Classic Presentations Flashcards

1
Q

Abdominal Pain, Ascites, Hepatosplenomegaly

A

Budd-Chiari Syndrome (Posthepatic Venous Thrombosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Abdominal Pain, Diarrhea, Leukocytsis, Recent Antibiotic Use

A

Clostridium difficile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Achilles Tendon Xanthoma

A

Familial Hypercholesterolemia (Decrease LDL Receptor Signalling)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adrenal Hemorrhage, Hypotension, DIC

A

Waterhouse-Friderichsen Syndrome (Meningococcemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anaphlyaxis Following Blood Transfusion

A

IgA Deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Anterior Drawer Sign

A

ACL Injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Arachnodactyly, Lens Dislocation, Aortic Dissection, Hyperflexible Joints

A

Marfan Syndrome (Fibrillin Defect)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Athlete With Polycythemia

A

Erythropoietin Injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Back Pain, Fever, Night Sweats

A

Pott Disease (Vertebral TB)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bilateral Acoustic Neuromas

A

NF2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bilateral Hilar Adenopathy, Uveitis

A

Sarcoidosis (Noncaseating Granulomas)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Black Eschar on Face of Patient with Diabetic Ketoacidosis

A

Mucor or Rhizopus Fungal Infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Blue Sclera

A

Osteogenesis Imperfecta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Bluish Line on Gingiva

A

Burton Line (Lead Poisoning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Bone Pain, Bone Enlargement, Arthritis

A

Paget Disease of Bone (Increase Osteoblastic and Osteoclastic Activity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bounding Pulses, Diastolic Heart Murmur, Head Bobbing

A

Aortic Regurgitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Butterfly Facial Rash, Raynaud’s in Young Female

A

SLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cafe-au-lait, Lisch Nodules (Iris Hamartoma), Cutaneous Neurofibromas, Pheochromocytomas, Optic Gliomas

A

NF1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Cafe-au-lait (Unilateral), Polyostotic Fibrous Dysplasia, Precocious Puberty, Multiple Endocrine Abnormalities

A

McCune-Albright Syndrome (Mosaic G-Protein Signaling Mutation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Calf Pseudohypertrophy

A

Muscular Dystrophy (X-Linked Frameshift)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cervical Lymphadenopathy, Desquamating Rash, Coronary Aneurysms, Red Conjunctiva and Tongue

A

Kawasaki Disease (Treat with Aspirin, IVIG)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cherry Red Spots on Macula

A

Tay-Sachs (Ganglioside Accumulation) or Niemann-Pick (Sphingomyelin Accumulation), Central Retinal Artery Occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Chest Pain on Exeretion

A

Angina

24
Q

Chest Pain, Pericardial Effusion/Friction Rub, Persistent Fever Following MI

A

Dressler Syndrome (Autoimmune-Mediated post-MI Fibrinous Pericarditis, 2-12 Weeks After Acute Episode)

25
Q

Chest Pain with Depressions on EKG

A

Unstable Angina (Troponin -) or NSTEMI (Troponin +)

26
Q

Child Uses Arms to Stand up from Squat

A

Gowers Sign (DMD)

27
Q

Child with Fever Later Develops Red Rash on Face that Spreads to Body

A

Slapped Cheek of Erythema Infectiosum/Fifth Disease: Parvovirus B19

28
Q

Chorea, Dementia, Caudate Degeneration

A

Huntington Disease (Autosomal Dominant CAG Repeat Expansion)

29
Q

Chorioretinitis, Hydrocephalus, Intracranial Calcification

A

Congenital Toxoplasmosis

30
Q

Chronic Exercise Intolerance with Myalgia, Fatigue, Painful Cramps, Myoglobinuria

A

McArdle Disease (Skeletal Muscle Glycogen Phosphorylase Deficiency)

31
Q

Cold Intolerance

A

Hypothyroidism

32
Q

Conjugate Horizontal Gaze Palsy, Horizontal Diplopia

A

Internuclear Ophthalmoplegia (Damage to MLF; Unilateral or Bilateral)

