classic presentations Flashcards
abdominal pain, ascites, hepatomegaly
budd-chiari syndorme (poshepatic venous thrombosis)
abdominal pain, diarrhea, leukocytosis, recent antibiotic use
clostridium difficili infection
achilles tendon xanthoma
familial hypercholesterolemia
adrenal hemorrhage, hypotension, DIC
waterhouse-friderichsen syndrome
anaphylaxis following blood transfusion
IgA deficiency
anterior drawer sign positive
anterior cruciate ligament injury
arachnodactylyl, lens dislocation upward, aortic dissection, hyperflexible joints
marfan syndrome
athlete with polycythemia
secondary to erythropoietin injection
back pain, fever, night seats
pots disease (vertebral TB)
bilateral acoustic schwannomas
neurofibromatosis type 2
bilateral hilar adenopathy, uveitis
sarcoidosis
black eschar on face of patient with diabetic ketoacidosis
mucor or rhizopus fungal infection
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 (incr osteoblast and clast activity)
bounding pulses, wide pulse pressure, diastolic heart murmur, head bobbing
aortic regurgitation
butterfly facial rash and raynaud phenomenon in young female
SLE
cafe-au-alit spots (U/L), polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities
mccune-albright syndrome (mosaic G-protein signaling mutation)
cervical lymphadenopathy, desquamating rash, coronary aneurysms, red conjunctivae and tongue, hand-foot changes
kawasaki disease
cherry red spots on macula
tay-sacks or niemann-pick, central retinal artery occlusion
chest pain, pericardial effusion/friction rub, persistent fever following MI
dressler syndrome
child uses arms to stand up from squat
duchenne muscular dystrophy (towers sign)
child with fever later develops red rash on face that spreads to body
erythema infectiosum/fifth disease (caused by parvovirus B19)
chorea, dementia, caudate degen
huntington disease
chorioretinitis, hydrocephalus, intracranial calcifications
congenital toxoplasmosis
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
McArdle disease (skeletal muscle glycogen phosphorylase deficiency)
cold intolerance
hypothyroidism
conjugate horizontal gaze palsy, horizontal diplopia
internuclear ophthalmoplegia
continous machine like heart murmur
PDA
cutaneous/derma edema due to connective tissue deposition
myxedema (d/t hypothyroid, graves); usually pretibial
cutaneous flushing, diarrhea, bronchospasm
carcinoid syndrome
dark purple skin/mouth nodules patient with AIDS
KAPOSI sarcoma
deep, labored breathing/hyperventilation
diabetic ketoacidosis (kussmaul respirations)
dermatitis, dementia, diarrhea
pellagra (niacin deficiency)
dilated cardiomyopathy, edema, alcoholism, or malnutrition
wet beriberi (thiamine deficiency)
dry eyes, dry mouth, arthritis
sjogren syndrome (autoimmune destruciton of exocrine glands)
dysphagia (esophageal webs), glossitis, iron deficiency anemia
plummer-vinson syndrome
enlarged, hard left supraclavicular node
virchow node (abdominal metastasis)
episodic vertigo, tinnitus, hearing loss
Meniere disease
erythrooderma, lymphadenopathy, hepatosplenomegaly, atypical T cells
mycosis fungicides (cutaneous T cell lymphoma) or Sezary syndrome (mycosis + malignant T cells in blood)
facial muscle spasm upon tapping
chvostek sign (hypocalcemia)
fat, female, forty, and fertile
cholelithiasis (gallstones)
fever, chills, headache, myalgia following antibiotic treatment for syphilis
jarisch-Herxheimer reaction (rapid lysis of spirochetes results in endotoxin-like release)
fever, cough, conjunctivitis, coryza, diffuse rash
measles
fever, night sweats, weight loss
B symptoms of lymphoma
fibrous places in soft tissue of penis with abnormal curvature
peyronie disease (connective tissue disorder)
golden brown rings around peripheral cornea
wilson disease