Rapid Review - p. 652-661 Flashcards

(205 cards)

1
Q

Abdominal pain, ascites, hepatomegaly

A

Budd Chiari Syndrome - Hypercoagulable states (Polycythemia, Increased estrogen, HCC)

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2
Q

Achilles tendon xanthoma

A

Familial hypercholesterolemia (Decreased LDL receptor signaling)

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3
Q

Adrenal hemorrhage, Hypotension, DIC

A

Waterhouse-Freidrichsen Syndrome (meningococcemia)

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4
Q

Anaphylaxis following blood transfusion

A

IgA Deficiency

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5
Q

Upward lens dislocation

A

Marfan Syndrome

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6
Q

Athlete with polycythemia

A

He took EPO

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7
Q

Back pain, fever, night sweats

A

Pott’s Disease (Vertebral TB)

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8
Q

Bilateral acoustic schwannomas

A

NF2 - Chromosome 22 (Autosomal Dominant)

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9
Q

Bilateral hilar adenopathy, uveitis

A

Sarcoidosis (noncaseating granulomas)

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10
Q

Black eschar on face in diabetic

A

Mucor or Rhizopus fungal infection

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11
Q

Bluish line on gingiva

A

Lead (Burton line)

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12
Q

Bone pain, bone enlargement, arthritis

A

Paget disease (increased osteoblastic and osteoclastic activity)

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13
Q

Bounding pulses, wide pulse pressure, diastolic heart murmur, HEAD BOBBING

A

Aortic Regurgitation

Uvula pulsates, HUGE pulses everywhere.

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14
Q

Cafe au lait spots, Lisch nodules, cutaneous neurofibromas, PHEOCHROMOCYTOMAS, optic gliomas

A

NF1 - Chromosome 17 (Autosomal Dominant)

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15
Q

Unilateral cafe au last spots, Polyostic fibrous dysplasia, Precocious puberty, Multiple Endocrine abnormalities

A

McCune-Albright Syndrome (mosaic G-Protein mutation) pg. 53

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16
Q

Calf Pseudohypertrophy

A

DMD - X-Linked Recessive

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17
Q

Cervical lymphadenopathy, desquamating rash, coronary aneurysms, red conjunctivae and tongue, Hand-foot changes

A

Kawasaki - Treat with IVIG and High dose aspirin

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18
Q

Cherry Red-Spots on Macula

A

Tay Sachs - Ganglioside accumulation

Niemann Pick - Sphingomyelin accumulation

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19
Q

Chest pain, pericardial effusion/friction rub, persistent fever following MI

A

Dressler Syndrome - Autoimmune mediated post-MI fibrinous pericarditis. 2 weeks to several months after acute episode

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20
Q

Chorioretinitis, Hydrocephalus, Intracranial calcifications

A

Congenital toxoplasmosis

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21
Q

Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria

A

McArdle Disease (skeletal muscle glycogen phosphorylase deficiency)

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22
Q

Cold intolerance

A

Hypothyroidism

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23
Q

Conjugate horizontal gaze palsy, horizontal diplopia

A

INO - ipsilateral lesion to the eye that cannot adduct. Other eye will show nystagmus with attempted adduction.

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24
Q

Cutaneous/dermal edema due to connective tissue deposition

A

Myxedema (caused by hypothyroidism, Graves disease (pretibial) )

