Classic Presentations 2 Flashcards

2
Q

Classic presentation

Pupil accommodates but doesn’t react

A

Argyll Robertson pupil (neurosyphilis)

(Prostitutes pupil)

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3
Q

Classic presentation

Rapidly progressive leg weakness that ascends (following GI/upper respiratory infection)

A

Guillain-Barre syndrome (autoimmune acute inflammatory demyelinating polyneuropathy)

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4
Q

Classic presentation

Rash on palms and soles

A

Coxsackie A, Secondary syphilis, Rocky Mountain spotted fever

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5
Q

Classic presentation

Recurrent colds, unusual eczema, high serum IgE

A

Hyper-IgE syndrome (Job’s syndrome: neutrophil chemotaxis abnormality)

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6
Q

Classic presentation

Red “currant jelly” sputum in alcoholic or diabetic patients

A

Klebsiella pneumoniae

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7
Q

Classic presentation

Red, itchy, swollen rash of nipple/areola

A

Paget’s disease of the breast (represents underlying neoplasm)

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8
Q

Classic presentation

Red urine in the morning, fragile RBC’s

A

Paroxysmal nocturnal hemoglobinuria

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9
Q

Classic presentation

Renal cell carcinoma (bilateral), hamangioblastomas, angiomatosis, pheochromocytoma

A

von Hippel-Lindau disease (dominant tumor suppressor gene mutation)

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10
Q

Classic presentation

Resting tremor, rigidity, akinesia, postural instability

A

Parkinson’s disease (nigrostriatal dopamine depletion)

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11
Q

Classic presentation

Retinal hemorrhages with pale centers

A

Roth’s spots (bacterial endocarditis)

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12
Q

Classic presentation

Sever jaundice in neonate

A

Crigler-Naijar syndrome (congenital unconjugated hyperbilirubinemeia)

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13
Q

Classic presentation

Sever RLQ pain with rebound tenderness

A

McBurney’s sign (appendicitis)

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14
Q

Classic presentation

Short stature, increased incidence of tumors/leukemia, aplastic anemia

A

Fanconi’s anemia (genetic loss of DNA crosslink repair; often progresses to AML)

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15
Q

Classic presentation

Single palm crease

A

Simian crease (Down syndrome)

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16
Q

Classic presentation

Situs inversus, chronic sinusitis, bronchiectasis, infertility

A

Kartanger’s synderome (dynein arm defect affecting cilia)

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17
Q

Classic presentation

Skin hyperpigmentation

A

Addison’s disease (primpary adrenocortical insufficiency causes increased ACTH and alpha-MSH production)

18
Q

Classic presentation

Slow, progressive muscle weakness in boys

A

Becker’s muscular dystrophy (X-linked missense mutation in dystrophin; less severe than Duchenne’s)

19
Q

Classic presentation

Small, irregular red spots on buccal/lingual mucosa with blue-white centers

A

Koplik spots (measles; rubeola virus)

20
Q

Classic presentation

Smooth, flat, moist white lesions on genitals

A

Condylomata lata (secondary syphilis)

21
Q

Classic presentation

Splinter hemorrhages in fingernails

A

Bacterial endocarditis

22
Q

Classic presentation

“Strawberry tongue”

A

Scarlet fever, Kawasaki disease, toxic shock syndrome

23
Q

Classic presentation

Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth

A

Turner Syndrome (45XO, short stature, webed neck, lymphedema)

24
Q

Classic presentation

Sudden swollen/painful big toe joint, tophi

A

Gout/podagra (hyperuricemia)

25
Q

Classic presentation

Swollen gums, mucous bleeding, poor wound healing, spots on skin

A

Scurvy (Vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis)

26
Q

Classic presentation

Swollen , hard, painful finger joints

A

Osteoarthritis (osteophytes on PIP [Bouchard’s nodes], DIP [Heberden’s nodes])

27
Q

Classic presentation

Systolic ejection murmur (crescendo-decrescendo)

A

Aortic valve stenosis

28
Q

Classic presentation

Thyroid and parathyroid tumors, pheochromocytoma

A

MEN 2A (autosomal dominant ret mutation)

29
Q

Classic presentation

Thyroid tumors, pheochromocytoma, ganglioneuromatosis

A

MEN 2B (autosomal dominant ret mutation)

30
Q

Classic presentation

Toe extension/fanning upon plantar scrape

A

Babinski Sign (UMN lesion)

31
Q

Classic presentation

Unilateral facial drooping involving the forehead

A

Bell’s palsy (LMN CN7 palsy)

32
Q

Classic presentation

Urethritis, conjunctivitis, arthritis in a male

A

Reactive arthritis associated with HLA-B27

33
Q

Classic presentation

Vascular birthmark (port-wine stain)

A

Hemangioma (benign, but associated with Sturge-Weber syndrome)

34
Q

Classic presentation

Vomiting blood following esophagogastric lacerations

A

Mallory-Weiss syndrome (alcoholic and bulimic patients)

35
Q

Classic presentation

“Waxy” casts with very low urine flow

A

Chronic end-stage renal disease

36
Q

Classic presentation

WBC casts in urine

A

Acute pyelonephritis

37
Q

Classic presentation

Weight loss, diarrhea, arthritis, fever, adenopathy

A

Whipple’s disease (Tropheryma whippelii)

38
Q

Classic presentation

“Worst headache of my life”

A

Subarachonid hemorrhage