumor)
87
Recurrent infections, eczema, thrombocytopenia
Wiskott-Aldrich syndrome
88
Renal epithelial casts in urine
Intrinsic renal failure (e.g., ischemia or toxic injury)
89
Rhomboid crystals, positively birefringent
Pseudogout (calcium pyrophosphate dihydrate crystals)
90
Rib notching
Coarctation of the aorta
91
Ring-enhancing brain lesion in AIDS
Toxoplasma gondii, CNS lymphoma
92
Sheets of medium-sized lymphoid cells with scattered pale, tingible body-laden macrophages ("starry sky" histology)
Burkitt lymphoma (t(8:14) c-myc activation, associated with EBV; "starry sky" made up of malignant cells)
93
Silver-staining spherical aggregation of tau proteins in neurons
Pick bodies (Pick disease: progrerssive dementia; changes in personality)
94
"Soap bubble" in femur or tibia on x-ray
Giant cell tumor of bone (generally benign)
95
"Spikes" on basement membrane, "dome-like" subipithelial deposits
Membranous nephropathy (nephrotic syndrome)
96
Stacks of RBCs
Rouleaux formation (high ESR, multiple myeloma)
97
"Steeple" sign on CXR
Croup (parainfluenza virus)
98
Stippled vaginal epithelial cells
"Clue cells" (Gardnerella vaginalis)
99
Streptoccus bovis bacteremia
Colon cancer
100
"Tennis racket" shaped cytoplasmic organelles (EM) in Langerhans cells
Birbeck granules (Langerhans cell histocytosis)
101
Thousands of polyps on colonoscopy
Familial adenomatous polyposis (autosomal dominant, mutation of APC gene)
102
Thrombi made of white/red layers
Lines of Zahn (arterial thrombus, layers of platelets/RBCs)
103
"Thumb sign" on lateral neck x-ray
Epiglottis (Haemophilus influenzae)
104
Thyroid-like appearance of the kidney
Chronic pyelonephritis (usually due to recurrent infection)
105
"Tram-track" appearance of capillary loops of glomerula basement membranes on light microscopy
Membranoproliferative glomerulonephritis
106
Triglyceride accumulation in liver cell vacuoles
Fatty liver disease (alcoholic metabolic syndrome)
107
"Waxy" casts with very low urine flow
Chronic end-stage renal disease
108
WBC casts in urine
Acute pyelonephritis
109
WBC that look "smudged"
CLL (almost always B cell)
110
"Wire loop" glomerular capillary appearance on light microscopy
Diffuse proliferative glomerulonephritis (usually seen with lupus)
111
Yellowish CSF
Xanthochromia (e.g. due to subarachnoid hemorrhage)
