Classic Presentations 4 Flashcards
Muffled heart sounds, distended neck veins, hypotension?
Beck’s triad of cardiac tamponade
Multiple colon polyps, osteomas/soft tisue tumors, impacted/supernumerary teeth?
Gardner’s syndrome (subtype of FAP)
Myopathy (infantile hypertrophic cardiomyopathy), exercise intolerance?
Pompe’s dz (lysosomal a-1,4-glucosidase deficiency)
Neonate with arm paralysis following difficult birth?
Erb-Duchenne palsy (superior trunk [C5-C6] brachial plexus injury: “waiter’s tip”)
No lactation postpartum, absent menstruation, cold intolerance?
Sheehan’s syndrome (pituitary infarction)
Nystagmus, intention tremor, scanning speech, bilateral internuclear ophthalmoplegia?
Multiple sclerosis
Oscillating slow/fast breathing?
Cheyne-Stokes respirations (central apnea in CHF or increased ICP)
Painful blue fingers/toes, hemolytic anemia?
Cold agglutinin dz (autoimmune hemolytic anemia caused by Mycoplasma pneumoniae, infectious mononucleosis)
Painful, pale, cold fingers/toes?
Raynaud’s (vasospasm in extremities)
Painful, raised red lesions on pad of fingers/toes?
Osler’s node (infective endocarditis, immune complex deposition)
Painless erythematous lesions on palms and soles?
Janeway lesions (infective endocarditis, septic emboli/microabscesses)
Painless jaundice?
Cancer of the pancreatic head obstructing bile duct
Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria?
Henoch-Schonlein purpura (IgA vasculitis affecting skin and kidneys)
Pancreatic, pituitary, parathyroid tumors?
MEN 1 (autosomal dominant)
Periorbital and/or peripheral edema, proteinuria, hypoalbuminemia, hypercholesterolemia?
Nephrotic syndrome
Pink complexion, dyspnea, hyperventilation?
“Pink puffer” (emphysema: centriacinar [smoking], panacinar [a1-antitrypsin deficiency])
Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets?
Fanconi’s syndrome (proximal tubular reabsorption defect)
Positive anterior “drawer sign”?
Anterior cruciate ligament injury
Pruritic, purple, polygonal planar papules and plaques (6 P’s)?
Lichen planus
Ptosis, miosis, anhidrosis?
Horner’s syndrome (SNS chain lesions)