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25
Cutaneous flushing, diarrhea, bronchospasm
Carcinoid syndrome (right sided cardiac valvular lesions, Increased 5-HIAA). Pellagra like symptoms Most commonly in small intestine, only symptomatic if metastasizes and 5-HT is converted to 5-HIAA in the liver
26
Deep labored breathing/hyperventilation
Diabetic ketoacidosis (Kussmaul respiration)
27
Dilated cardiomyopathy, edema, alcoholism, or malnutrition
Wet beriberi (Thiamine B1 deficiency)
28
Dog or cate bite
Pasteurella multocida with cellulitis
29
Dry eyes, dry mouth, arthritis
Sjogren Syndrome
30
Dysphagia (esophageal webs), glossitis, iron deficiency
Plummer Vinson Syndrome (may progress to esophageal squamous cell carcinoma)
31
Enlarged, hard left supraclavicular node
Virchow node (abdominal metastasis - Signet ring cells)
32
Episodic vertigo, tinnitus, hearing loss
Meniere disease
33
Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T-Cells
``` Mycosis Fungoides (cutaneous T Cell lymphoma) or Sezary Syndrome (mycosis fungoides + malignant T Cells in the blood) ```
34
Facial muscle spasm upon tapping
Chvostek sign (hypocalcemia)
35
Fever, chills, headache, myalgia following antibiotic treatment for syphillis
Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in endotoxin like release)
36
Fever, cough, conjunctivitis, coryza, diffuse rash
Measles Coryza - stuffy nose
37
Fever, night sweats, weight loss
B symptoms of lymphoma
38
Fibrous plaques in soft tissue of penis with abnormal curvature
Peyronie disease (CT disorder)
39
Golden brown rings around peripheral cornea
Wilson Disease (Kayser-Fleischer rings due to copper accumulation)
40
Gout, intellectual disability, self-mutilation
Lesch-Nyhan syndrome (HGPRT deficiency, X-Linked Recessive)
41
Hamartomous GI polyps, hyperpigmentation of mouth/feet/hands/genitalia
Peutz-Jegher syndrome (inherited benign polyposis can cause bowel obstruction) Increased GI cancer risk
42
Hepatosplenomegaly, pancytopenia, osteoporosis, aseptic necrosis of femoral head, bone crises
Gaucher disease (Glucocerebrosidase deficiency)
43
Hereditary nephritis, sensorineural hearing loss, cataracts
Alport syndrome (mutation in collagen IV)
44
Hyperphagia, Hypersexuality, Hyperorality, Hyperdocility
Kluver-Bucy syndrome (Bilateral amygdala lesion)
45
Hyperreflexia, Hypertonia, Babinski sign present
UMN damage
46
Hyporeflexia, Hypotonia, ATROPHY, Fasciculations
LMN damage
47
Hypoxemia, Polycythemia, Hypercapnia
Chronic bronchitis (Hyperplasia of mucous cells, "Blue bloater")
48
Indurated, ulcerated genital lesion
Nonpainful: Chancre (Primary syphilis - Treponema pallidum) | Painful with exudate: Chancroid (Haemophilis ducreyi)
49
Infant with cleft lip/palate, microcephaly, or holoprosencephaly, polydactyly, cutis aplasia
Patau Syndrome (Trisomy 13)
50
Infant with hypoglycemia, Hepatomegaly
``` Cori disease (Debranching enzyme deficiency) OR Von Gierke (Glucose-6 phosphatase deficiency) ```
51
Infant with microcephaly, rocker-bottom feet, clenched hands, and structural heart defect
Edward's Syndrome (Trisomy 18)
52
Jaundice, Palpable distended NON-TENDER gallbladder
Courvoisier sign (Distal malignant obstruction of biliary tree)
53
Lucid interval after traumatic brain injury
Epidural hematoma
54
Male child, recurrent infections, no mature B Cells, no tonsils
Bruton disease (X-linked agammaglobulinemia)
55
Mucosal bleeding and prolonged bleeding time
Glanzmann thrombasthenia (Defect in platelet aggregation due to lack of GPIIb/IIIa)
56
Muffled heart sounds, JVD, Hypotension
Cardiac tamponade
57
Multiple colon polyps, osteomas/soft tissue tumors, impacted supernumerary teeth
Gardner Syndrome (subtype of FAP)
58
Myopathy (infantile hypertrophic cardiomyopathy), Exercise intolerance
