Rapid Review Clinical Presentations Flashcards
(127 cards)
1
Q
Abdominal pain
Ascities
Hepatomegaly
A
Budd-Chiari syndrome (posthepatic venous thrombosis)
2
Q
Abdominal pain
diarrhea
leukocytosis
recent antibiotic use
A
C. diff infection
3
Q
Achilles tendon xanthoma
A
familial hypercholestrolemia
4
Q
adrenal hemorrhage
hypotension
DIC
A
Waterhouse-Friderichsen syndrome
5
Q
anaphylaxis following blood transfusion
A
IgA deficiency
6
Q
Anterior drawer sign
A
ACL injury
7
Q
arachnodactylyl
lens dicoloration
aortic dissection
hyperflexible joints
A
Marfan syndrome
8
Q
athlete with polycythemia
A
secondary to EPO injection
9
Q
back pain, fever, night sweats
A
Pott diseases (TB of vertebrae)
10
Q
bilateral acoustic schwannomas
A
neurofibromatosis type 2
11
Q
bilateral hilar adenopathy
uveitis
A
sarcoidosis
12
Q
black eschar on face of patient with DKA
A
mucor or rhizopus fungal infection
13
Q
blue sclera
A
osteogenesis imperfecta
14
Q
bluish line on gingiva
A
Burton line for lead poisoning
15
Q
bone pain, bone enlargement, arthritis
A
Paget disease of bone
16
Q
bounding pulses, diastolic heart murmur, head bobbing
A
aortic regurgitation
17
Q
butterfly facial rash and Raynaud phenomenon in young female
A
systemic lupus erythematosus
18
Q
cafe au lait spots, lish nodules (iris hamartoma), cutaenous neurofibromas, pheochromocytomas, optic gliomas
A
neurofibromatosis type 1
19
Q
cafe au lait spots, polyostotic fibrous dysplasia, precoucious puberty, multiple endocrine abnormalities
A
McCune Albright syndrome
20
Q
calf pseudohypertrophy
A
muscular dystrophy-most commonly Duchenne
21
Q
cervical lymphadenopathy, desquamating rash, coronary anerysms, red conjunctivae and tongue
A
Kawasaki disease
22
Q
cherry red spots on macula
A
Tay sachs
23
Q
chest pain on exertion
A
angina
24
Q
chest pain, pericardial effusion/friction rub, persistent fever following MI
A
Dressler syndrome
25
chest pain with ST depression on EKG
unstable angina or NSTEMI
26
child uses arms to stand up from squat
Gowers sign
27
child with fever later develops rash on face that spreads to body
slapped cheeks from parvo B19
28
chorea, dementia, caudate degeneration
Huntington disease
29
chorioretinitis, hydrocephalus, intracranial calcification
congenital toxoplasmosis
30
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
McArdle disease
31
cold intolerance
hypothyroidism
32
conjugate horizontal gaze palsy, horizontal diplopia
internuclear opthalmoplegia
33
continuous machine like heart murmur
PDA
34
cutaneous/dermal edema due to connective tissue deposition
myxedema
35
cutaneous flushing, diarrhea, bronchospasm
carcinoid syndrome
36
dark purple skin/mouth nodules in patient with AIDS
Kaposi sarcoma
37
deep, labored breathing/hyperventilation
Kussmaul respirations
38
dermatitis, dementia, diarrhea
pellagra
39
dilated cardiomyopathy, edema, alcoholism or malnutrition
wet beriberi
40
dog or cat bite resulting in infection
pasteurella multocida
41
dry eyes, dry mouth, arthritis
sjogren syndrome
42
dysphagia (esophageal webs), glossitis, iron deficiency anemia
plummer-vinson syndrome
43
elastic skin, hypermobility of joints, increase bleeding tendency
Ehlers-Danlos
44
enlarged, hard left supraclavicular node
virchow node of abdominal metastasis
45
episodic vertigo, tinnitus, hearing loss
meniere disease
46
erythroderma, lymphagenopathy, hepatosplenomegaly, atypical T cells
mycosis fungiodes
47
facial muscle spasm upon tapping
Chvostek sign of hypocalcemia
