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)