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Labs Flashcards

(88 cards)

1
Q

anti-centromere

A

CREST

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2
Q

anti-desmoglein

A

pemphigus vulgaris (desmosomes)

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3
Q

anti-glomerular BM

A

Goodpastures

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4
Q

anti-IgG

A

RA

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5
Q

anti-mitochondrial (AMA)

A

primary biliary cirrhosis (female, PHTN, cholestasis)

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6
Q

anti-neutrophil (ANCA)

A

MPO-ANCA/p-ANCA - microscopic polyangiitis, Churg Strause

PR3-ANCA/c-ANCA - Wegener (granulomatosis with polyangiitis)

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7
Q

anti-platelet

A

idiopathic thrombocytopenic purpura

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8
Q

ANA

A

SLE

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9
Q

anti-topoisomerase

A

diffuse systemic scleroderma

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10
Q

anti-transglutaminase, anti-gliadin, anti-endomysial

A

Celiac’s

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11
Q

apple core lesion

A

colorectal cancer (left-sided)

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12
Q

azurophilic peroxidase + granular inclusions on granulocytes and myeloblasts

A

Auer rods (promyelocytic AML)

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13
Q

bacitracin sensitivity

A

sensitive Group A Strep

resistant Group B Strep

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14
Q

basophilic nuclear remnants on RBCs

A

Howell-Jolly bodies (no spleen)

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15
Q

basophilic stippling of RBCs

A

lead poisoning or sideroblastic anemia

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16
Q

bronchogenic apical lung tumor on imaging

A

Pancoast tumor (can compress sympathetic ganglion and cause Horner syndrome)

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17
Q

brown tumor of bone

A

hyperparathyroidism or osteitis fibrosa cystica (hemosiderin gives pigment)

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18
Q

cardiomegaly with apical atrophy

A

Chagas (Trypanosoma cruzi)

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19
Q

cellular crescents in glomeruli

A

rapidly progressing crescentic glomerulonephritis

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20
Q

dark tumor cells surrounding pale neurofibrils

A

Homer-Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)

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21
Q

pseudomonas colonies in lungs

A

Cystic fibrosis

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22
Q

depigmentation of neurons in substantia nigra

A

parkinsons

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23
Q

desquamated epithelial cells in sputum

A

Curshmann spirals (asthma, can result in whorled mucous plugs)

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24
Q

disarrayed granulosa cells in eosinophilic fluid

A

Call-Exner bodies (granulosa cell tumor of ovary)