48
fat, female, forty, fertile
cholelithiasis (gallstones)
49
fever, chills, headache, myalgia following antibiotic treatment for syphilis
Jarish-Herxheimer reaction
50
fever, cough, conjunctivitis, coryza, diffuse rash
measles
51
fever, night sweats, weight loss
B symptoms of lymphoma
52
fibrous plaques in soft tissue of penis with abnormal curvature
Peyronie disease
53
golden brown rings around peripheral cornea
Kayser-Fleisher rings
54
gout, intellectual disability, self mutilating behavior in boy
Lesch-Nyhan syndrome
55
hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands/genitalia
Peutz-Jeghers syndrome
56
hepatosplenomegaly, pancytopenia, osteoporosis, aspetic necrosis of femur, bone crises
Gaucher disease
57
hereditary nephritis, sensorineural hearing loss, cataracts
Alport syndrome
58
hyperphagia, hypersexuality, hyperorality, hyperdocility
Kluver-Bucy syndrome
59
hyperreflexia, hypertonia, babinski present
UMN lesion
60
hyporeflexia, hypotonia,atrophy, fasciculations
LMN lesion
61
hypoxemia, polycythemia, hypercapnia
blue bloater-chronic bronchitis
62
indurated, ulcerated genital lesion
nonpainful-treponema
| painful-haemophilus ducreyl
63
infant with cherry red spot on macula, hepatosplenomegaly and neurodegeneration
Neimann-Pick
64
infant with cleft lip/palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia
Patau syndrome
65
infant with hypoglycemia, hepatomegaly
Cori disease-debranching enzyme deficiency
| von Gierke disease (glucose 6 phosphatase deficiency)
66
infant with microcephaly, rocker bottom feet, clenched hands and structural heart defect
Edwards syndrome
67
jaundice, palpable distended non-tender gallbladder
Courvoisier sign-distal obstruction of biliary tree
68
large rash with bulls eye appearance
erythema chronicum migrans from Ixodes tick bite
69
lucid interval after traumatic brain injury
epidural hematoma
70
male child, recurrent infection, no mature B cells
Bruton disease (x linked agammaglobulinemia)
71
mucosal bleeding and prolonged bleeding time
glanzmann thrombasthenia (defect in Gp2b/3a)
72
muffled heart sounds, distended neck veins, hyppotension
beck triad of cardiac tamponade
73
multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth
Gardner syndroem (subtype of FAP)
74
myopathy (infantile hypertrophic cardiomyopathy), exercise intolerance
pompe disease
75
neonate with arm paralysis following difficult birth
Erb-Duchenne palsy (C5-C6)
| waiters tip
76
no lactation postpartum, absent menstruation, cold intolerance
Sheehan syndrome-pituitary infarction
77
nystagmus, intention tremor, scanning speech, bilateral internuclear opthalmoplegia
multiple sclerosis
78
painful blue fingers/toes, hemolytic anemia
cold agglutinin disease (autoimmmune hemolytic anemia caused by pneumonia, CLL, infectious mono)
79
painful fingers/toes changing color from blue to white to red with cold or stress
Raynaud phenomenon
| vasospasm in extremities
80
painful, raised red lesions on pad of feingers/toes
Osler nodes (infective endocarditis, immune complex deposition)
81
painless erythematous lesions on palms and soles
Janeway lesions (infective endocarditis, septic emboli/microabscesses)
82
painless jaundice
cancer of the pancreatic head obstructing bile duct
83
palpable purpura on buttocks/legs, joint pain, abdominal pain, hematuria
Henoch-Schonlein purpura (IgA vasculitis)
84
pancreatic, pituitary, parathyroid tumors
MEN I
85
