MD2 Flashcards
Buzzword: Stony dullness
Pleural effusion
Buzzword: bilateral hilar lymphadneopathy
Sarcoidosis
Buzzword: Kussmaul’s breathing
Diabetic ketoacidosis
Buzzword: Cold agglutinins
Mycoplasma pneumonia
Buzzword: Pan-acinar emphysema
A1AT deficieicny
Buzzword: Bilateral fine end-inspiratory crackles
IPF
Buzzword: 4th heart sound
Pulmonary HTN
Buzzword: New onset RBBB with R-axis deviation
PE
Buzzword: slow rising (anacrotic) pulse
Aortic stenosis
Buzzword: collapsing pulse
Aortic regurgitation
Buzzword: bounding pulse
CO2 retention
Buzzword: radiofemoral delay
Aortic coarctation
Buzzword: JVP rising on inspiration (Kussmaul’s sign)
Constrictive pericarditis/tamponade
Buzzword: big v waves
Tricuspid regurgitation
Buzzword: saddle-shaped ST elevation
Pericarditis
Buzzword: central abdominal pain migrating to the RIF
Appendicitis
Buzzword: painless jaundice
Pancreatic cancer
Buzzword: Palpable gallblader is not…
Gall stones
Buzzword: anti-smooth muscle antibodies
Autoimmune hepatitis (chronic, active)
Buzzword: anti-mitochondrial antibodies
PBC
Buzzword: crypt abscesses
UC
Buzzword: mallory body
Alcoholic steatohepatitis
Buzzword: Cobblestoning
Crohn’s
Buzzword: Bouchard’s and Heberden’s nodes
OA
Buzzword: Boutonniere’s, swan neck, Z deformity
RA
Buzzword: bone marrow depletion with increased fat space
Aplastc anaemia
Buzzword: Hat doesn’t fit
Paget’s
Buzzword: ring doesn’t fit
Acromegaly
Buzzword: WBC casts
Pyelonephritis
Buzzword: waxy casts
ESRD
Buzzword: Red cell casts
Glomerulonephritis
Buzzword: crescents
Rapidly progressing GN
Buzzword: Tram tracking
Membranoproliferative disease
Buzzword: fusion of foot processes of podocytes on EM
Minimal change disease
Buzzword: Thickening of basement membrane
Membraneous nephropathy
Buzzword: Minimal immunofluroscence on RPGN
Wegener’s MPA
Buzzword: Linear immunofluoroescence in RPGN
Goodpastures’
Buzzword: ataxia + urinary incontinence + dementia
Normal pressure hydrocephalus (wet, wobbly and wacky)
Buzzword: thunderclap headache
SAH
Buzzword: Atrophy of caudate and putamen
Huntington’s disease
Buzzword: Spastic dysarthria
Bilateral UMN disease
Buzzword: ataxic dysarthria
Cerebellar lesions
Buzzword: pilgrimage to Mecca
Meningococcal meningitis
Buzzword: SE Asia, fully vaccinated, taken prophylaxis, still got sick
Dengue
Buzzword: Africa
Malaria or HIV
Buzzword: cough + haemoptysis, ± LOW
TB
Buzzword: India ink stain of CSF
Cryptococcosis
Buzzword: Heterophile Ab
EBV
Buzzword: old lady tea and toast diet
Folate deficiency macrocytic anaemia
Buzzword: Greek man
Thalassaemia
Buzzword: Smear cells
CLL
Buzzword: bcr-abl
CML
Buzzword: Auer rods
AML
Buzzword: Heinz bodies
GP6D deficiency
Buzzword: Reticulocytes
Haemolysis, bleeding
Buzzword: neutrophil hypersegmentation
Vitamin B12 deficiency
Buzzword: schistocytes
Intravascular haemolysis, DIC, mechanical heart valve
Buzzword: pencil poikilocytes
Iron deficiency anaemia
Buzzword: basophilic stippling
Lead poisoning, thalassaemia
Buzzword: spherocytes
Autoimmune haemolytic anaemia
Buzzword: microangiopathic anaemia + thrombocytopaenia + fluctuating neurologic abnormalities + fever
TTP
Buzzword: Reed sternberg cells
Hodgkin’s lymphoma
Buzzword: Bence Jones protein
Multiple myeloma
Buzzword: Psammoma bodies
Thyroid papillary cancer
Buzzword: Punched out bone lesions
Multiple myeloma
Buzzword: Rouleaux formation
Multiple myeloma (or anything that increases ESR)