Pompe disease (lysosomal a-1,4-Glucosidase Deficiency)
59
Neonate with arm paralysis following difficult birth
Erb-Duchenne palsy (superior trunk C5-C6) | Waiters tip
60
No lactation postpartum, absent menstruation, cold intolerance
Sheehan syndrome (pituitary infarction)
61
Painful blue fingers/toes, Hemolytic anemia
Cold agglutinin disease (autoimmune hemolytic anemia cause by Mycoplasma pneumonia, infectious mononucleosis, CLL)
62
Painful, raised red lesions on pads of fingers/toes
Osler nodes (infective endocarditis, immune complex deposition)
63
Painless erythematous lesions on palms and soles
Janeway lesions (infective endocarditis, septic emboli/microabscesses)
64
Painless jaundice
Cancer of the pancreatic head obstructing bile duct
65
Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria
Henoch-Schonlein purpura (IgA vasculitis affecting the skin and kidneys)
66
Pancreatic, pituitary, parathyroid tumors
MEN 1 (autosomal dominant)
67
Periorbital and/or peripheral edema, proteinuria (>3.5 g/day), Hypoalbuminemia, Hypercholesterolemia
Nephrotic syndrome
68
Pink complexion, dyspnea, hyperventilation
Emphysema (Centriacinar) | OR a1-antitrypsin deficiency (Panacinar)
69
Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets
Fanconi syndrome (multiple combined dysfunction of the proximal convoluted tubule)
70
Pruritic, purple, polygonal planar papules and plaques (6 P's)
Lichen planus
71
Rash on palms and soles
Coxsackie A Secondary Syphilis Rocky Mountain spotted fever
72
Recurrent cold (non-inflamed) abscesses, unusual eczema, high serum IgE
Hyper-IgE syndrome (Job syndrome: neutrophil chemotaxis abnormality)
73
Red "currant jelly" stools
Acute mesenteric ischemia (adults) | Intussusception (children)
74
Red, itchy, swollen rash of nipple/areola
Paget disease of the breast (sign of underlying neoplasm)
75
Renal cell carcinoma (bilateral), hemangioblastomas, angiomatosis, pheochromocytoma
von Hippel-Lindau disease (dominant tumor suppressor gene mutation)
76
Retinal hemorrhages with pale centers
Roth spots (bacterial endocarditis)
77
Severe jaundice in neonate
Crigle-Najjar syndrome (congenital unconjugated hyperbilirubinemia)
78
Severe RLQ pain with palpation of LLQ
Roving sign (acute appendicitis)
79
Severe RLQ pain with deep tenderness
McBurney sign (acute appendicitis)
80
Short stature, café au last spots, thumb/radial defects, increase incidence of tumors/leukemia, aplastic anemia
Fanconi anemia (genetic loss of DNA crosslink repair; often progresses to AML)
81
Skin hyperpigmentation, hypotension, fatigue
Addisons - primary adrenocortical insufficiency
82
Slow, progressive muscle weakness in boys
Becker muscular dystrophy (X-linked missense mutation in dystrophin; less severe than Duchenne)
83
Small, irregular red spots on buccal/lingual mucosa with blue-white centers
Kopek spots (measles - Rubeola virus)
84
Smooth, moist, painless, wart-like white lesions on genitals
Condylomata lata (Secondary syphilis)
85
Splinter hemorrhages on fingernails
Bacterial endocarditis
86
Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth, short stature, webbed neck, lymphedema
Turner Syndrome (45, XO)
87
Sudden swollen/painful big tow joint, tophi
Gout/podagra (hyperuricemia)
88
Swollen gums, mucosal bleeding, poor wound healing, petechiae
Scurvy (Vitamin C deficiency: can't hydroxylate proline/lysine for collagen synthesis)
89
Swollen, hard, painful finger joints
Osteoarthritis Bouchards nodes - osteophytes on PIP Heberden nodes - DIP
90
Systolic ejection murmur (Crescendo-Decrescendo)
Aortic stenosis
91
Telangiectasias, recurrent epistaxis, skin discoloration, arteriovenous malformation, GI bleeding, hematuria
Osler-Weber Rendu syndrome (Hereditary Hemorrhagic Telangiectasia)
92
Thyroid and Parathyroid tumors, Pheochromocytoma
