Rapid Review - Classic Presentations (4) Flashcards Preview

First Aid > Rapid Review - Classic Presentations (4) > Flashcards

Flashcards in Rapid Review - Classic Presentations (4) Deck (28):
1

Resting tremor, rigidity, akinesia, postural instability

Parkinson disease (nigrostriatal dopamine depletion)

2

Retinal hemorrhages with pale centers

Roth spots (bacterial endocarditis)

3

Severe jaundice in neonate

Crigler-Najjar syndrome (congenital unconjugated hyperbilirubinemia)

4

Severe RLQ pain with palpation of LLQ

Rovsing sign (acute appendicitis)

5

Severe RLQ pain with rebound tenderness

McBurney sign (acute appendicitis)

6

Short stature, increased incidence of tumors/leukemia, aplastic anemia

Fanconi anemia (genetic loss of DNA crosslink repair; often
progresses to AML)

7

Single palmar crease

Down syndrome

8

Situs inversus, chronic sinusitis, bronchiectasis, infertility

Kartagener syndrome (dynein arm defect affecting cilia)

9

Skin hyperpigmentation, hypotension, fatigue

Addison disease (1° adrenocortical insufficiency causes increased ACTH and increased α-MSH production)

10

Slow, progressive muscle weakness in boys

Becker muscular dystrophy (X-linked missense mutation in dystrophin; less severe than Duchenne)

11

Small, irregular red spots on buccal/lingual mucosa with blue-white centers

Koplik spots (measles; rubeola virus)

12

Smooth, flat, moist, painless white lesions on genitals

Condylomata lata (2° syphilis)

13

Splinter hemorrhages in fingernails

Bacterial endocarditis

14

“Strawberry tongue”

Scarlet fever, Kawasaki disease, toxic shock syndrome

15

Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth, short stature, webbed neck, lymphedema

Turner syndrome (45,XO)

16

Sudden swollen/painful big toe joint, tophi

Gout/podagra (hyperuricemia)

17

Swollen gums, mucosal bleeding, poor wound healing, petechiae

Scurvy (vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis)

18

Swollen, hard, painful finger joints

Osteoarthritis (osteophytes on PIP [Bouchard nodes], DIP [Heberden nodes])

19

Systolic ejection murmur (crescendo-decrescendo)

Aortic valve stenosis

20

Thyroid and parathyroid tumors, pheochromocytoma

MEN 2A (autosomal dominant ret mutation)

21

Thyroid tumors, pheochromocytoma, ganglioneuromatosis

MEN 2B (autosomal dominant ret mutation)

22

Toe extension/fanning upon plantar scrape

Babinski sign (UMN lesion)

23

Unilateral facial drooping involving forehead

Facial nerve (LMN CN VII palsy)

24

Urethritis, conjunctivitis, arthritis in a male

Reactive arthritis associated with HLA-B2

25

Vascular birthmark (port-wine stain)

Hemangioma (benign, but associated with Sturge-Weber syndrome)

26

Vomiting blood following gastroesophageal lacerations

Mallory-Weiss syndrome (alcoholic and bulimic patients)

27

Weight loss, diarrhea, arthritis, fever, adenopathy

Whipple disease (Tropheryma whipplei)

28

“Worst headache of my life”

Subarachnoid hemorrhage

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