Classic Clinical Presentations Flashcards
1
Q
Abdominal pain, blue gum line, constipation
A
Lead poisoning
2
Q
Abdominal pain, tenderness in R iliac fossa
A
Appendicitis
3
Q
Abdominal pain following alcoholic binge
A
Pancreatitis
4
Q
Abdominal pain in R iliac fossa, diarrhoea
A
Crohn’s disease
5
Q
Abdominal pain in L iliac fossa, blood in stool, young female
A
Ulcerative colitis
6
Q
Abdominal pain in L iliac fossa, blood in stool, older male
A
Diverticulitis
7
Q
Abdominal pain, splenomegaly, black child
A
Sickle cell disease
8
Q
Arachnodactyl, lens dislocation, hypermobile joints
A
Marfan’s disease
9
Q
Beef-red tongue, fatigue
A
Vit B12 deficiency
10
Q
BL ptosis, diplopia, difficulty chewing, female
A
Myasthenic gravis
11
Q
Bitot’s spots in eye
A
Vit A deficiency
12
Q
Blue lips, swollen ankles, dyspnea
A
Chronic bronchitis
13
Q
Blue sclera, frequent fractures, infant
A
OI
14
Q
Bone pain, head enlargement, deafness
A
Pagets
15
Q
Bronze skin, cirrhosis, diabetes mellitus
A
Hemochromatosis
16
Q
Buffalo hump, obesity, purplish abdominal striae
A
Cushings
17
Q
Bull’s eye rash
A
Lyme disease
18
Q
Butterfly rash, multiple painful joints, young female
A
SLE
19
Q
Cafe-au-lait spots, skin nodules
A
Neurofibromatosis
20
Q
Calf pseudo hypertrophy, + Gower’s sign
A
Duchenne’s MD
21
Q
Cape-like distribution of loss of pain
A
Syringomyelia
22
Q
Caput medusa
A
Cirrhosis with portal hypertension
23
Q
Carditis, chorea, polyarthritis, subcutaneous nodules
A
Rheumatic fever
24
Q
Cauliflower-like lesions on hands/genitals
A
HPV
25
Cherry-red spot on macula
Tay-Sachs
26
Cherry-red skin, HA
CO poisoning
27
Chest pain worse on lying down, better sitting forward
Pericarditis
28
Chest pain wise with exertion, better with rest
Angina pectoris
29
Chest pain, sweating, feeling of apprehension
MI
30
Chills, fever, vomiting, costovertebral angle tenderness
Pyelonephritis
31
Chroea, dementia
Huntingtons
32
Chronic non-healing ulcer on ear/nose
Basal cell carcinoma
33
Cirrhosis, Kayser-Fleisher rings
Wilson's disease
34
Clubbing, cyanosis, heart murmur, infant
Fallots tetralogy
35
Cold intolerance, slow reflexes
Hypothyroidism
36
Condylomata accuminata
HPV
37
Coryza, conjunctivitis, "C"oplick spots
Measles
38
Deep laboured breathing, acetone smell on breath
Diabetic ketoacidosis
39
Dry eyes, dry mouth, arthritis
Sjogren's syndrome
40
Elastic skin, hyper mobile joints
EDS
41
Enlarged nerves, painless hypopimigmented rashes
Leprosy
42
Fair, fat, fertile, female, >40, abdominal pain
Cholecystitis
43
Fever, HA, skin rash in wrists/feet
Rocky Mountain spotted fever
44
Fever, conjunctivitis, coryza, fine rash on trunk
Measles
45
Fever, neck stiffness, HA
Meningitis
46
Fever, night sweats, weight loss, cough, hemoptysis
TB
47
Fever, macrulopapulovesicular rash on trunk
Chickenpox
48
Foul floating feces, fatigue, weight loss
Celiac disease
49
Frequent urination, burning urination
UTI
50
Frothy urine, recurrent infections, normal BP
Nephrotic syndrome
51
Frothy malodorous vaginal discharge
Trichomonas vaginitis
52
Gout, self-mutilation in child due to pain insensitivity
Lesch-Nyhan syndrome
53
Haygarth's nodes
RA
54
Heartburn worse on lying down after meals
GERD
55
Heat intolerance, fine tremors, weight loss, exophthalmos
Hyperparathyroidism
56
Heberdens nodes, Bouchards nodes
OA
57
Hematemesis following protracted vomiting and retching
Mallory-Weiss syndrome
58
Hemoptysis and hematuria
Goodpasture syndrome
59
Hemoptysis, chronic smoker
Lung cancer
60
Honey coloured crests on face near mouth/nose
Impetigo
61
Hyperpigmented oral cavity, intestinal polyps
Peutz-Jegher syndrome
62
Hyperpigmented skin creases, bronze skin, fatigue
Addison disease
63
Hypertension, hypokalaemia, metabolic acidosis
Conn's disease
64
Hypertension, exophthalmos, goiter
Graves
65
Infant, red hair, swollen abdomen
Kwashiorkor
66
Infant, microcephaly, rocker bottom feet
Trisomy 18 (Edwards syndrome)
67
Infant, microcephaly, indistinct philtrum
FAS
68
Infant, mongoloid eyes, mental retardation
Trisomy 21 (Down syndrome)
