Classic Presentations Flashcards
Achilles’ tendon
Xanthoma
Familial hypercholesterolemia ( decrease in LDL receptor)
Abdominal pain
As cites
Hepatomegaly
Budd chiari syndrome (postheptatic venous thrombosis)
Adrenal hemorrhage
DIC
hypotension
Waterhouse friederson syndrome
Caused by n. Meningitis which is gram negative diplococci, oxidase positive, non encapsulated
Anterior drawer sign positive
Anterior crucially ligament injury
Arachnodactyly
Lens dislocation
Aortic dissection
Hyper flexible joints
Marfan syndrome (Fibrillin defect)
Athlete with polycythemia
Secondary to erythropoietin injection
Back pain
Fever
Night sweats
Weight loss
Pott disease (vertebral tb)
Bilateral hilar adenopathy
Uveitis
Sarcoidosis (noncaseating granulomas)
Blue sclera
Osteogenesis imperfecta (type 1 collagen defect)
Bluish line on gingiva
Burton line (lead poisoning)
Bone pain
Bone enlargement
Arthritis
Paget disease of bone (increase in oateoblastic and osteoclastic activity)
Bounding pulses
Diastolic heart murmurs
Head bobbing
aortic regurgitation
Butterfly facial rash
Raynaud phenomenon in young female
Systemic lupus erythematosus
Cafe au lait spots Lisch nodules ( iris harmatoma)
Neufibromatous type 1
Plus pheochromocytoma, optic gliomas
Cafe au lait spots
Polyostotic fibrous dysplasia
Precocious puberty
Multiple endocrine abnormalities
Mccune Albert syndrome (mosaic G protein signaling mutation)
Calf pseudohypertrophy
Muscular dystrophy (most commonly Duchenne)
There is no dystrophin gene - x linked recessive deletion
Common sign is Gower’s sign
Cherry red spots on macula
Tay Sachs disease ( ganglioside accumulation)
Niemann pick Disease ( spingomyelin accumulation)
Central retinal artery occlusion
Chest pain on exertion
Angina
- stable is with moderate exertion
- unstable is with minimal or no exertion
Chest pain
Pericardial effusion/friction rub
Persistent fever following MI
Dressler syndrome (autoimmune mediated post MI fibrinous pericarditis
1-12 weeks after acute episode
Child uses arms to stand up from squat
Gower’s sign
- seen in Duchenne
Child with fever later develops red rash on face that spreads to body
Parvovirus B19
(Erythema infectiosum/fifth disease)
“Slapped cheeks”
Chorea
Dementia
Caudate degeneration
Huntington disease (Autosomal dominant with a repeated CAG expansion)
Chronic exercise intolerance
With myalgia, fatigue, painful cramps, myoglobinuria
McArdle disease (Muscle glycogen phosphorylase deficiency)
Cold intolerance
Hypothroidism
Continuous “machine like” heart murmur
Patent ductus arteriosus
Close with indometacin
Open with misoprostol
Conjugate lateral gaze palsy
HoriZontal Diplopia
Inter nuclear opthalmoplegia
(Damage to MLF
Bilateral multiple sclerosis)
(Unilateral stroke)
Dark purple skin/mouth nodules in patient with AIDs
Kaposi sarcoma
Associated with HHV 8
Cutaneous/dermal edema due to connective tissue deposition
Myxedema
Caused by Hypothyroidism and in Graves’ disease (pretibial
Deep labored breathing /hyperventilation
Kussmaul respirations (Diabetic ketoacidosis - metabolic acidosis)
Dermatitis
Dementia
Diarrhea
Pellagra
Niacin vitamin b3 deficiency
Dilated cardiomyopathy
Edema
Alcoholism
Malnutrition
Wet beriberi (Thiamine (b1) deficiency)
Dog or cat but resulting in infection
Pasturella multocida
Cellulitis at site of inoculation
Dry eyes
Dry mouth
Arthritis
Sjogren syndrome ( autoimmune destruction of exocrine glands)
Dysphasia (esophageal webs)
Glossitis
Iron deficiency anemia
Plummer Vinson syndrome
can lead to esophageal squamous cell carcinoma
Elastic skin
Hyper mobility of joints
Ehlers Danos syndrome (type 3 collagen defect)
Enlarged, hard left supraventricular node
Virchow node ( abdominal metastasis)
Erythroderma
Lymphadenopathy
Hepatospenomegaly
Atypical T cells
Mycosis fungiodes (cutaneous T cell lymphoma)
Sezary syndrome (Mycosis fungiodes and malignant T cells in blood)
Facial muscle spasm upon tapping
Chvostek sign (in hypocalcemic)
Fat
Female
Forty
Fertile
Cholelithiasis
Gallstones
Fever, chills
Headache
Myalgia following antibiotic tx for syphillis
Jarisch Herxheimer reaction
Rapid lysis of spirochetes resulting in toxin release
Fever
Night sweats
Weight loss
B symptoms
(Staging of lymphoma)
Hodgkin’s lymphoma usually results in b symptoms
Fever, cough Conjunctivitis Coryza Diffuse rash Photophobia
Measles (Morbillivirus)
Hyperplagia
Hyper sexuality
Hyperorality
Hyperdocility
Kluver bucy syndrome
bilateral amygdaloid lesion
Hyper reflexia
Hypertonic
Babinski sign present
Upper motor neuron lesion
Hyporeflexia
Hypotonia
Atrophy
Fasciculations
Lower motor neuron damage
Hypoexneia
Polycythemia
Hypercapnia
“Blue bloater”
Chronic bronchitis - hyperplasia of mucous cells
Indurated, ulcerated genital lesion
Nonpainful - chancre - primary syphillis - treponema pallium
Painful, with exudate = chancroid
( haemophilus ducryei)
Infant with cleft lip with palate
Microcephalic or holoprosencephaly
Polydactyly
Cutis aplasia
Patau syndrome
Trisomy 13
Fibrous plaques in soft tissue of penis
Peyronie’s disease (connective tissue disorder)
Gout, mental retardation, self-mutilating behavior in a boy
Lesch-Nyhan syndrome (HGPRT deficiency, X-linked recessive)
– reduced ability to utilize vit B12 –> macrocytic anemia and show hypersegmented neutrophils
Green yellow rings around peripheral cornea
Kayser-Fleischer rings (copper accumulation from Wilson’s disease)
Hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands
Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel obstruction; increased cancer risk, mainly GI)
Heptaosplenomeglay, osteroporosis, neurologic symptoms
Gaucher’s disease (glucocerebrosidase deficiency)
Hereditary nephritis, sensorineural hearing loss, cataracts
“I can’t see, I can’t hear, I can’t pee”
Alport Syndrome (mutation in alpha chain of collagen IV)
“Strong, slippery, bloody, BM”
