Classic Labs/Findings Flashcards
Anti-Centromere Antibodies
Scleroderma
Part of CREST
Anti-Desmoglein (epithelial) Antibodies
Pemphigus vulgaris (blistering)
Anti-Glomerular basement membrane antibodies
Goodpasture syndrome
- Glomerulo-nephritis
- Hemoptysis
Anti-Histone Antibodies
Drug-induced SLE
- Hydralazine
- Isonizid
- Phenytoin
- Procainamide
Anti-IgG antibodies
Rheumatoid arthritis
- systemic inflammation
- joint pannus
- boutonniere deformity
Anti-Mitochondrial antibodies (AMA)
1’ Biliary Cirrhosis
- Female
- Cholestasis
- Portal hypertension
Anti-Neutrophil Cytoplasmic Antibodies
ANCAs
Microscopic Polyangitis
- Eosinophilic granulomatosis
- with Polyangiitis (Churg-Strauss Syndrome)
- MPO-ANCA/ p-ANCA)
Granulomatosis with Polyangiitis
- Wegener
- PR3-ANCA/ c-ANCA
Anti-Nuclear antibodies
ANAs: Anti-Smith and Anti-dsDNA
SLE
- Type III Hypersensitivity
Anti-platelet Antibodies
Idiopathic thrombo-cytopenic purpura
- ITP
- Missing platelets
Anti-topoisomerase antibodies
Diffuse systemic scleroderma
Anti-transglutaminase/
Anti-gliadin/
Anti-endomysial
Antibodies
Celiac disease
Diarrhea
Weight loss
Apple core lesion on barium x-ray
Colorectal cancer
- usually left sided
Atypical lymphocytes
EBV
Azurophilic peroxidase (+) granular inclusions in granulocytes and myeloblasts
Auer rods
AML esp the pro-myelocytic M3 type
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
- d/t spenectomy or non-functional spleen
Basophilic stippling of RBCs
Lead poisoning
-or-
Sideroblastic anemia
Bloody or yellow tap on lumbar puncture
Subarachnoid hemorrhage
Boot-shaped heart on x-ray
Tetralogy of Fallot (d/t RVH)
Branching gram-positive rods with sulfur granules
Actinomyces israelii
Bronchogenic apical lung tumor on imaging
Pancoast tumor
- can compress cervical sympathetic chain –> Horner syndrome
“Brown” tumor of bone
Hyper-Parathyroidism
-or-
Osteitis fibrosa cystica (deposited hemosiderin from hemorrhage give brown color)
Cardiomegaly with apical atrophy
Chagas disease (Trypanosoma cruzi)
Cellular crescents in Bowman 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
- or-
- Medullobastoma
Colonies of mucoid Pseudomonas in lungs
Cystic fibrosis
- Auto recessive mutation of CFTR gene
- results in Fat-soluble vitamin deficiency and mucus plugs
DEC AFP in amniotic fluid/maternal serum
Down syndrome
-or-
other chromosomal abnormality
Degeneration of dorsal column fibers
- Tabes dorsalis (3’ syphilis)
- or-
- Sub acute combined degeneration (dorsal columns, lateral corticospinal, spino-cerebellar tracts affected)
Delta wave on EKG
Short PR interval
Supraventricular tachycardia
Wolf Parkinson White
- Bundle of Kent bypasses AV node
Depigmentation of neurons in substatial nigra
Parkinson disease
- Basal ganglia disorder
- rigidity
- resting tremor
- brady-kinesia
Desquamated epithelium casts in sputum
Curschmann spirals
- Bronchial asthma
- can result in whorled mucous plugs
Disarrayed granulosa cells arranged around collections of eosinophilic fluid
Call-exner bodies
- granulosa cell tumor of the ovary
Dysplastic squamous cervical cells with “raisinoid” nuclei and hyperchromasia
Koilocytes
HPV: Predisposes to cervical cancer
Periodic acid schiff
- Breast
- Macrophages
- Bone
- Glycogen storage disease
- Epidermial lymphocytes
Periodic acid schiff
- Breast - Paget
- Macrophages - Whipple
- Bone - Ewing
- Glycogen storage disease - Pompe II
- Epidermal lymphocytes - Mycoses fungoides & Seazery syndrome
Electrical alterans
alternating amplitude on EKG
Pericardial tamponade
Enlarged cells with intra-nuclear inclusion bodies
Owl Eye