69
Jaundice, ascites, firm non tender hepatomegaly
Cirrhosis
70
Jaundice, tender hepatomegaly
Hepatitis
71
Large spatulate hands, protruding jaw
Acromegaly
72
Loss of outer third eyebrows, slow reflexes
Hypothyroidism
73
LBP, bamboo spine, young male adult
AS
74
Koilonychia (spoon shaped nails)
Iron deficient anaemia
75
Kopek spots, fever, followed by maculopapular rash
Measels
76
Male child, recurrent infection, no B cells
Bruton disease
77
Mental retardation, large scrotal tongue, umbilical hernia
Trisomy 21 (Down)
78
Middle aged male, smoker, intermittent claudication
Buerger's disease
79
Midsystolic click, atypical chest pain
Mitral valve prolapse
80
Mole with irregular margins, change in coloraturas or size
Malignant melanoma
81
Muscle cramps, + Chvostek test
Hypoparathyroidism
82
Newborn, paralysed arm after difficult breech delivery
Erb-Duchenne palsy
83
Newborn, claw hand after difficult breech delivery
Klumpke palsy
84
Night blindness, dry eyes, dry skin
Vit A deficiency
85
Nocturnal back pain, recurrent infections, fatigue
MM
86
Obesity, hirsutism, irregular periods
Polycystic ovarian syndrome
87
Osler nodes, Janeway nodules, Roth spots
Subacute bacterial endocarditis
88
Painful pale cold fingers/toes
Raynauds syndrome
89
Painful fingers/wrists BL, morning stiffness > 1 hour
RA
90
Painful limp, young child
LCP
91
Painful limp, overweight teenager
SCFE
92
Painful, pulseless, pale, perishingly cold limb
Arterial embolism
93
Painless, jaundice, weight loss
Cancer head of pancreas
94
Pale mucous membranes, spoon shaped nails
Iron deficiency anaemia
95
Palpitations, sweating, pressure headaches
Pheochromocytoma
96
Pectus excavatum
Rickets
97
Pink, purse lipped breathing, barrel chest
EMphysema
98
Polyuria, polydipsia, no polyphagia, no glycosuria
Diabetes insipidus
99
Polyuria, polydipsia, polyphasic, glycosuria
Diabetes mellitus
100
Unilateral ptosis, anhydrosis, miosis
Horner's
101
Puffy eyelids, smoky urine, hypertension, child
Glomerulonephritis
102
Purplish lesions on arms/legs/oral cavity
Kaposi's sarcoma
103
Purlulent urethral discharge in sexually active male
Gonorrhea
104
Rachitic rosary
Rickets
105
Rash in palms/soles, oral ulcers, fever, child
Hand foot and mouth disease
106
Radiofemoral delay
Coarctation of aorta
107
Recurrent crops of painful vesicles on face
HSV type 1
108
Recurrent crops of painful ulcers on genitals
HSV type 2
109
Recurrent episodes of wheezing, child
Asthma
110
Regularly irregular breathing, increase apneic spells
Cheyne stokes breathing
111
Resting tremors, mask like facies, shuffling gait
Parkinsons
112
Rose coloured spots on trunk, fever, diarrhoea
Thyphoid fever
113
Rust coloured sputum, cough, fever, pleuritic chest pain
Streptococcal pneumonia
114
Scanning speech, intention tremor, nystagmus
MM
115
Shortness of breath, fatigue, erythema nodosum
Sarcoidosis
116
Short stature, web neck, widely spaced nippes
Turner's syndrome
117
Single transverse palmar crease, mental retardation
Trisomy 21 (Down)
118
Severe sore that, swollen post auricular lymph nodes
Mononucleosis
119
Skin rash along dermatome, prodrome of local pain
Herpes zoster
120
Splinter haemorrhages
Subacute bacterial endocarditis
121
Strawberry tongue, fever, rash
Scarlet fever
122
Sudden onset dyspnea, hemoptysis, chest pain
Pulmonary embolism
123
Sudden onset severe painful swollen big toe
Gout
124
Sudden tearing chest pain, sweating, feeling of doom
Dissecting thoracic aneurysm
125
Swollen ankles, shortness of breath, distended neck veins
CHF
126
Swollen bleeding gums, painful joints, child
Scurvy
127
Tall thin male, gynecomastia, small testes
Klinefelter syndrome
128
Unilateral facial palsy, hyperacusis
Bells palsy
129
Unilateral facial palsy, deafness
Acoustic neuroma
130
Unilateral throbbing HA, aura
Classic migraine
131
Unilateral throbbing HA, no aura
Common migraine
132
Weight loss, change in bowel habits
Colon cancer
133
Weight loss, diarrhoea, fever, arthritis
Whipple's disease
134
Weight loss, recurrent infections, young adult
HIV/AIDS
