Patho Flashcards
Ehlers-Danlos syndrome
Collagen III
Hyperextensible skin
Hypermobile joints
Tendency to bleed
Vasculitides Large vessel (elastic arteries)
Medium vessel (muscular arteries)
Small vessel (arterioles, venules, capillaries)
Temporal arteritis
Takayasu arteritis
Polyarteritis nodosa (PAN) Kawasaki Disease
Microscopic polyangitis
Churg-Strauss Syndrome
Wegener granulomatosis
Takayasu arteritis
Fan my skin on wed
Fever Arthritis Night sweats Myalgia Skin nodules Ocular disturbances Weak Upper Extremity pulses
Only indications for giving ASA in children
Kawasaki disease
Juvenile rheumatoid arthritis
Rheumatic fever
Wegener’s granulomatosis
C-anca
Crescentic GN
Cyclophosphamide
Corticosteroids
Rheumatic fever
Jones major criteria
J- migratory polyarthritis O- carditis N- nodules E- erythema marginatum S- syndenham chorea
Infective Endocarditis
Fever Roth spots Osler's nodes Murmur Janeway lesions Anemia Nail bed hemorrhage Emboli
Dilated cardiomyopathy
Alcohol Beriberi Chagas disease Coxsackie B myocarditis Cocaine Doxorubicin
Cystic fibrosis
AR
Chromosome 7: CFTR gene
Dec na cl reabsorption
Nasal polyps, head exhaustion, resp infections, pneumothorax, malabsorption, DM 1, infertility, mecomium ileus, rectal prolapse, gallstones
P-ANCA
ab against myeloperoxidase(MPO)
C-ANCA
ab against proteinase-3 (PR3)
Churg-strauss syndrome, microscopic polyangitis
Wegener’s granulomatosis
Cell : interleukins
Macrophage : IL-1,6,8,12 and TNF-A
All T cells : IL-2,3
TH1 : IFN gamma
TH2 : IL-4,5,10
Trinuleotide repeat sequence
CTG - myotonic dystrophy
GAA - Friedrich ataxia
CAG - Huntington disease
CGG - Fragile X
X-linked recessive
HOLD BFG WiD Care
Hemophilia A B, Hunter syndrome Ocular albinism Lesch-Nyhan syndrome Duchenne muscular dystrophy Brutons agammaglobulinemia Fabrys disease, Fragile X G6PD deficiency Wiskott-aldrich syndrome Diabetes insipidus Chronic granulomatous disease
X-linked dominant
Vitamin D resistant rickets
Alport syndrome
Lysosomal storage disorders
Tay-sachs: gangliosides
Niemann-pick:sphingomyelin, hepatosplenomegaly, zebra bodies
Gaucher: MC, glucocerebrosidase
Mucopolysaccharidoses: balloon cells, zebra bodies
Chromosome 22q11.2 deletion syndrome:
DiGeorge Syndrome
Catch 22 Cardiac defects Abnormal facies Thymic aplasia Cleft palate Hypocalcemia 22q11.2 deletion
Type 2 hypersensitivity
Blood transfusion/ABO inc Drug induced hemolysis Infection related hemolysis Acute rheumatic fever Goodpasture's syndrome Grave's disease Myasthenia gravis ANCA assoc Vasculitis Pernicious anemia Autoimmune hemolytic anemia
Type 3 hypersensitivity Blood filtered at high pressure: Vasculitis Glomerulinephritis Arthritis
Arthus reaction Serum sickness SLE PSGN/acute GN Scleroderma IgA nephropathy Polyarteritis nodosa Reactive arthritis
Type 4 hypersensitivity
Delayed-type- cd4 T cells to macrophage
T-cell mediated- cd8 T cells to mhc 1 antigens on target cells
Patch test Skin test (eg PPD) Contact dermatitis GBS Type 1 DM Inflammatory bowel disease Multiple sclerosis Chronic Transplant rejection Hashimoto's thyroiditis Rheumatoid arthritis Multiple sclerosis
SLE
Im damn sharp
Immunologic Malar rash Discoid rash ANA Mucositis Neurologic Serositis Hematologic Arthritis Renal Photosensitivity
Drug induced lupus
Hydralazine
Isoniazid
Procainamide
Penicillamine
CREST syndrome
Anti centromere
Limited scleroderma
Calcinosis Raynaud's phenomenon Esophageal dysmotility Sclerodactyly Telangiectasia
Primary Immunodeficiencies
Genetic
B cell ========== X-linked/Bruton's agammaglobulinemia Selective IgA deficiency Common variable immunodeficiency T-cell ========== DiGeorge syndrome Chronic mucocutaneous candidiasis B and T cell ========= Severe combined immunodeficiency Wiskott-Aldrich syndrome Ataxia telangiectasia Phagocyte disorders ========= Chronic granulomatous disease Cheidak-Higashi syndrome Leukocyte adhesion deficiency Complement disorders ========= Hereditary angioedema Early complement deficiency Terminal complement deficiency Paroxysmal nocturnal hemoglobinuria
Leukemia
ALL (0-14) Lymphoblast AML (15-39) Auer rods CML (40s-50s) Philadelphia chromosome Sea blue histiocytes CLL (~60) Smudge cells Proliferation centers
Multiple myeloma
CRAB HyperCalcemia Renal insufficiency Anemia Bone lytic lesions
Marfan syndrome
Aortic dissection Fibrillin gene Missense mutation MVP hypermobile joints Eunachoid proportion Arachnodactyly Lens dislocation