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25
enlarged cells with intranuclear inclusion bodies
owl eye cells of CMV
26
enlarged thyroid cells with ground glass appearance
little orphan annie eyes (papillary carcinoma of thyroid)
27
eosinophilic cytoplasmic inclusion in hepatocyte
Mallory body (alc liver disease)
28
eosinophilic inclusion in nerve cell
Lewy body (parkinsons)
29
eosinophilic globule in liver
councilman body (toxic or viral hepatitis, YF)
30
eosinophilic inclusion in hippocampal or cerebellar nerve cells
Negri bodies of rabies
31
giant B cells, bilobed nuclei, prominent inclusions
owl eyes, Reed-Sternberg cells of Hodgkins lymphoma
32
glomerulus like body surrounding vessel in germ cells
Schiller Duval body (yolk sac tumor)
33
crew cut on X-ray
B-thalassemia, SCD (marrow expansion)
34
hCG elevated
pregnancy, hyditiform mole, choriocarcinoma
35
granulomatous heart nodules
aschoff bodies (rheumatic fever)
36
heterophile antibodies
infectious mono (EBV)
37
hexagonal, double pointed, needle like crystals in bronchial secretions
bronchial asthma (Charcot-Leyden crystals)
38
D-dimers
DVT, PE, DIC
39
hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lung
ghon complex, primary TB
40
honey comb lung
Interstitial pulmonary fibrosis
41
hypercoagulability (migrating DVTs, vasculitis)
Trousseua syndrome (adenocarcinoma of pancreas or lung)
42
hypersegmented neutrophils
megaloblastic anemia (B12 will have neuro symptoms, folate will not)
43
hypertension, hypokalemia, metabolic alkalosis
Conn syndrome (primary aldosteronism)
44
hypochromic, microcytic anemia
lead poising iron deficiency thalassemia
45
increased AFP in amniotic fluid
dating error anencephaly neural tube defect
46
increased uric acid levels
gout lesch nyhan syndrome tumor lysis syndrome loop and thiazide diuretics
47
iron containing nodules in alveolar septum
furruginous bodies (asbestosis, increased chance of mesothelioma)
48
keratin pearls on skin biopsy
squamous cell carcinoma
49
large lysosomal vesicles in phagocytes, immunodeficiency
Chediak Hegashi (congenital failure of phagolysosome formation)
50
lead pipe appearance of colon on barium enema x-ray
ulcerative colitis from loss of haustra
51
linear IgG in glomerular BM
Goodpasture
52
low serum ceruloplasmin
Wilson
53
lumpy bumpy appearance of glomeruli
post-strep GN (IgG and C3b)
54
lytic bone lesions on x-ray
multiple myeloma
55
mammary gland, blue domed cyst
fibrocystic change of breast
56
monoclonal antibody spike (M spike)
- MM - MGUS - Waldenstrom macroglobulinemia - primary amyloidosis
57
mucin filled cell with peripheral nucleus
signet ring (gastrocarcinoma)
58
narrowing of bowel lumen on barium x-ray
crohns
59
necrotizing vasculitis of lungs and necrotizing glomerulonephritis
granulomatosis with polyangiitis (wegeners, c/PR3-ANCA) | goodpastures (anti-BM antibodies)
60
nodular hyaline deposits in glomeruli
Kimmelstein Wilson nodules (diabetic nephropathy)
61
nutmeg liver
chronic passive congestion on liver due to right heart failure
62
onion skin periosteal reaction
Ewing sarcoma
63
optochin response
sensitive: strep pneumo resistent: viridens strep
64
periosteum raised from bone making triangle
Codman's triangle (osteosarcoma, Ewings, pyogenic osteomyelitis)
65
podocyte effusion or effacement
minimal change disease
66
protein aggregates from hyperphosphorylation of tau protein
Alzheimers | Picks
67
psammoma bodies
meningioma papillary thyroid carcinoma mesothelioma papillary serous carcinoma of the endometrium and ovary
68
RBC casts in urine
acute glomerulonephritis
69
rectangular inclusions in Leydig cells
Reinke crystals (leydig cell tumor)
70
renal epithelial casts in urine
viral/toxic renal injury
71
rib notching
coarctation of the aorta
72
sheets of medium sized lymphoid cells with scattered pale, tangible body laden macrophages (starry sky histology)
burkitt lymphoma (8:14, c-myc, associated with EBV
73
silver staining spherical aggregation of tau protein in neurons
Pick bodies, pick's disease
74
soap bubble in femur on x-ray
giant cell tumor of bone
75
spikes on GBM, dome-like sub epithelial deposits
membranous glomerulonephritis
76
stacks of RBCs
Rouleaux formation (high ESR, multiple myeloma)
77
stippled vaginal epithelial cells
clue cells (Gardnerella vaginalis)
78
tennis rackets in langerhans cells
Birbeck granules of langerhans cell histiocytosis
79
thrombi made of white-red layers
lines of zahn (arterial thrombus, layers of platelets/RBCs)
80
thumb sign
H. influenza epiglottitis
81
thyroid like appearance of kidney
chronic bacterial pyelonephritis
82
tram-track appearance of capillary loops GBM
membranoproliferative GN
83
triglyceride accumulation in liver cell vacuoles
fatty liver disease (alcoholic or metabolic syndrome)
84
waxy casts with very low urine flow
chronic end stage renal disease
85
WBC casts in urine
acute pyelonephritis
86
WBCs that looked smudged
CLL (almost always B cell)
87
wire loop glomerular capillary appearance on light microscopy
lupus nephropathy
88
yellowish CSF
xanthochromia (due to subarachnoid hemorrhage)