Rapid Review - Classic Presentations (2) Flashcards Preview

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Flashcards in Rapid Review - Classic Presentations (2) Deck (30):
1

Dilated cardiomyopathy, edema, alcoholism or malnutrition

Wet beriberi (thiamine [vitamin B1] deficiency)

2

Dog or cat bite resulting in infection

Pasteurella multocida (cellulitis at inoculation site)

3

Dry eyes, dry mouth, arthritis

Sjögren syndrome (autoimmune destruction of exocrine glands)

4

Dysphagia (esophageal webs), glossitis, iron deficiency anemia

Plummer-Vinson syndrome (may progress to esophageal squamous cell carcinoma)

5

Elastic skin, hypermobility of joints

Ehlers-Danlos syndrome (type III collagen defect)

6

Enlarged, hard left supraclavicular node

Virchow node (abdominal metastasis)

7

Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells

Mycosis fungoides (cutaneous T-cell lymphoma) or Sézary syndrome (mycosis fungoides + malignant T cells in blood)

8

Facial muscle spasm upon tapping

Chvostek sign (hypocalcemia)

9

Fat, female, forty, and fertile

Cholelithiasis (gallstones)

10

Fever, chills, headache, myalgia following antibiotic treatment for syphilis

Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in toxin release)

11

Fever, cough, conjunctivitis, coryza, diffuse rash

Measles

12

Fever, night sweats, weight loss

B symptoms (staging) of lymphoma

13

Fibrous plaques in soft tissue of penis

Peyronie disease (connective tissue disorder)

14

Gout, intellectual disability, self-mutilating behavior in a boy

Lesch-Nyhan syndrome (HGPRT deficiency, X-linked recessive)

15

Green-yellow rings around peripheral cornea

Kayser-Fleischer rings (copper accumulation from Wilson disease)

16

Hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands

Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel obstruction; increased cancer risk, mainly GI)

17

Hepatosplenomegaly, osteoporosis, neurologic symptoms

Gaucher disease (glucocerebrosidase deficiency)

18

Hereditary nephritis, sensorineural hearing loss, cataracts

Alport syndrome (mutation in collagen IV)

19

Hyperphagia, hypersexuality, hyperorality, hyperdocility

Klüver-Bucy syndrome (bilateral amygdala lesion)

20

Hyperreflexia, hypertonia, Babinski sign present

UMN damage

21

Hyporeflexia, hypotonia, atrophy, fasciculations

LMN damage

22

Hypoxemia, polycythemia, hypercapnia

“Blue bloater” (chronic bronchitis: hyperplasia of mucous cells)

23

Indurated, ulcerated genital lesion

Nonpainful: chancre (1° syphilis, Treponema pallidum)
Painful, with exudate: chancroid (Haemophilus ducreyi)

24

Infant with cleft lip/palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia

Patau syndrome (trisomy 13)

25

Infant with failure to thrive, hepatosplenomegaly, and neurodegeneration

Niemann-Pick disease (genetic sphingomyelinase deficiency)

26

Infant with hypoglycemia, failure to thrive, and hepatomegaly

Cori disease (debranching enzyme deficiency) or Von Gierke disease (glucose-6-phosphatase deficiency, more severe)

27

Infant with microcephaly, rocker-bottom feet, clenched hands, and structural heart defect

Edwards syndrome (trisomy 18)

28

Jaundice, palpable distended non-tender gallbladder

Courvoisier sign (distal obstruction of biliary tree)

29

Large rash with bull’s-eye appearance

Erythema chronicum migrans from Ixodes tick bite (Lyme disease: Borrelia)

30

Lucid interval after traumatic brain injury

Epidural hematoma (middle meningeal artery rupture)

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