periorbital and/or peripheral edema, proteinuria, hypoalbuminemia, hypercholestrolemia
nephrotic syndrome
86
pink complexion, dyspnea, hyperventilation
pink puffer (emphysema-centriacinar, panacinar from alpha1 AT)
87
polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets
Fanconi syndrome
88
pruritic, purple, polygonal planar papules and plaques
Lichen planus
89
ptosis, miosis, anhidrosis
Horner syndrome
90
pupil accommodates but doesn't react
Argyll Roberston pupil (neurosyphilis)
91
rapidly progressive limb weakness that ascends following GI/upper respiratory infection
Guillain-Barre
92
rash on palms and soles
Coxsackie A, secondary syphilis, RMSF
93
recurrent cold abscesses, unusual eczema, high serum IgE
hyper IgE syndrome
94
red currant jelly sputum in alcoholic and diabetic patients
Klebsiella pneumonia
95
red currant jelly stools
acute mesenteric ischemia
96
red, itchy, swollen rash of nipple
Paget disease of the breast-
| -sign of underlying neoplasm
97
red urine in morning, fragile RBCs
paroxysmal nocturnal hemoglobinuria
98
renal cell carcinoma (bilateral), hemangioblastomas, angiomatosis, pheochromocytoma
von Hippel Lindau disease
99
resting tremor, rigidity, akinesia, postural instability, shuffling gait
Parkinson disease
100
retinal hemorrhages with pale centers
roth spots-bacterial endocarditis
101
severe jaundice in neonate
Crigler-Najjar syndrome
102
severe RLQ with palpitation of LLQ
Rovsing sign-acute appendicitis
103
severe RLQ pain with rebound tenderness
McBurney sign-acute appendicitis
104
short stature, cafe au lait spots, thumb/radial defects, increase incidence of tumors/leukemia, aplastic anemia
Fanconi anemia
105
single palmar crease
Down syndrome
106
situs inversus, chronic sinusitis, bronchiectasis, infertility
Kartagener syndrome
107
skin hyperpigmentation, hypotension, fatigue
primary adrenocortical insufficiency
108
slow progressive muscle weakness in boys
Becker muscular dystrophy
109
small, irregular red spots on buccal/lingual mucosa with blue-white centers
Koplik spot-measles, rubeloa
110
smooth, moist, painless, wart like white lesions on genitals
Condylomata lata-secondary syphilis
111
spliner hemorrhages in fingernials
bacterial endocarditis
112
strawberry tongue
Scarlet fever, Kawasaki disease
113
steak ovaries, congenital heart disease, horeshoe kidney, cystic hygroma at birth, short stature, webbed neck, lymphedema
Turner syndrome
114
sudden swollen/painful big toe joint, tophi
Gout
115
swollen gums, mucosal bleeding, poor wound healing, petechiae
Scurvy
116
swollen, hard, painful finger joints
osteoarthritis (PIP-Bouchard, DIP-Heberden)
117
systolic ejection murmur (crescendo-decrescendo)
aortic stenosis
118
telangiectasias, recurrent epistaxis, skin discoloration, arteriovenous malformations, GI bleeding, hematuria
Osler-Weber-Rendu syndrome
119
thyroid and parathyroid tumors, pheochromocytoma
MEN 2A
120
thyroid tumors, pheochromocytoma, ganglioneuromatosis
MEN 2B
121
toe extension/fanning upon plantar scrape
Babinski-UMN
122
unilateal facial drooping involving forehead
LMN facial nerve, UMN spares forehead
123
urethritis, conjunctivitis, arthritis in a male
reactive arthritis associated with HLA-B27
124
vascular birthmark (port wine stain) on face
nevus flammeus
125
vomiting blood following gastroesopahgeal lacerations
Mallory-Weiss syndrome
126
weight loss, diarrhea, arthritis, fever, adenoparhty
Whipple disease (Tropheryma whipplei)
127
worst headache of my life
subarachnoid hemorrhage