Buzzword: Philadelphia chromosome, middle-aged, gout
CML
Buzzword: mutation of c-myc
Burkitt’s lymphoma
Buzzword: “starry sky” lymph node biopsy
Burkitt’s lympoma
Buzzword: AFP
HCC or germ cell tumours (yolk sac tumours, teratoma)
Buzzword: b-HCG
Gestational trophoblastic disease (choriocarcinoma), seminoma
Buzzword: signet ring cells, leather bottle appearance
Diffuse gastric adenocarcinoma
Buzzword: Increased PSA
Prostate cancer
Buzzword: ca15-3, ca27-29
Breast cancer
Buzzword: ca19-9
Pancreatic carcinoma
Buzzword: CEA
CRC
Buzzword: umbilical nodule
Sister Mary Joseph nodule = sign of gastric or pancreatic carcinoma
Buzzword: Orphan Annie eyes + coffee bean
Thyrid papillary carcinoma
Buzzword: anti-thyroglobulin anitbodies
Hashimoto’s thyroiditis
Buzzword: episodic headache + sweating + tachycardia
Phaechromocytoma
Buzzword: exophthalmos + pretibial myxoedema + thyroid bruit
Graves’ disease
Buzzword: pearly, rolled edges, telangiectasia
BCC
Buzzword: indurated edge, hyperkeratotic
SCC
Buzzword: silver scales, extensor surfaces
Psoriasis
Buzzword: flexor surfaces, atopy
Eczema
Buzzword: ABCDE (skin)
Melanoma: assymmetry, border irregularity, colour, diameter (>5mm), evolution
Buzzword: cherry red spot (fundoscopy)
Central retinal artery occlusion
Buzzword: stormy sunset appearance/blood and thunder fundus
Central retinal vein occlusion
Buzzword: conjunctival injection near iris (ciliary flush)
Uveitis/iritis
Buzzword: conjunctival injection away from iris
Conjunctivitis
Buzzword: dendritic ulcer
Herpes keratitis
Buzzword: blood in the anterior chamber
Hyphaema
Buzzword: blood continuous across the conjunctivae
Subconjunctival haemorrhage
Buzzword: curtain coming down over one eye
Vitreous haemorrhage
Buzzword: flashers and floaters
Retinal detachment
Buzzword: congo red
Amyloid
Buzzword: Z-N stain
TB
Buzzword: negatively birefringent aspirate from joint
Gout
Buzzword: positively birefringent aspirate from joint
Pseudogout
Buzzword: b2-amyloid protein, neurofibrillary tangles
Alzheimer’s disease
Buzzword: lacunar cells
Nodular sclerosing Hodgkin’s lymphoma
Buzzword: immunoreactive CD30 or CD15 cells
Hodgkin’s lymphoma
Buzzword: CD3
All T cells
Buzzword: CD45
All leukocytes
Buzzword: CD20/45
All B cells
Buzzword: lower chest pain, subcutaneous emphysema + emesis
Oesophageal wall rupture
Buzzword: abdominal pain + pulsatile mass + hypotension
Ruptured AAA
Buzzword: bradycardia + bradypnoea + hypertension
Cushing’s triad
Buzzword: A/E = dry cough, angioedema, urticaria
ACEI
Buzzword: A/E = altered thyroid function, liver/lower zone lung fibrosis
Amiodarone
Buzzword: A/E = gynaecomastia
Spironolactone, digoxin
Buzzword: A/E = impotence, cold peripheries, tiredness
Beta-blockers
Buzzword: A/E = contipation
Opioids, verapamil
Buzzword: A/E = ankle swelling, headaches, flushing
Nifidepine, amlodipine
Buzzword: A/E = gout
Thiazides
Buzzword: A/E = hyperkalaemia
Spironolactone
Buzzword: A/E = peripheral neuropathy, hepatitis
Isoniazid
Buzzword: A/E = orange secretions, hepatitis
Rifampicin
Buzzword: A/E = Retrobulbar/optic neuritis
Ethambutol
Buzzword: A/E = oral candidiasis
High dose corticosteroids
Buzzword: A/E = GI bleeding, hearing loss
Aspirin
Buzzword: lamellar pattern of mosaic bone
Paget’s disease
Buzzword: candle flame or blade of grass appearance on plain x-ray of bone
Paget’s disease
Buzzword: erratic bowel motions
IBS