Key Associations Flashcards
Actinic keratosis
precursor to squamous cell carcinoma
Acute gastric ulcers associated with CNS injury
cushing’s ulcer (inc ICP stimulates vagal gastric secretions)
Acute gastric ulcers associated with severe burns
curling’s ulcer (greatly reduced plasma volume results in a sloughing of gastric mucous)
Alternating areas of transmural inflammation and normal colon
skip lesions = crohn’s disease
Aneurysm, dissecting
Hypertension
Aortic aneurysm, abdominal and descending aorta
Atherosclerosis
Aortic aneurysm, ascending
Marfan’s syndrome (idiopathic cystic medial degeneration)
Atrophy of the mammillary bodies
Wernike’s encephalopathy (thiamine deficiency causing ataxia, opthalmoplegia, and confusion)
Autosplenectomy (fibrosis and shrinkage)
sickle cell anemia (HbS)
Bacteria associated with gastric, peptic ulcer disease, and stomach cancer
H. pylori
Bacterial meningitis (adults and elderly)
Neisseria meningitidis
Bacterial meningitis (newborn and kids)
newborns - group B strep
kids - S. pneumonia/Neisseria meningitidis
Benign melanocytic nevus
spitz nevus
Bleeding dissorder with GpIb deficiency
Bernard-soulier disease (defect in platelet adhesion to von Willebrand’s factor)
Brain tumor (adults)
supratentorial: mets>astrocytoma (including glioblastoma multiform) > meninginoma >schwannoma
brain tumor (kids)
Infratentorial: medulloblastoma (cerebellum)
Supratentorial: craniopharyngioma (cerebrum)
Breast cancer
infiltrating ductal carcinoma (in the US, 1 in 9 women develop)
Breast Mass
- Fibrocystic change
2. Carcinoma (in postmenopausal women)
Breast tumor (benign)
Fibroadenoma
Cardiac primary tumor (kids)
Rhabdomyoma, often seen in tuberous sclerosis
cardiac manifestation of lupus
libman-sacks endocarditis (nonbacterial, affecting both sides of mitral valve)
cardiac tumors (adults)
- metastasis
2. Primary myxoma (“ball and valve” 4:1 right to left atrium)
Cerebellar tonsillar herniation
Chiari malformation (often presents with progressive hydrocephalus and syringomyelia)
Chronic arrhythmia
Atrial Fibrillation (associated with high risk of emboli)
Chronic atrophic gastritis (autoimmune)
Predisposition to gastric carcinoma (an also cause pernicious anemia)
Clear cel adenocarcinoma of the vagina
DES exposure in utero
Compression fracture
Osteoporosis (type I: postmenopausal women; type II: elderly men and women)
Congenital adrenal hyperplasia, hypotension
21-hydroxylase deficiency
congenital cardiac anomaly
VSD
congenital conjugated hyperbilirubinemia (black liver)
Dubin-johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)
constrictive pericarditis
Tuberculosis (developing world); systemic lupus erythematosus (developed world)
Coronary artery involved in thrombosis
LAD > RCA > LCA
Cretinism
Iodine deficit/hypothyroidism
Cushing’s syndrome
- Corticosteroid therapy
- Excessive ACTH secretion by pituitary
- Small cell lung carcinoma
Cyanosis (early - less common)
Tetralogy of fallot, transpositon of great vessels, truncus arteriosus
cyanosis (late; more common)
VSD, ASD, PDA
Death in CML
Blast crisis
Death in SLE
Lupus Nephropathy
Dementia
- Alzheimer’s
2. Multiple infarcts
Demyelinating disease in young women
multiple sclerosis
DIC
Gram-negative sepsis, obstetric complicaitons, cancer, burn trauma
dietary deficit
iron
diverticulum in pharynx
zenker’s diverticulum (dx by barium swallow)
Ejection click
Aortic/pulmonic stenosis
Esophageal cancer
Squamous cell (world wide) ; adenocarcinoma (US)
food poisoning (exotoxin mediated)
s. aureus ; b. cereus
Glomerulonephritis (adults)
Berger’s disease
Gynecologic malignancy
Endometrial carcinoma (MC US) cervical carcinoma (MC World Wide)
Heart murmur, congenital
mitral valve prolapse
heart valve in bacterial endocarditis
Mitral (rhumatic fever), tircuspid (IV drug abuse), aortic (2nd affected in rheumatic fever)
Helmenth infection (US
- Enterobius vermicularis
2. Ascaris lumbricoides
Hematoma - epidural
rupture of MMA (trauma; lentiform shaped)
Hematoma - subdural
rupture of bridging veins (crescent shaped)
Hemochromatosis
Multiple bood transfusions or hereditary HFE mutation (can result in CHF, bronze diagetes, and increase risk for hepatocellular carcinoma)
Hepatocellular carcinoma
cirrhotic liver (associated with hepatitis B and C)
Hereditary bleeding disorder
von Willebrand’s disease
Hereditary harmless jaundice
Gilbert’s syndrome (benign congenital unconjugated hyperbilirubinemia)
HLA B27
Ankylosing spondylitis
Reiter’s syndrome
Ulcerative colitis
Psoriasis
HLA DR3 of DR4
Diabetes Mellitus type I
Rheumatoid Arthritis
SLE
Holosystolic murmur
VSD, tricuspid regurgitation, mitral regurgitation
Hypercoagulability, endothelial damage, blood stasis
virchow’s triad (results in venous thrombosis)
Hypertenison, 2ndary
renal disease
Hypoparathyroidism
accidental excision during thyroidectomy
Hypopituitarism
pituitary adenoma (usually benign tumor)
Infection 2ndary to blood transfusion
Hep C
Infections in chronic granulomatous disease
Staph aureus, E. coli, Aspergillus
Kidney Stones
- Calcium = radiopaque
- Struvite (ammonium) = radiopaque (formed by urease-positive organism such as Proteus vulgaris or staphylococcus)
- Uric acid = radiolucent
Late cyanotic shunt (uncorrected L-R becomes R-L)
Eisenmenger’s syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)
Liver Disease
Alcoholic Cirrhosis
Lysosomal storage disease
Gaucher’s Disease
Male Cancer
Prostatic carcinoma
Malignancy assocaiated with noninfectious fever
Hodgkin’s lymphoma
Malignant skin tumor
Basal cell carcinoma (rarely mets)
Mental Retardation
- Downs
2. Fragile X
Metasteses to bone
breast, lung, thyroid, testes, porstate, kidney
Mets to brain
Lung, breast, skin (melanoma), kidney (RCC), GI
Mets to liver
Colon, gastric, pancreatic, breast, and lung carcinoma
Mitochondrial inheritance
Disease occurs in both males and females, inherited through female only
Mitral valve stenosis
Rheumatic heart disease
Mixed UMN and LMN diesease
ALS
Myocarditis
Coxsackie B