Miscellaneous Syndromes Flashcards

0
Q

Fitz-Hugh-Curtis

A
Neisseria gonorrhea >> perihepatitis 
RUQ pain, salpingitis sx
S/t pleuritic pain or referred to shoulder
S/t hepatic friction rub
nl LFTs/US
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1
Q

Alport Syndrome

A

aka Familial Nephritis
Etiology: mutation in Collage IV
Genetics: 85% x-linked, can be AD, AR
Symptoms:
hematuria, proteinuria, HTN
progressive high-frequency hearing loss (noticeable in late childhood/early adolescence)
optic changes (30%)
Diagnosis: skin/renal bx
Prognosis: progression to ESRD (by ~30yo), progressive HTN, hearing loss
*can be benign hematuria in women w/x-linked

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2
Q

Kallmann Syndrome

A

male:female 5:1
anosmia
gonadotropin deficiency > delayed puberty

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3
Q

Kartagener Syndrome

A

Triad of:
situs inversus
bronchiectasis (d/t ciliary dyskinesia)
chronic sinusitis (d/t ciliary dyskinesia)

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4
Q

Klinefelter Syndrome

A

delayed puberty

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5
Q

Klippel-Feil

A

congenital synostosis > cervical vertebrae fusion
decreased motion, stress on unaffected vertebrae
long-term instability, DJD
develops in 1st trimester > often associated w/GU, cardiopulm, CNS abnormalities
neck appears short w/low posterior hair line

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6
Q

McCune-Albright Syndrome

A

autonomous gonadal steroid production > PPP

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6
Q

Klippel-Trenaunay

A

vascular malformation

asymmetric overgrowth

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8
Q

Menetrier Disease

A

Gastric rugal hypertrophy
Causes protein-losing enteropathy
Possibly d/t CMV
Usually benign, self-limited

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9
Q

Osler Weber Rendu

A

hereditary hemorrhagic telangiectasia
recurrent epistaxis, cutaneous telangiectasias
develop later in life

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10
Q

Potter syndrome

A
Oligohydramnios sequence:
   Renal agenesis (or other cause) >> facial anomalies (nose compression, over-folded ears), abnormal limb positions, pulmonary hypoplasia
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11
Q

Ramsay Hunt

A

VZV&raquo_space; Bell’s palsy
check ear canal for vesicles
can cause hearing loss, vertigo

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13
Q

Smith-Lemli-Opitz Syndrome

A

Cholesterol biosynthesis d/o
LD, behavioral abnl, neonatal malformations
Syndactyly (2nd/3rd toes)
Polydactyly
CHD (ASD, VSD, AV canal defect)
Renal, GI malformations
Brain anomalies (microcephaly, agenesis of corpus callosum)

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14
Q

Reiter Syndrome

A

reactive arthritis

enteric/genital infections

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15
Q

Turner Syndrome

A

delayed puberty

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15
Q

Von Hippel Lindau

A

autosomal dominant
Hemangioblastoma (brain, spinal cord, retina)
retinal usu in childhood, brain usu in adults
Renal Cell Carcinoma
Pheochromocytoma

16
Q

Zellweger Syndrome

A

Defective peroxisome biogenesis
Facial dysmorphism, large AF, hypotonia, liver dz
Bony calcification stippling of joints