Rapid Review - Classic Presentations (3) Flashcards Preview

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Flashcards in Rapid Review - Classic Presentations (3) Deck (30):
1

Male child, recurrent infections, no mature B cells

Bruton disease (X-linked agammaglobulinemia)

2

Mucosal bleeding and prolonged bleeding time

Glanzmann thrombasthenia (defect in platelet aggregation due to lack of GpIIb/IIIa)

3

Muffled heart sounds, distended neck veins, hypotension

Beck triad of cardiac tamponade

4

Multiple colon polyps, osteomas/soft tissue tumors, impacted/ supernumerary teeth

Gardner syndrome (subtype of FAP)

5

Myopathy (infantile hypertrophic cardiomyopathy), exercise intolerance

Pompe disease (lysosomal α-1,4-glucosidase deficiency)

6

Neonate with arm paralysis following difficult birth

Erb-Duchenne palsy (superior trunk [C5–C6] brachial plexus injury: “waiter’s tip”)

7

No lactation postpartum, absent menstruation, cold intolerance

Sheehan syndrome (pituitary infarction)

8

Nystagmus, intention tremor, scanning speech, bilateral internuclear ophthalmoplegia

Multiple sclerosis

9

Oscillating slow/fast breathing

Cheyne-Stokes respirations (central apnea in CHF or increased intracranial pressure)

10

Painful blue fingers/toes, hemolytic anemia

Cold agglutinin disease (autoimmune hemolytic anemia caused by Mycoplasma pneumoniae, infectious mononucleosis)

11

Painful, pale, cold fingers/toes

Raynaud phenomenon (vasospasm in extremities)

12

Painful, raised red lesions on pad of fingers/toes

Osler nodes (infective endocarditis, immune complex deposition)

13

Painless erythematous lesions on palms and soles

Janeway lesions (infective endocarditis, septic emboli/microabscesses)

14

Painless jaundice

Cancer of the pancreatic head obstructing bile duct

15

Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria

Henoch-Schönlein purpura (IgA vasculitis affecting skin and kidneys)

16

Pancreatic, pituitary, parathyroid tumors

MEN 1 (autosomal dominant)

17

Periorbital and/or peripheral edema, proteinuria, hypoalbuminemia, hypercholesterolemia

Nephrotic syndrome

18

Pink complexion, dyspnea, hyperventilation

“Pink puffer” (emphysema: centriacinar [smoking], panacinar [α1-antitrypsin deficiency])

19

Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets

Fanconi syndrome (proximal tubular reabsorption defect)

20

Pruritic, purple, polygonal planar papules and plaques (6 P’s)

Lichen planus

21

Ptosis, miosis, anhidrosis

Horner syndrome (sympathetic chain lesion)

22

Pupil accommodates but doesn’t react

Argyll Robertson pupil (neurosyphilis)

23

Rapidly progressive leg weakness that ascends following GI/ upper respiratory infection

Guillain-Barré syndrome (acute autoimmune inflammatory demyelinating polyneuropathy)

24

Rash on palms and soles

Coxsackie A, 2° syphilis, Rocky Mountain spotted fever

25

Recurrent colds, unusual eczema, high serum IgE

Hyper-IgE syndrome (Job syndrome: neutrophil chemotaxis abnormality)

26

Red “currant jelly” sputum in alcoholic or diabetic patients

Klebsiella pneumoniae

27

Red “currant jelly” stools

Acute mesenteric ischemia (adults), intussusception (infants)

28

Red, itchy, swollen rash of nipple/areola

Paget disease of the breast (sign of underlying neoplasm)

29

Red urine in the morning, fragile RBCs

Paroxysmal nocturnal hemoglobinuria

30

Renal cell carcinoma (bilateral), hemangioblastomas, angiomatosis, pheochromocytoma

von Hippel-Lindau disease (dominant tumor suppressor gene mutation)

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