Classic Lab Findings Flashcards
Anticentromere antibodies
Scleroderma (CREST)
Antidesmoglein (epithelial antibodies)
Pemphigus vulgaris (blistering)
Anti-glomerular basement membrane antibodies
Goodpasture’s syndrome (glomerulonephritis and hemoptysis)
Antihistone antibodies
Drug-induced SLE
Anti-IgG antibodies
Rheumatoid arthritis (systemic inflammation, joint pannus, boutonniere deformity)
Antimitochondrial antibodies (AMAs)
Primary biliary cirrhosis (female, cholestasis, portal hypertension)
Antineutrophil cytoplasmic antibody
ANCAs (c-ANCA = Wegner’s, p-ANCA = microscopic polyangiitis, Churg-Strauss syndrome)
Antinuclear antibodies (ANA: anti-Smith and anti-dsDNA)
SLE (type III hypersensitivity)
Antiplatelet antibodies
ITP
Anti-topoisomerase antibodies
diffuse systemic scleroderma
Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies
Celiac disease (diarrhea, distention, weight loss)
Apple core lesion on abdominal x-ray
colorectal cancer (usually left-sided)
Azurophilic granular needles in leukemic blasts
Auer rods (AML especially M3)
Bacitracin response
Sensitive = S. pyogenes (Group A); Resistant = S. agalactiae (Group B)
Bamboo spine on X-ray
Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)
Basophilic nuclear remnants in RBCs
Howell-Jolly bodies (due to splenectomy or nonfunctional spleen)
Basophilic stippling of RBCs
Lead poisoning or sideroblastic anemia
Bloody tap on LP
Subarachnoid hemorrhage
Boot-shaped heart on X-ray
Tetralogy of Fallot, RVH
Branching gram-positive rods with sulfur granules
Actinomyces israelii
Bronchogenic apical lung tumor
Pancoast tumor (can compress the sympathetic ganglion and cause Horner’s syndrome)
Brown tumor of bone
Hemorrhage (hemosiderin) causes brown color of osteolytic cysts due to hyperparathyroidism and Osteitis fibrosa cystica
Cardiomegaly with apical atrophy
Chagas’ disease (trypanosoma cruzi)
Cellular crescents on Bowmann’s capsule
Rapidly progressive crescentic glomerulonephritis
Chocolate cyst of ovary
Endometriosis (frequently involves both ovaries)
Circular grouping of dark tumor cells, surrounding pale neurofibrils
Homer wright rosettes (Neuroblastoma, medulloblastoma, retinoblastoma)
Colonies of mucoid Pseudomonas in lung
CF (AR mutation in CFTR gene results in fat-soluble vitamin deficiency and mucous plugs)
Decreased alpha-fetoprotein in amniotic fluid/maternal serum
Down syndrome or other chromosomal abnormality
Degeneration of dorasl column nerves
Tabes dorsalis (tertiary syphilis)
Depigmentation of neurons in substantia nigra
Parkinson’s disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)
Desquamated epithelium casts in sputum
Curschmann’s spirals (bronchial asthma, can result in whorled mucous plugs)
Disarrrayed granulosa cells in eosinophhilic fluid
Call-Exner bodies (granulosa-theca cell tumor of the ovary)
Enlarged cells with intranuclear inclusion bodies
Owl’s-eye appearance of CMV
Enlarged thyroid cells with ground-glass nuclei
Orphan Annie eye nuclei of papilary carcinoma of the thyroid