Classic presentations Flashcards
abdominal pain
ascites
HSM
budd-chiari syndrome (posthepatic venous thrombosis)
achilles tendon xanthoma
familial hypercholesterolemia
adrenal hemorrhage
DIC
hypotension
waterhouse-friderichsen syndrome (meningococcemia)
anterior drawer sign
ACL injury
arachnodactyly
lens dislocation
aortic dissection
hyperflexible joints
marfan syndrome (fibrillin defect)
athlete with polycythemia
epo injections
back pain
fever
night sweats
wt loss
pott disease (vertebral TB)
bilateral hilar adenopathy
uveitis
sarcoidosis (noncaseating granulomas)
blue sclera
OI (type I collagen defect)
bluish line on gingiva
burton line (lead poisoning)
bone pain
bone enlargement
arthritis
paget disease of bone (increased osteoblast, osteoclast activity)
bounding pulses
diastolic murmur
head bobbing
aortic regurgitation
butterfly facial rash
raynaud phenomenon
young female
SLE
cafe-au-lait spots lisch nodules (iris hamartoma)
NF1 (+ pheo, optic glioma)
cafe-au-lait spots
polyostotic fibrous dysplasia
precocious puberty
multiple endocrine shits
mccune-albright syndrome (mosaic G-protein signaling mutation)
calf pseudohypertrophy
muscular dystrophy (MC duchenne) - XLR dystrophin del
cherry red spots on macula
tay sachs (ganglioside accumulation, - HSM) or niemann pick (sphingomyelin accumulation, +HSM), central retinal occlusion
CP
pericardial effusion/friction rub
persistent fever s/p MI
dressler syndrome - fibrinous pericarditis, 1-12 weeks after MI
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
mcardle disease (muscle glycogen phosphorylase deficiency)
cold intolerance
hypothyroidism
conjugate lateral gaze palsy, horizontal diplopia
INO (damage to MLF, bilateral w/MS, unilateral w/stroke)
continuous machine-like murmur
PDA (close with indomethacin, maintain with misoprostol)
cutaneous/dermal edema 2/2 connective tissue deposition
myxedema (hypothyroidism, graves disease - pretibial)
dark purple skin/mouth nodules in pt with AIDS
kaposi sarcoma (HHV-8)
deep, labored breathing/hyperventilation
DKA
dermatitis
dementia
diarrhea
pellagra (niacin AKA vit B3 deficiency)
dilated cardiomyopathy
edema
alcoholism/malnutrition
wet beriberi (thiamine AKA B1 deficiency)
dog/cat bite resulting in infxn
cats = the worst
pasteurella multocida (cellulitis at inoculation site)
dry eyes
dry mouth
arthritis
sjogren syndrome (AI destruction of exocrine glands)
dysphagia (esophageal webs)
glossitis
Fe deficiency anemia
plummer-vinson syndrome (may progress to esophageal squamous cell carcinoma)
elastic skin
hypermobility of joints
ehrlos danlos syndrome (type III collagen defect)
enlarged, hard left supraclavicular node
virchow node (abdominal metastasis)
erythroderma
lymphadenopathy
HSM
atypical T cells
mycosis fungoides (cutaneous T cell lymphoma) or sezary syndrome (mycosis fungoides + malignant T cells in blood)
facial muscle spasm after tapping
chvostek sign (hypocalcemia)
fever chills HA myalgia recent abx tx for syphilis
jarisch-herxheimer rxn (rapid lysis of spirochetes results in toxin release)
fibrous plaques in soft tissue of penis
peyronie disease (connective tissue disorder)