classic labs/findings Flashcards
anticentromere antibodies
scleroderma (CREST)
antidesmoglein (epithelial) antibodies
Pemphigus vulgaris (blistering)
anti-GBM antibodies
Goodpasture’s syndrome (glomerulonephritis and hemoptysis)
anti-IgG antibodies
RA
antineutrophil cytoplasmic antibodies (ANCA)
vasculitis (c-ANCA-granulomatis with polyangitis [Wegner’s] ; p-ANCA: microscopic polyangitis, Churg-Strauss syndrome)
antinuclear antiboies (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
apple core lesion on abdominal x-ray
colorectal cancer (usually left sided)
azurophilic peroxidase-positive granular inclusions in granulocytes and myeloblasts
Auer rods (AML, especially the promyelocytic [M3] type )
bacitracin response
sensitive: strep pyogenes (group A); resistant: strep agalactiae (group B)
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 on imaging
Pancoast tumor (can compress sympathetic ganglion and cause Horner’s syndrome)
brown tumor of bone
hyperparathyroidism or osteitis fibrosa cystica (deposited hemosiderin from hemorrhage gives brown color)
cardiomegaly with apical atrophy
Chagas’ disease (Trypanosoma cruzi)
cellular crescents in Bowman’s capsule
RPGN
chocolate cyst of ovary
endometriosis (frequently both ovaries)
circular grouping of dark tumor cells surrounding pale neurofibrils
Homer-Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)
colonies of mucoid Pseudomonas in lungs
CF (AR mutation in CFTR resulting in fat-soluble vitamin deficiency and mucous plugs)
decreased a-fetoprotein in amniotic fluid/ maternal serum
Down syndrome or other chromosomal abnormality
degeneration of dorsal column nerves
Tabes dorsalis (tertiary syphilis), subacute combined degeneration (dorsal columns and lateral corticospinal tracts affected)
depigmentation fo 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)
disarrayed granulosa cells in eosinophilic fluid
call-exner bodies (granulosa-theca cell tumor of the ovary)
dyslastic squamous cervical cells with nuclear enlargement and hyperchromasia
koilocytes (HPV: predisposes to cervical cancer)
enlarged cells with intranuclear inclusion bodies
“owl’s eye” appearance of CMV
enlarged thyroid cells with ground glass nuclei
“orphan Annie’s eyes” nuclei (papillary carcinoma of the thyroid)
eosinophilic cytoplasmic inclusion in liver cell
mallory bodies (alcoholic liver disease)
eosinophilic cytoplasmic inclusion in nerve cell
Lewy body (Parkinson’s disease)
eosinophilic globule in liver
councilman body (toxic or viral hepatitis, often yellow fever)
extracellular amyloid deposition in gray matter of the brain
senile plaques (Alzheimer’s disease)
giant B cells with bilobed nuclei with prominent inclusions (“owl’s eye”)
Reed Sternberg cells (Hodgkin’s lymphoma)
glomerulus-like structure surrounding vessel in germ cells
Schiller Duval bodies (yolk sac tumor)
“Hair on end” (crew-cut) appearance on x-ray
beta thalassemia, sickle cell anemia (marrow expansion)
hCG elevated
choriocarcinoma, hydatidiform mole (occurs with and w/o embryo)