Final Flashcards
Granular casts seen when?
Acute tubular necrosis
Benign HTN causes what in arterioles
Hyaline arteriosclerosis
Etiology of renal artery stenosis?
Atheromatous plaque
Diagnostic test for renal artery stenosis?
Renal arteriogram
Acute renal failure s/p MI caused by what?
Ischemia leading to acute tubular necrosis
Papillary necrosis
Caused by chronic analgesics or ascending infection (pyelonephritis)
What other condition could pt w/ ADPCKD also have?
Berry aneurysm
Complication of acute pyelonephritis
Perinephric abscess
Etiology of kidney infection
Ascending infection
Renal problems caused by analgesics?
Papillary necrosis
What would prevent renal stones
Alkalinization of urine to increase solubility of uric acid
Alport Syndrome
Renal dysfunction, hearing loss, vision loss
What makes phylloides tumor malignant?
Mitosis >10/HPF
What to look for in pt presenting w/ Paget’s dz of nipple?
Underlying ductal carcinoma of breast
What causes PCOD?
LH:FSH > 3:1
Complication and etiology of chocolate cyst?
Complication: infertility
Etiology: endometriosis
Call-exner bodies seen in what condition that can lead to _____?
Granulosa theca tumor leading to increased estrogen (endometrial carcinoma, breast carcinoma)
Endometrial tissue in myometrium is called what?
Adenomyosis
Complication of leiomyoma?
Red degeneration (when they outgrow blood supply)
Etiology of CIN?
HPV
Most likely cause of pre-eclampsia?
Placental ischemia
Choriocarcenoma image
.
Complete mole contains what?
Empty ovum w/ 2 sperm
Pituitary tumor w/ decreased LH, FSH, and GH. Which level might remain nml?
ADH (bc its from posterior, usually spared)
Pt w/ GH adenoma what lab do you check?
IGF-1 (GH half-life is only like 20 mins)
Nephrogenic diabetes insipidus caused by what
Pt taking lithium drugs
Complication of hypothyroidism
Carpal tunnel syndrome
Lab results for Grave’s Dz?
TSI: high
TRH: low
TSH: low
T3/T4: high
Lab levels for Hashimoto’s thyroiditis?
TRH: high Prolactin: high Cholesterol: high TSH: high T3/T4: low GnRH: low
MEN2A
Parathyroid hyperplasia
Pheochromocytoma
Medullary carcinoma of thyroid
MEN2B
Pheochromocytoma
Medullary carcinoma of thyroid
Mucosal neuromas
MEN1
Pituitary tumors
Pancreatic endocrine tumors (Zollinger-Ellison syndrome)
Parathyroid adenomas
Neuroblastoma
Occurs in adrenals, or in sympathetic chain
- produces DA and HVA, catecholamines are secrete
Investigation: MIBG scintigraphy
Osteopenic
.
Achondroplasia
.
Osteogenesis Imperfecta (OI)
Collagen defect
Paget’s Dz (bone)
Osteoclast dysfunction
What would you see in osteomyelitis
Sequestrum
Location for giant cell sarcoma
Epiphysis
Location for Ewing’s sarcoma?
Diaphysis
Auto Ab’s in RA?
Anti-citruline protein Ab
Osteosarcoma mutation
Rb gene mutation
Osteoarthritis
Degenerative Dz
Pt has dilated eyes what is substance?
Cocaine
Pt has pinpoint pupils what is substance?
Heroin
Hemotypanum is sign of what?
Basal skull fx
Entry wound of GSW?
Abrasion ring
Hemophilia A defect?
Factor VIII
Heinz bodies
Denatured globin (G6PD)
Multiple Myeloma
Lytic bone lesions
Amyloid made up of Ig light chains
AML image
t(15;17) most common can also be t(8;21) or t(16;16)
Complication of CML?
AML (blast crisis, blasts > 20%)
Megaloblastic anemia (image), what is etiology?
Deficiency of folate (6 wks stores), or Vit B12 (6 yr stores)
Anemia of chronic dz, pathogenesis?
Iron trapped in macrophages in BM (d/t hepcidin released in chronic inflammatory state) so cant be released to erythromycin precursors
Complication of polycythemia vera
Congestion of blood vessels
What can EBV cause?
Sporadic Burkitt’s Lymphoma, and HL
Complication of APML (M3)
DIC
Hairy cell leukemia (image)
TRAP +ve
CML translocation
t(9;22) BCR-ABL aka Philadelphia chromosome
Complication of recurrent transfusions
Hemochromatosis (leads to advanced atherosclerotic dz)
Myelofibrosis of BM (image)
Tear drop cells (dacrocytes)
Complication of BPH?
Hydronephrosis (can lead to pyelonephritis)
Fried egg appearance
Prominent round nuclei w/ prominent nucleolus and large clear cytoplasm + lymphocytic infiltrate
*Dysgerminoma of Ovary, Medullary IDC of Breast, Seminoma of testes, Oligodendroglioma of brain
Hypercalcemia sx’s
Bones (pain), stones (renal), abd groans (pn, n/v, constipation), psychic overtones (depression, fatigue, memory loss, psychosis)
Sequelae of O2 therapy in RDS?
- Retrolental fibroplasia d/t O2 toxicity and VEGF things
- Bronchopulmonary dysplasia
Potter sequence
Pathogenesis: Oligohydramnios d/t renal agenesis
ROS: pulmonary hypoplasia, altered fancies, positioning defects, breech presentation
*sequence
Complication of congenital Rubella infection?
Patent ductus arteriosis (also ocular lesions, deafness)
Galactosemia complication
Cataracts and MR
Medulloblastoma
Tumor with small round blue cells
Haptoglobin levels in all hemolytic anemias?
LOW haptoblobin