Presentations Flashcards

(70 cards)

1
Q

Ab pain, ascites, hepatomeg

A

Budd Chiari = post hepatic venous thrombosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ab pain, diarrhea, leukocytosis, recent antibiotic use

A

C.diff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Achilles tendon xanthoma

A

↓LDL receptor signaling = familial hyper-chol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adrenal hemm, hypotension, DIC

A

Waterhouse Friderichsen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anaphylaxis post-transfusion

A

IgA def

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Athlete w/ PCV

A

EPO injections (competitive edge)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Back pain, fever, night sweats

A

Potts disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bilat hilar adenopathy, uveitis

A

Sarcoidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Black eschar on face of pt with DKA

A

Mucor or Rhizopus infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Blue sclera

A

Osteogen imperfecta - defect T1 coll

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bluish line on gingiva

A

Lead poisoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Bone pain + enlargement, arthritis

A

Paget

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cafe au lait, Lisch nodules (iris hamartoma), cuteanous neurofibromas, pheo, optic glioma

A

NF 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Unilat cafe au lait, polyostotic fibrous dysplasia, precocious puberty, multiple endo neoplasia

A

McCune Albright syndrome - mosaic G protein signaling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cervical LN, desquamating rash, red conjuntivae + tongue, hand-foot changes

A

Only missing coronary aneurysm - Kawasaki, treat w/ IVIG and ASA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cherry red spots on macula

A

Ganglioside accum = Tay-Sachs
Sphingomyelin accum = Neimann Pick
Central retinal artery occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  1. Fever
  2. Face rash
  3. Body rash
A

Erythema infectiosum/5th disease = slap cheek

Parvo B19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Chorioretinitis, hydrocephalus, intracranial calcifications

A

Cong toxo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Chronic exercise intol w/ muscle pain, fatigue, painful cramps, myoglobinuria

A

McArdle disease - Xglyocogen phosphorylase in skeletal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Continuous machine like murmur

A

PDA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Deep labored breathing/hyper vent in a DKA pt

A

Kussmaul resp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Dilated CM, edema, alcoholism or malnut

A

Wet beriberi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Dog or cat bite resulting infection

A

Pasteurella multocida - cellulitis at inoculation site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Enlarged, hard L supraclavicular node

A

Virchow node - abdominal mets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Erythroderma, LN, hepatosplen, atypical T cells
Mycosis fungoides = cut T cell lymphoma | Sezary syndrome = mycosis + malig T cells in blood
26
Fat, female, forty
Gallstones
27
Fever, chills, headache, myalgia following Ab treat syphillis
Jarisch Herxheimer rxn - rapid loss spirochetes -> massive endotox release
28
Fever, cough, conjunctivitis, coryza, diffuse rash
Measles
29
Fibrous plaques in ST of penis w/ abnormal curvature
Peyronie disease - CT disease
30
Golden brown rings around peripheral CORNEA
Krayer Fleischer rings of Wilson's disease (Cu)
31
Gout, intell disability, self mutilating behavior in a boy
Lesch Nyhan - XL R, HGPRT def
32
Hyperpig freckle like spots of mouth/feet/hands/genitals + hamartomatous GI polyps
Peutz Jeghers - inherited, benign polyps, ↑cancer risk mainly GI No findings at birth 1st get skin lesions - 2nd GI polyps
33
Hepatospleno, pancytopenia, osteoporosis, AVN femoral head, bone crisis
Gaucher - gluco-cerebrosidase def
34
Hyper-reflex, hypertonia, Babinski
UMN
35
Hypo-reflex, hypotonia, atrophy, fasiculations
LMN
36
Hypoxemia, ↑RBC, hypercap
Chronic bronchitis - hyerplasia mucous cells
37
Painful genital lesion that is an indurated ulcer with exudate
Chancroid - H.ducreyi
38
Infant with cleft lip/palate, microcephaly or holopros, polydactyly, cutis aplasia
Patau - trisomy 13
39
Infant w/ hypoG + hepatomeg
Cori disease - debranching enzyme def or Von Gierke - glucose-6-P def (more severe)
40
Infant w/ microcephaly, rocker bottom feet, clenched hands, structural heart defect
Edwards - trisomy 18
41
Jaundice and a palpable NON-tender GB (painless jaundice)
Distal malignant obstruction of biiary tree
42
Lucid interval after TBI
Epidural hematoma - middle meningeal art
43
Mucosal bleeding + prolonged bleeding time
X Gp2b/3a - bad platelet agg
44
Muffled heart sounds, distended neck veins, hypoTN
Triad of cardiac tamponade
45
Multiple colon polyps, osteomas/ST tumors, impacted/supernumerary teeth
Gardner - type FAP
46
Myopathy + exercise intol (infantile hypertrophic CM)
Pompe disease - lysosomal alpha 1,4 glucosidase def
47
Painful blue finger/toes, hemolytic anemia
Cold agg - AI hemolytic anemia from Mycoplasma pna, infectious mono or CLL
48
Hematuria + palpable purpura
HS purpura / IgA vasculitis
49
Pancreatic, pit, PT tumors
MEN1 - AD
50
Polyuria, RTA T2, growth failure, electrolyte imbalances, hypophos rickets
Fanconi syndrome - multiple combined dysfxn of the PCT
51
Pupils that accomidate but dont' react
Neurosyphilis - Argyll Robertson pupils
52
Rash on palms + soles
Coxsack A 2ary syphilis Rocky Mtn spotted fever
53
Recurrent cold (non-inflamed) abscesses, unusual eczema, ↑IgE
Hyper IgE - Job syndrome = neutrophil chemotaxis abnormality
54
Red "currant jelly" stools
Acute mesenteric ischemia in adults | Intussusception in kids
55
Retinal hemm w/ pale centers
Roth spots = bacterial endocarditis
56
Severe jaundice in neonate
Crigler Najjar - congenital unconj hyperbili
57
Severe RLQ pain with palpation of LLQ
Acute appendicitis
58
Short stature, cafe au lait, thumb/radial defects, ↑incidence of tumors/leukemia, aplastic anemia
Fanconi anemia - no DNA crosslink repair, often progress to AML
59
Skin hyperpig, hypotension, fatigue
1ary adrenocortical insuff (addison disease) causes ↑ACTH and ↑MSH
60
Slow progressive muscle weakness in boys
Becker MD - XL missense mutation is dystrophin, less severe than Duchenne
61
Small, irreg red spots on buccal/lingual mucosa with blue/white center
Koplik spots - rubeola
62
Smooth, moist, painless, wart-like white lesions on genitals
Condylomata lata - 2ary syphillis
63
Strawberry tongue
Scarlet fever or Kawasaki
64
Telangiectasias, recurrent epistaxis, skin discoloration, AV malform, GI bleed, hematuria
Osler-Weber-Rendu syndrome
65
Med thyroid, PT tumors, pheo
MEN 2A (AD)
66
Med thyroid tumor, pheo, ganglioneuromas, marfan-ish
MEN 2B
67
Unilateral facial drooping sparing the forehead
UMN CN 7 palsy | LMN involves the forehead
68
Urethritis, conjunctivitis, arthritis in a male
Reactive arthritis - HLA B27
69
Vascular birthmark - port wine stain - of face
Nevus flammeus - benign associated with Sturge Weber syndrome
70
Weight loss, diarrhea, arthritis, fever, adenopathy
Whipple disease