MEN2A (autosomal dominant RET mutation)
93
Thyroid tumors, Pheochromocytoma, Ganglioneuromatosis
MEN2B (autosomal dominant RET mutation)
94
Unilateral facial drooping involving the forehead
LMN (CN VII) palsy | UMN leasions spare the foreheads
95
Urethritis, Conjunctivitis, Arthritis in a male
Reactive arthritis associated with HLA-B27
96
Vascular birthmark (port-wine) stain of the face
Nevus flammeus (benign but associated with Sturge-Weber syndrome)
97
Vomiting blood following vertical gastroesophageal lacerations
Mallory-Weiss syndrome (alcoholic and bulimic patients)
98
Weight loss, diarrhea, arthritis, fever, adenopathy
Whipple disease (tropheryma whipplei)
99
Increased AFP in amniotic fluid/maternal serum
Dating error, anencephaly, spina bifida (open neural tube defects)
100
Anticentromere antibodies
Scleroderma (CREST)
101
Anti-desmoglein antibodies
Pemphigus vulgaris (blistering)
102
Anti-glomerular basement membrane antibodies
Goodpasture syndrome (glomerulonephritis and hemoptysis)
103
Antihistone antibodies
Drug-induced SLE (e.g.: Hydralazine, Isoniazid, Phenytoin, Procainamide)
104
Anti-IgG antibodies
Rheumatoid arthritis (systemic inflammation, joint pannus, boutonnière deformity)
105
Antimitochondrial antibodies (AMAs)
Primary biliary cirrhosis (female, cholestasis, portal hypertension)
106
Antineutrophil cytoplasmic antibodies (ANCAs)
pANCA, MPO-ANCA: Microscopic polyangitis and eosinophilic granulomatosis with polyangitis c-ANCA, PR3-ANCA: Granulomatosis with Polyangitis (Wegener's, GPA) p-ANCA, MPO-ANCA: Primary Sclerosing Cholangitis
107
Antinuclear antibodies (ANAs, anti-Smith and anti-dsDNA
SLE (Type III Hypersensitivity)
108
Antiplatelet antibodies
Idiopathic thrombocytopenia purpura
109
Anti-topoisomerase antibodies
Diffuse systemic scleroderma
110
Anti-transglutaminase, Anti-gliadin, Anti-endomysial antibodies
Celiac disease (Diarrhea, weight loss)
111
"Apple core" lesion on barium enema x-ray
Colorectal cancer (usually left-sided)
112
Atypical lymphocytes
EBV
113
Azurophilic peroxidase (+) granular inclusions in granulocytes and myeloblasts
Auer rods (AML, especially the promyelocyte M3 type)
114
Bacitracin response
Sensitive: S. pyogenes (Group A) Resistant: S. agalactiae (Group B)
115
Bamboo spine on x-ray
Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)
116
Basophilic nuclear remnants in RBCs
Howell-Jolly bodies (due to splotchy or nonfunctional spleen)
117
Basophilic stippling of RBCs
Lead poisoning or sideroblastic anemia
118
Bloody or Yellow tap on lumbar puncture
Subarachnoid hemorrhage
119
"Boot shaped" heart on x-ray
Tetralogy of Fallot (due to RVH)
120
Branching gram (+) rods with sulfur granules
Actinomyces israelli
121
Bronchogenic apical lung tumor on imaging
Pancoast tumor (can compress cervical sympathetic chain and cause Horner syndrome)
122
"Brown" tumor of the bone
Hyperparathyroidism or osteitis fibrosa cystica (deposited hemosiderin from hemorrhage gives brown color)
123
Cardiomegaly with apical atrophy
Chagas disease (Trypanosoma cruzi)
124
Cellular crescents in Bowman capsule
Rapidly progressive crescenteric glomerulonephritis
125
"Chocolate cyst" of the ovary
Endometriosis (frequently involves both ovaries)
126
Circular grouping of dark tumor cells surrounding pal neurofibrils
Homer-Wright rosettes (neuroblastoma, medulloblastoma)
127
Colonies of mucoid Pseudomonas in lungs
Cystic fibrosis (autosomal recessive mutation in CFTR gene --> Fat soluble vitamin deficiency and mucous plugs
128
Decreased AFP in amniotic fluid/maternal serum
Down syndrome and other chromosomal abnormalities
129
Degeneration of dorsal column fibers
Tabes dorsalis (Tertiary syphilis), Subacute combined degeneration (Dorsal columns, Lateral corticospinal, and Spinocerebellar tracts affected)
130
