Classic Presentations Flashcards by Dillon Pryor

Back pain
Fever
Night sweats

Pott disease (vertebral TB)

How well did you know this?

Not at all

Perfectly

Cherry-red spots on macular

Tay-Sachs (no HSM; ganglioside accumulation)
Niemann-Pick (HSM; sphingomyelin accumulation)
Central retinal artery occlusion

How well did you know this?

Not at all

Perfectly

Dilated cardiomyopathy
Edema
Alcoholism/malnutrition

Wet beriberi (thiamine [B1] deficiency)

How well did you know this?

Not at all

Perfectly

Bounding pulses
Wide pulse pressure
Diastolic heart murmur
Head bobbing

Aortic regurgitation

How well did you know this?

Not at all

Perfectly

Dog or cat bite resulting in infection

Pasteurella multocida (cellulitis at inoculation site)

How well did you know this?

Not at all

Perfectly

Anterior drawer sign

ACL injury

How well did you know this?

Not at all

Perfectly

Achilles tendon xanthoma

Familial hypercholesterolemia (Type II; LDL defect)

How well did you know this?

Not at all

Perfectly

Chest pain
Pericardial effusion/friction rub
Persistent fever following MI (2 weeks to several months)

Dressler syndrome 
(autoimmune-mediated post-MI fibrinous pericarditis)

How well did you know this?

Not at all

Perfectly

Arachnodactyly
Lens dislocation (upward)
Aortic dissection
Hyperflexible joints

Marfan syndrome

How well did you know this?

Not at all

Perfectly

Calf pseudohypertrophy

Muscular dystrophy

MC: Duchenne (X-linked recessive frameshift mutation of dystrophin gene)

How well did you know this?

Not at all

Perfectly

Cervical lymphadenopathy
Desquamating rash
Coronary aneurysms
Red conjunctivae and tongue
Hand-foot changes

Kawasaki disease (treat with IVIG and aspirin)

How well did you know this?

Not at all

Perfectly

Fat
Female
Forty
Fertile

Cholelithiasis (gallstones)

How well did you know this?

Not at all

Perfectly

Abdominal pain
Ascites
Hepatomegaly

Budd-Chiari syndrome (posthepatic venous thrombosis)

How well did you know this?

Not at all

Perfectly

Athlete with polycythemia

Secondary to EPO injection

How well did you know this?

Not at all

Perfectly

Chorioretinitis
Hydrocephalys
Intracranial calcifications

Congenital toxoplasmosis

How well did you know this?

Not at all

Perfectly

Dry eyes
Dry mouth
Arthritis

Sjorgren syndrome (autoimmune destruction of exocrine glands)

How well did you know this?

Not at all

Perfectly

Enlarged, hard left supraclavicular node

Virchow node (abdominal metastasis)

How well did you know this?

Not at all

Perfectly

Episodic vertigo
Tinnitus
Hearing loss

Meniere disease

How well did you know this?

Not at all

Perfectly

Bilateral hilar adenopathy
Uveitis
Noncaseating granulomas

Sarcoidosis

How well did you know this?

Not at all

Perfectly

Black eschar on face of patient with DKA

Mucor or Rhizopus fungal infection

How well did you know this?

Not at all

Perfectly

Chest pain on exertion

Angina:
Stable - moderate exertion
Unstable - minimal exertion/at rest

Dermatitis
Dementia
Diarrhea

Pellagra (niacin [B3] deficiency)

Bone pain
Bone enlargement
Arthritis

Paget disease of bone

increased osteoclastic then blastic activity

Bluish line on gingiva

Lead poisoning (Burton line)

Adrenal hemorrhage/insufficiency Hypotension DIC

Waterhouse-Friderichsen syndrome (meningococcemia)

Continuous "machine-like" heart murmur

Patent ductus arteriosus Close - indomethacin Keep open - PGE analogs

Chest pain with ST depression on EKG

Unstable angina: (-) troponin | NSTEMI: (+) troponin

Fever Night sweats Weight loss

B symptoms of lymphoma

Fever, cough, coryza, conjunctivitis | Followed by diffuse rash

Measles

Facial muscle spasm upon tapping

Chvostek sign (hypocalcemia)

Chorea Dementia Caudate degeneration

Huntington disease (AD - CAG repeat expansion)

Child uses arms to stand up from squat

Duchenne muscular dystrophy (Gower's sign)

Deep, labored breathing/hyperventilation

DKA (Kussmaul respirations)

Cutaneous/dermal edema due to connective tissue deposition

Myxedema caused by hypothyroidism, Grave's disease (peritibial)

Dysphagia (esophageal webs) Glossitis Iron deficiency anemia

Plummer-Vinson syndrome | may progress to esophageal squamous cell carcinoma

Erythroderma Lymphadenopathy Hepatosplenomegly Atypical T cells

Mycosis fungoides (cutaneous T-cell lymphoma) or Sezary syndrome (mycosis fungoides + malignant T-cells in blood)

Abdominal pain Diarrhea Leukocytosis Recent antibiotic use

Clostridium difficiline infection

``` Cafe-au-lait spots Lisch nodules (irin hamartoma) Cutaneous neurofibromas Pheochromocytomas Optic glioma ```

Neurofibromatotis type I

Conjugate horizontal gaze palsy | Horizontal diplopia

Internuclear ophthalmoplegia | damage to MLF; may be unilateral or bilateral

Dark purple skin/mouth nodules in a patient with AIDS

Kaposi sarcoma (HHV-8)

Cold intolerance

Hypothyroidism

Anaphylaxis following blood transfusion

IgA deficiency

Bilateral acoustic scwannomas

Neurofibromatosis type 2

Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria

McArdle disease (skeletal muscle glycogen phosphorylase deficiency)

Elastic skin Hypermobility of joints Increased bleeding tendency

Ehlers-Danlose syndrome: Type V collagen defect (MC) Type III collagen defect (vascular subtype)

Cafe-au-lait spots (unilateral with ragged edges) Polyostotic fibrous dysplasia Precocious puberty Multiple endocrine abnormalities

McCune-Albright syndrome | mosaic G-protein signaling mutation

Blue sclera

Osteogenesis imperfecta (type I collagen defect)

Cutaneous flushing Diarrhea Bronchospasm

Carcinoid syndrome | right-sided cardiac valvular lesions, increased 5-HIAA

Young female with: Butterfly facial rash Raynaud phenomenon

SLE

Child with fever later develops red rash on face that spreads to body

``` Erythema infectiosum (fifth disease) Parvovirus B19 ```

Fever, chills, HA, myalgia following antibiotic treatment for syphilis

Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in endotoxin-like release)