Buzzwords Flashcards
“Stuck on” appearance?
Basal cell papilloma
Picket fence pearly border?
Basal cell carcinoma
Dermatitis herpetiformis?
Coeliac disease
Erythema nodosum?
Commonly sarcoidosis, also Ulcerative Colitis and TB.
“Erythematous Bullseye lesion” (Erythema migrans)?
Lyme disease
Ash Leaf Spots/Shagreen patches?
Tuberous sclerosis
Honey covered crust?
Impetigo (caused by staph or group A haemolytic strep)
Café au lait spots?
Neurofibromatosis type 1 or 2
Silver scales, extensor surfaces i.e. elbows and knees?
Psoriasis
Cauliflower appearance?
Plantar warts
Kaposi’s sarcoma?
HIV, immunosuppressed (transplant)
Intense erythema on cheeks (and proximals limbs) of child?
Slapped cheek (caused by [erythrovirus] Parvovirus B19)
Also known as erythema infectiosum or “fifth” disease.
Small, umbilicated, translucent papules that look fluid-filled but are solid?
molluscum contagiosum
Flaccid blisters than can be burst easily to form erythematous erosions?
Pemphigus Vulgaris - desmosomes (caused by antibodies directed against both desmoglein 1 and desmoglein 3)
Large tense bullae that are itchy and cannot be burst?
Bullous Pemphigoid - hemidesmosomes
Pepper pot skull/lytic lesions?
Myeloma
Apple green birefringence with congo red staining on histology?
Amyloid deposition of biopsied tissue in Myeloma and Al amyloidosis
Reed-sternberg cells?
Hodgkin’s lymphoma
Philadelphia chromosome (translocation of chromosome 9 and 22)?
CML (chronic myeloid leukaemia)
Atypical lymphocytes?
EBV (mononucleosus)
Auer rods?
AML (acute myeloid leukaemia)
Bence jones proteins present in urine?
Multiple myeloma
“itchy after hot bath” - aquagenic pruritis?
Polycythemia vera
Translocation of chromosomes 8 and 14?
Burkitt’s lymphoma (specific type of non-hodgkin’s lymphoma).
Alcohol consumption produces painful lymph nodes?
Hodgkin’s lymphoma
Haemarthrosis (bleeding into joint spaces)?
Haemophilia
Young boy with reduced levels of factor VIII and an increased APTT?
Haemophilia A
Reduced levels of factor IX with Christmas Disease?
Haemophilia B (aka Christmas disease)
Schillings Test indicates a deficiency of what vitamin?
Vitamin B12
What are smudge cell mainly found in?
CLL (chronic lymphocytic leukaemia)
JAK-2 mutations are common in what?
Essential thrombocythemia and polycythemia vera
Bite cells, blister cells and Heinz bodies indicate _____?
G6PD deficiency excaerbated by certain factors i.e. drugs (colchicine) and foods (fava beans).
Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward?
Pericarditis
Irregularly irregular pulse/no clear P waves?
Atrial fibrillation
Raised JVP/hepatojugular reflux indicates?
Right side heart failure
Saddle shaped ST elevation?
Pericarditis
Broad QRS with slurred upstroke on R wave (delta wave)
Wolff-Parkinson-White syndrome
Tall, tented T waves and wide QRS complexes?
Hyperkalaemia
4 components of Tetralogy of Fallot?
Pulmonary stenosis
Ventricular septal defect
Overriding aorta
Right ventricular hypertrophy.
Presence of collapsing pulse (hammering pulse when arm is elevated and pulse checked)?
Aortic regurgitation
Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels Pleural effusion.
Pulmonary oedema
Ground-glass appearance on X-ray
Pulmonary fibrosis
Ziehl-Neelsen stain positive for acid fast bacilli and Caseous necrosis
TB (tuberculosis)
Dry cough and diarrhoea after holiday abroad? What test should be done for this?
Legionella pneumophila (test urine for antigens)
Acute management of asthma (mnemonic OSHITMAN)?
Oxygen 100% through a non-rebreather mask
Salbutamol Nebulised back-to-back.
Hydrocortisone IV or Prednisolone PO
Ipratropium Bromide Nebulised hourly
Theophylline IV or aminophylline IV
Magnesium and call an
Anaesthetist
Thumbprint sign on x ray. Child drooling and sitting forward.
Epiglottitis
Gingivectomy/Biting on own gums medication side-effect?
Side effect of Calcium Channel Blockers or phenytoin
Causes of acute pancreatitis (GET SMASHED)?
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion bites/stings
Hyperlipidaemia + hyperthermia + hypercalcaemia
ERCP
Drugs
Catecholamines in the urine, headaches, hypertension and palpitations?
Pheochromocytoma
Tanned skin without being on holiday?
Addison’s
Increased shoe size, ‘spade hands’, wedding ring too tight?
Acromegaly
Moon face, proximal weakness, stretch marks, buffalo hump, abdominal fat?
Cushing’s
Ketones on breath (sweet smelling/pear drop breath)?
DKA
“Orphan Annie” Nuclei?
Papillary thyroid cancer
Bone pain, stones, abdo pain, psychiatric problems (bones, stones, groans, moans)?
Hypercalcaemia (hyperparathyroidism)
Psammoma bodies?
Found in papillary thyroid cancers
Heat intolerance/palpitations
Hyperthyroidism
Cold intolerance/weight gain
Hypothyroidism
Anosmia (loss of smell) and isolated GnRH deficiency?
Kallmann’s syndrome
Pencil-in-cup X-ray appearance, sausage fingers?
Psoriatic arthritis
Wrist Drop
Radial nerve palsy
Foot Drop
Common peroneal nerve palsy
Arthritis + Uveitis + Urethritis (can’t see, can’t pee, can’t climb a tree)
Reactive arthritis
Fractured shaft of humerus
damaged radial nerve
Fractured neck of humerus
damaged axillary nerve
Numbness over sergeants patch
axillary nerve palsy
Hanging rope sign?
AVN (avascular necrosis)
Shortened leg and externally rotated
Displaced fracture neck of femur
Shortened leg and internally rotated
Dislocated femoral head
“Onion-peel” sign?
Ewing sarcoma
“Sunray” spiculation?
Osteosarcoma
“Popcorn calcification” on X Ray?
Chondrosarcoma
“Soap bubble” appearance on X Ray?
Giant cell tumour (benign)
‘Cannon balls’
Renal metastases on CXR
“Loin to groin pain”
Renal colic
What is involved in sepsis 6 (mnemonic: BUFALO)?
B Blood cultures / any other relevant cultures eg stool
U Urine output measurement
F IV Fluids
A Antibiotics
L LDH and FBC
O high flow O2
Bones of the hand?
Start from thumb (i.e. laterally in anatomical position),
bottom line
Scaphoid
Lunate
Triquetrum
Pisiform
Back to thumb, top line
Trapezium
Trapezoid
Capitate
Hamate
Layers of the adrenal cortex layer and their secretions?
“Go Find Rex, Make Good Sex”
Zona glomerulus = mineralocorticoids
Zona fasciculata = glucocorticoids
Zona reticularis = sex hormones
What are the 4 H’s and 4 T’s for reversible causes of cardiac arrest?
Hypovolaemia
Hypothermia
Hyperkalaemia/hypokalaemia
Hypoxia
Tamponade
Tension pneumothorax
Thromboembolism
Toxin
What are the layers of the skin epidermis?
“Keep Grannies Proud Buy Dentures”
Keratin layer
Granular layer
Prickle cell layer
Basal layer
Dermis
6P’s of acute limb ischaemia?
Paraesthesia
Painful
Pulselessness
Pale
Perishingly cold