Delta Wave on EKG, Short PR interval, Supraventricular tachycardia
Wolff-Parkinson-White Syndrome (Bundle of Kent bypasses AV node)
131
Depigmentation of neurons in substantial nigra
Parkinson disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)
132
Desquamated epithelium casts in sputum
Curschmann spirals (Bronchial asthma: can result in whorled mucous plugs)
133
Disarrayed granuloma cells arranged around collections of eosinophilic fluid
Call-Exner bodies (granules cell tumor of the ovary)
134
Dysplastic squamous cervical cells with "raisinoid" nuclei and hyperchromasia
Koilocytes (HPV: Predisposes to cervical cancer)
135
Electrical alternans (alternating amplitude on ECG)
Pericardial tamponade
136
Enlarged cells with intranuclear inclusion bodies
"Owl eye" appearance of CMV
137
Enlarged thyroid cells with ground glass nuclei with central clearing
"Orphan Annie" eyes nuclei (papillary carcinoma of the thyroid)
138
Eosinophilic cytoplasmic inclusion in liver cell
Mallory body (Alcoholic liver disease)
139
Eosinophilic cytoplasmic inclusion in neuron
Lewy body (Parkinson disease, Lewy body dementia)
140
Eosinophilic globule in liver
Councilman body (Viral hepatitis, Yellow fever), represents hepatocyte undergoing apoptosis
141
Eosinophilic inclusion bodies in cytoplasm of hippocampal and cerebellar neurons
Negri bodies of rabies
142
Extracellular amyloid deposition in gray matter of brain
Senile plaques (Alzheimer disease)
143
Giant B cells with bilobed nuclei with prominent inclusions
Reed-Sternberg cells (Hodgkin lymphoma) | Owl's eyes
144
Glomerulus-like structure surrounding vessel in germ cells
Schiller-Duval bodies (yolk sac tumor)
145
"Hair on end" "Crew cut" appearance on x-ray
Beta-Thalassemia | Sickle Cell Disease (marrow expansion)
146
hCG elevated
Choriocarcinoma, Hydatidaform mole (occurs with and without embryo, and multiple pregnancy)
147
Heart nodules (granulomatous)
Aschoff bodies (rheumatic fever)
148
Heterophile antibodies
Infectious mononucleosis (EBV)
149
Hexagonal, double pointed, needle-like crystals in bronchial secretions
Bronchial asthma (Charcot-Leyden crystals; eosinophilic granules)
150
High level of D-Dimers
DVT, PE, DIC
151
Hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lung lobes (can calcify)
Hon Complex - Primary TB
152
Honeycomb lung on x-ray or CT
Interstitial pulmonary fibrosis
153
Hypercoagulability (leading to migrating DVTs and vasculitis)
Trousseau syndrome (Adenocarcinoma or pancreas or lung)
154
Hypersegmented neutrophils
Megaloblastic anemia B12 - neuro symptoms B9 - no neuro symptoms
155
Hypertension, Hypokalema, Metabolic Alkalosis
Primary Hyperaldosteronism (Conn Syndrome)
156
Intranuclear eosinophilic droplet-like bodies
Cowdry Type A bodies (HSV or VZV)
157
Iron-containing nodules in alveolar septum
Ferruginous bodies (Asbestosis - increased chance of lung cancer)
158
Keratin pearls on a skin biopsy
Squamous cell carcinoma
159
Large granules in phagocytes, immunodeficiency
Chédiak-Higashi disease (congenital failure of phagolysosome formation)
160
"Lead pipe" appearance of colon on abdominal imaging
Ulcerative colitis (loss of haustra)
161
Linear appearance of IgG deposition on glomerular and alveolar basement membrane
Goodpasture syndrome
162
Low serum ceruloplasmin
Wilson disease (Hepatolenticular degeneration)
163
"Lumpy bumpy" appearance of glomeruli on immunofluorescence
Poststreptococcal glomerulonephritis (due to deposition of IgG, IgM, and C3) **Weeks later**
164
Lytic "Punched out" bone lesions on x-ray
Multiple myeloma
165
Mammary gland ("blue domed") cyst
Fibrocytic change of the breast
166
Monoclonal antibody spike
1. Multiple myeloma - usually IgG or IgA 2. Monoclonal gammopathy of undetermined significance (MGUS consequence of aging) 3. Waldernstrom Macroglobulinemia 4. Primary Amyloidosis
