Classic Presentations 2 Flashcards
Classic presentation
Pupil accommodates but doesn’t react
Argyll Robertson pupil (neurosyphilis)
(Prostitutes pupil)
Classic presentation
Rapidly progressive leg weakness that ascends (following GI/upper respiratory infection)
Guillain-Barre syndrome (autoimmune acute inflammatory demyelinating polyneuropathy)
Classic presentation
Rash on palms and soles
Coxsackie A, Secondary syphilis, Rocky Mountain spotted fever
Classic presentation
Recurrent colds, unusual eczema, high serum IgE
Hyper-IgE syndrome (Job’s syndrome: neutrophil chemotaxis abnormality)
Classic presentation
Red “currant jelly” sputum in alcoholic or diabetic patients
Klebsiella pneumoniae
Classic presentation
Red, itchy, swollen rash of nipple/areola
Paget’s disease of the breast (represents underlying neoplasm)
Classic presentation
Red urine in the morning, fragile RBC’s
Paroxysmal nocturnal hemoglobinuria
Classic presentation
Renal cell carcinoma (bilateral), hamangioblastomas, angiomatosis, pheochromocytoma
von Hippel-Lindau disease (dominant tumor suppressor gene mutation)
Classic presentation
Resting tremor, rigidity, akinesia, postural instability
Parkinson’s disease (nigrostriatal dopamine depletion)
Classic presentation
Retinal hemorrhages with pale centers
Roth’s spots (bacterial endocarditis)
Classic presentation
Sever jaundice in neonate
Crigler-Naijar syndrome (congenital unconjugated hyperbilirubinemeia)
Classic presentation
Sever RLQ pain with rebound tenderness
McBurney’s sign (appendicitis)
Classic presentation
Short stature, increased incidence of tumors/leukemia, aplastic anemia
Fanconi’s anemia (genetic loss of DNA crosslink repair; often progresses to AML)
Classic presentation
Single palm crease
Simian crease (Down syndrome)
Classic presentation
Situs inversus, chronic sinusitis, bronchiectasis, infertility
Kartanger’s synderome (dynein arm defect affecting cilia)
Classic presentation
Skin hyperpigmentation
Addison’s disease (primpary adrenocortical insufficiency causes increased ACTH and alpha-MSH production)
Classic presentation
Slow, progressive muscle weakness in boys
Becker’s muscular dystrophy (X-linked missense mutation in dystrophin; less severe than Duchenne’s)
Classic presentation
Small, irregular red spots on buccal/lingual mucosa with blue-white centers
Koplik spots (measles; rubeola virus)
Classic presentation
Smooth, flat, moist white lesions on genitals
Condylomata lata (secondary syphilis)
Classic presentation
Splinter hemorrhages in fingernails
Bacterial endocarditis
Classic presentation
“Strawberry tongue”
Scarlet fever, Kawasaki disease, toxic shock syndrome
Classic presentation
Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth
Turner Syndrome (45XO, short stature, webed neck, lymphedema)
Classic presentation
Sudden swollen/painful big toe joint, tophi
Gout/podagra (hyperuricemia)
Classic presentation
Swollen gums, mucous bleeding, poor wound healing, spots on skin
Scurvy (Vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis)
Classic presentation
Swollen , hard, painful finger joints
Osteoarthritis (osteophytes on PIP [Bouchard’s nodes], DIP [Heberden’s nodes])
Classic presentation
Systolic ejection murmur (crescendo-decrescendo)
Aortic valve stenosis
Classic presentation
Thyroid and parathyroid tumors, pheochromocytoma
MEN 2A (autosomal dominant ret mutation)
Classic presentation
Thyroid tumors, pheochromocytoma, ganglioneuromatosis
MEN 2B (autosomal dominant ret mutation)
Classic presentation
Toe extension/fanning upon plantar scrape
Babinski Sign (UMN lesion)
Classic presentation
Unilateral facial drooping involving the forehead
Bell’s palsy (LMN CN7 palsy)
Classic presentation
Urethritis, conjunctivitis, arthritis in a male
Reactive arthritis associated with HLA-B27
Classic presentation
Vascular birthmark (port-wine stain)
Hemangioma (benign, but associated with Sturge-Weber syndrome)
Classic presentation
Vomiting blood following esophagogastric lacerations
Mallory-Weiss syndrome (alcoholic and bulimic patients)
Classic presentation
“Waxy” casts with very low urine flow
Chronic end-stage renal disease
Classic presentation
WBC casts in urine
Acute pyelonephritis
Classic presentation
Weight loss, diarrhea, arthritis, fever, adenopathy
Whipple’s disease (Tropheryma whippelii)
Classic presentation
“Worst headache of my life”
Subarachonid hemorrhage