33
Q

Continuous Machine-Like Murmur

A

PDA (Close with Indomethicin; Maintain with PGE Analogs)

34
Q

Cutaneous/Dermal Edema due to Connective Tissue Deposition

A

Myxedema (Hypothyroidism, Graves Disease)

35
Q

Cutaneous Flushing, Diarrhea, Bronchospasm

A

Carcinoid Syndrome (Right-Sided Cardiac Valvular Lesions –> ^5-HIAA)

36
Q

Dark Purple Skin/Mouth Nodules in a Patient with AIDS

A

Kaposi Sarcoma (HSV-8)

37
Q

Deep, Labored Breathing/Hyperventilation

A

Kussmaul Respirations (Diabetic Ketoacidosis)

38
Q

Dermatitis, Dementia, Diarrhea (Death)

A

Pellagra (B3 - Niacin Deficiency)

39
Q

Dilated Cardiomyopathy, Edema, Alcoholism, Malnutrition

A

Wet Beriberi (B1 - Thiamine Deficiency)

40
Q

Dog or Cat Bite Resulting in Infection

A

Pasteurella multocida (Cellulitis at Innoculation Site)

41
Q

Dry Eyes, Dry Mouth, Arthritis

A

Sjogren Syndrome (Autoimmune Destruction of Exocrine Glands)

42
Q

Dysphagia (Esophageal Webs), Glossitis, Iron Deficiency Anemia

A

Plummer-Vinson Syndrome (May Progress to Esophageal Squamous Cell Carcinoma)

43
Q

Elastic Skin, Hypermobility of Joints, Increased Bleeding Tendency

A

Ehlers-Danlos Syndrome (Type 5 Collagen Defect, Type 3 Collagen Defect in Vascular Subtype)

44
Q

Enlarged, Hard Left Supraclavicular Node

A

Virchow Node, Abdominal Metastasis

45
Q

Episodic Vertigo, Tinnitus, Hearing Loss

A

Meniere Disease

46
Q

Erythroderma, Lymphadenopathy, Hepatosplenomegaly, Atypical T Cells

A

Mycosis Fungoides (Cutaneous T-Cell Lymphoma) or Sezary Syndrome (Mycosis Fungoides + Malignant T Cells in Blood)

47
Q

Facial Muscle Spasm upon Tapping

A

Chvostek Sign (Hypocalcemia)

48
Q

Fat, Female, Forty, Fertile, Native American

A

Cholelithiasis

49
Q

Fevers, Chills, Headache, Myalgia Following Antibiotic Treatment for Syphilis

A

Jarisch-Herxheimer Reaction (Rapid Lysis of Spirochetes Results in Endotoxin Release)

50
Q

Fever, Cough, Conjunctivitis, Coryza, Diffuse Rash

A

Measles

51
Q

Fever, Night Sweats, Weight Loss

A

B Symptoms (Lymphoma)

52
Q

Fibrous Plaques in Soft Tissue of Penis with Abnormal Curvature

A

Peyronie Disease (Connective Tissue Disorder)

53
Q

Golden Brown Rings Around Peripheral Cornea

A

Kayser-Fleischer Rings (Copper Accumulation from Wilson Disease)

54
Q

Gout, Intellectual Disability, Self-Mutilating Behavior in a Boy

A

Lesch-Nyhan Syndrome (HGPRT Deficiency, X-Linked Recessive)

55
Q

Hamartomatous GI Polyps, Hyperpigmentation of Mouth/Feet/Hands/Genitalia

A

Peutz-Jeghers Syndrome (Inherited, Benign Polyposis, can lead to Bowel Obstruction, Increase GI Cancer Risk)

56
Q

Hepatosplenomegaly, Pancytopenia, Osteoporosis, Aseptic Necrosis of Femur, Bone Crises

A

Gaucher Disease (Glucocerebrosidase Deficiency)