167
Mucin-filled cell with peripheral nucleus
"Signet ring" (Gastric carcinoma) May also present with Virchow's node
168
Narrowing of bowel lumen on barium x-ray
"String sign" (Crohn disease)
169
Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis
Granulomatosis with polyangitis (Wegeners, c-ANCA) AND Goodpasture syndrome (Anti-basement membrane antibodies)
170
Needle-shaped (-) birefringent crystals
Gout (monosodium urate crystals)
171
Nodular hyaline deposits in glomeruli
Kimmelstiel-Wilson nodules (diabetic nephropathy)
172
Novobiocin response
Sensitive: S. epidermidis Resistant: S. saprophyticus
173
"Nutmeg" appearance of liver
Chronic passive congestion of liver due to right heart failure or Budd-Chiari syndrome
174
"Onion-skin" periosteal reaction
Ewing sarcoma (malignant small blue cell tumor)
175
Optochin sensitivity
Sensitive: S. pneumo Resistant: S. viridans
176
Protein aggregates in neurons from hyperphosphorylation of tau protein
Neurofibrillary tangles (Alzheimer disease) and Pick bodies (Pick disease)
177
Psammomma bodies
Meningiomas Papillary thyroid carcinoma Mesothelioma Papillary serous carcinoma of the endometrium and ovary
178
Pseudopalisading tumor cells on a brain biopsy
Glioblastoma multiforme
179
Raised periosteum (creating a "Codman triangle")
Aggressive bone lesion: Osteosarcoma, Ewing sarcoma, Osteomyelitis
180
RBC cases in urine
Glomerulonephritis
181
Rectangular, crystal-like, cytoplasmic inclusions in Leydig cells
Reinke crystals (Leydig cell tumor)
182
Recurrent infections, Eczema, Thrombocytosis
Wiskott-Aldrich syndrome | (WATER) p.113
183
Renal epithelial cell casts in urine
Intrinsic renal failure (e.g.. ischemia or toxic injury)
184
Rhomboid crystals, (+) birefringent
Pseudogout (calcium pyrophosphate dihydrate crystals)
185
Ring enhancing brain lesion on CT/MRI in AIDS
Toxoplasmosis gondii,CNS lymphoma
186
Sheets of medium-sized lymphoid cells with scattered pal, tangible body-laden macrophages
Burkitt lymphoma - starry sky t(8:14) C-myc activation Associated with EBV
187
Silver staining spherical aggregation of tau proteins in neurons
Pick bodies (Pick disease: progressive dementia, changes in personality)
188
"Soap bubble" in femur or tibia on x-ray
Giant cell tumor of bone (generally benign)
189
"Spikes" on basement membrane, "Dome-like" subepithelial deposits
Membranous nephropathy (nephrotic syndrome)
190
Stacks of RBCs
Rouleaux formation (high ESR, multiple myeloma)
191
"Steeple" sign on frontal CXR
Croup (Parainfluenza virus)
192
Bacteria-covered vaginal epithelial cells
"Clue cells" (Gardnerella vaginalis)
193
"Tennis racket" shaped cytoplasmic organelles (EM) in Langerhans cells
Birbeck granules (Langerhans cell histiocytosis)
194
Thousands of polyps on colonoscopy
Familial adenomatous polyposis | Autosomal dominant mutation of APC gene
195
Thrombi made of white/red layers
Lines of Zahn (arterial thrombus, layers of platelets/RBCs)
196
"Thumb sign" on lateral neck x-ray
Epiglottitis (H flu)
197
Thyroid-like appearance of kidney
Chronic pyelonephritis
198
"Tram track" appearance of capillary loops of glomerular basement membranes on light microscopy
Membranoproliferative glomerulonephritis
199
Triglyceride accumulation in liver cell vacuoles
Fatty liver disease (alcoholic or metabolic syndrome)
200
Increase in uric acid levels
Gout Lesch-Nyhan syndrome Tumor lysis syndrome Loop and Thiazide diuretics
201
"Waxy" casts with very low urine flow
Chronic end-stage renal disease
202
WBC casts in urine
Acute pyelonephritis
203
WBCs that look "smudged"
CLL - almost always B Cell
204
"Wire loop"glomerular capillary appearance on light microscopy
Diffuse proliferative glomerulonephritis (usually seen with lupus)
205
Yellowish CSF
Xanthochromia - subarachnoid hemorrhage