Lab/diagnostic findings Flashcards
Anticentromere antibodies
Scleroderma (CREST)
Anti-desmoglein (epithelial) antibodies
Pemphigus vulgaris (blistering)
Anti-glomerular basement membrane antibodies
Goodpasture syndrome (glomerulonephritis and hemoptysis)
Antihistone antibodies
Drug-induced SLE (e.g. hyralazine, isoniazid, phenytoin, procainamide)
Anti-IgG antibodies
rheumatoid arthritis 9systemic inflammation, joint pannus, boutonniere deformity)
Antimitochondrial antibodies (AMAs) hypertension
1’ biliary cirrhosis (female, cholestasis, portal hypertension
Antineutophil cytoplasmic antibiodies (ANCAs)
Microscopic polyangitis and eosinophilic granulomatosis with polyangitis (Churg-Strauss syndrome) (MPO-ANCA/p-ANCA); granulomatosis with polyangitis (Wegener; PR3-ANCA/c-ANCA)
Antinuclear antibodies (ANAs; anti-Smith and anti-dsDNA)
SLE (type III hypersensitivity)
Antiplatelet antibodies
Idiopathic thrombocytopenic purpura
Anti-topoisomerase antibodies
Diffue systemic scleroderma
Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies
Celiac disease (diarrhea, weight loss)
“Apple core” lesion on barium enema x-ray
Colorectal cancer (usually left sided)
Atypical lymphocytes
EBV
Azurophilic peroxidase + granular inclusions in granulocytes
Auer rods (AML, especially the promyelocytic (M3) type)
Bacitracin response
Sensitive: s. pyogenes (group A); resistsant: S.agalactiae (group B)
“Bamboo spine” on x-ray
Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)
Basophilic nuclear remnants in RBCs
Howell-Jolly bodies (due to splenectomy or nonfunctional spleen)
Basophilic stippling of RBCs
Lead poisoning or sideroblastic anemia
Bloody or yellow tap on lumbar puncture
Subarachnoid hemorrhage
“Boot’shaped” heart on x-ray
Tetralogy of Fallot (due to RVH)
Branching gram-positive rods with sulfur granules
Actinomyces israelii
Bronchogenic apical lung tumor on imaging
Pancoast tumor (can compress cervical sympathetic chain and cause Horner syndrome)
“Brown” tumor of bone
Hyperparathyroidism or osteitis fibros cystica (deposited hemosiderin from hemorrhage gives brown color)
Cardiomegaly with apical atrophy
Chagas disease (Trypanosoma cruzi)
Cellular crescents in Bowman capsule
Rapidly progressive crescentic glomerulonephritis
“Chocolate cyste” of ovary
Endometriosis (frequently involves both ovaries)
Circular grouping of dark tumor cells surrounding pale neurofibrils
Horner-Wright rosettes (neuroblastoma, medullobastoma)
Colonies of mucoid Pseudomonas in lungs
Cystic fibroisis (autosomal recessive mutation in CFTR gene leads to fat=soluble vitamin deficiency and mucous plugs)
Decreased AFP in amniotic fluid/maternal serum
Down syndrome or other chromosomal abnormalities
Degeneration of dorsal column fibers
Tabes dorsalie (3’ syphilis), subacute combined degeneration (dorsal columns, lateral corticospinal, spinocerebellar tracts affected)
“Delta wave” on EKG, short PR interval, supraventricular tachycardia
Wolf-Parkinson-White syndrome (Bundle of Kent bypasses AV node)
Depigmentation of neurons in substantia nigra
Parkinson disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)
Desquamated epithelium casts in sputum
Curschmann spirals (bronchial asthma, can result in whorled mucous plugs)
Disarrayed granulosa cells arranged around collections of eosinophilic fluid
Call-Exner bodies (granulosa cell tumor of the ovary)
Dysplastic squamous cervical cells with “raisinoid” nuclei and hyperchromasia
Koilocytes (HPV: predisposes to cervical cancer)
Electrical alternans (alternating amplitude on EKG)
Pericardial tamponade
Enlarged cells with intranuclear inclusion bodies
“Owl eye” appearance of CMV
Enlarged thyroid cells with ground-glass nuclei with central clearing
“Orphan Annie” eyes nuclei (papillary carcinoma of the thyroid)
Eosinophilic cytoplasmic inclusion in liver cell
Mallory body (alcoholic liver disease)
Eosinophilic globule in liver
Councilman body (viral hepatitis, yellow fever), reprsents hepatocyte undergoing apoptosis
Eosinophlic inclusion bodies in cytoplasm of hippocampal and cerebellar neurons
Negri bodies of rabies
Extracellular amyloid deposition in gray matter of brain
Senile plaques (Alzheimer disease)
Giant B cells with bilobed nuclei with prominent inclusions (“owl’s eye”)
Reed-Sternberg cells (Hodgkin lymphoma)
Glomerulus-like structure surrounding vessel in germ cells
Schiller-Duval bodies (yolk sac tumor)