Rapid Review Key Associations Flashcards
mito inheritance
disease occurs in both F/M, inherited thru females
intellutcal disabiliit
Downs, Fragile X
lysosomal storage disease
gaucher disease
bacterial meningitis (> 6 months)
S pneumo
bacterial meningitis (newborns, kid)
group B strept/listeria
HLA-DR3
DM1, SLE, Graves, Hashimoto thyroiditis, Addison disease
HLA-DR4
DM1, RA, Addison disease
bacteria associated w/ gastritis, PUD, gastric maligancies
H pylori
opportunisitic infection in AIDS
pneumo jirovecii pneumo
helminth infection
enterobius vermicularis
viral encephalitis affecting temporal lobe
HSV-1
infection 2/2 blood transfusion
Hep C
food posisoning, exotoxin mediated
S aureus, B cereus
osteomyelitis
S auerus (most common overall)
osteomyelitis w/ sickle cell disease
Salmonella
osteomyelitis w/ IV drugs
S auerus, Pseudomonas, Candida
UTI
EColi, Staph saprophyticus
STD
C trachomatis (coinfected w/ N gonorrhae)
nosocominal pneumo
S auerus, pseudomonas, klebsiella, acinectobacter
pelvic inflammatory disease
C trachomatis, N gonor
mets to bone
prostate, breast > kidney, thyroid, lung
mets to brain
lung>breast> melanoma, colon, kidney
mets to liver
colon» stomach> pancreas
S3 heart sounds
inc ventricular filling (mitral regurg, HF)
common in dilated ventricules
S4 heart sounds
stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)
constrictive pericarditis
developing world: TB
developed world: viral illness, idiopathic
holosystolic murmur
VSD, tri/mi regurg
ejection click
aortic stenosis
mitral valve stenosis
rheumatic heart disease
opening snap
mitral stenosis
heart murmur, congenital
MVP
chronic arrhythmia
AFib (assoicated high risk emboli)
cyanosis (early; less common)
ToF, transposition of great vessels, truncus arterious, total anomalous pulmonary VR, tricuspid atresia
late cyanosis shunt (uncorrected L>R becomes R>L)
Eisenmenger syndrome (caused by ASD, VSD, PDA» pulmonary HTN/polycythemia)
congenital cardiac anamoly
VSD
HTN 2/2
renal artery stenosis
CKD (PKD, diabetic nephropathy)
hyperaldosteronism
aortic aneurysm, thoracic
marfan syndrome (idopathic cystic medial degeneration)
aortic aneurysm, abdominal
atherosclerosis, smoking is # risk factor
aortic aneurysm, ascending/arch
3 sphyllis, vasa vasorum destruction
sites of atherosclerosis
abd aorta>coronary artery>poplietal artery>carotid artery
aortic dissection
HTN
R heart failure w/ pulm cause
cor pulmonale
heart valve in bacterial endocarditis
Mitral»_space; aortic (rheumatic fever)
tricuspid (IV drug use)
endocarditis bacterium presentation
S auerus (acute, IVDA, tricuspid)
viridans (subacute, dental procedure)
s bovis (colon cancer)
neg culture= Coxiella, Bartonella, HACEK
temporal arteritis
risk of i/l blindness due to occlusion of opthalmic artery
polymyalgia rheumatica
recurrent inflame/thrombosis of small-medium vessels in extremeitis
buerger disease, STRONGLY assoicated w/ tobaccos
primary cardiac tumor in kid
rhabdomyoma, often in tuberous sclerosis
cardiac tumor in adult
mets, myxoma (90% LA “ball” tumor)
congenital adrenal hyperplasia, hypotension
21-hydroxylase def
hypopituitarism
pit adenoma (usually beging)
congenital hypothyroidism (cretinism(
thyroid dysgenesis/dyshormonogenesis, iodine deficiency
thyroid cancer
papillary carcinoma (childhood raditation)
hypoparathyroidism
accidental incision during thyroidectomy
primary hyperparathyroidism
adenomas, hyperplasia, carcinoma
2 hyperparathyroidism
hypocalcemia of CKD
Cushing syndrome
iatrogenic (corticosteroid tx)
adrenocortical adenoma (secretes excess cortisol)
ACTH-secreting pit adenoma (Cushing disease)
paraneoplastic (due to ACTH secretion by tumors)
primary hyperaldosteronism
adrenal hyperplasia or adenoma
tumor of adrenal medulla in kid
neuroblastoma (malig)
tumor of adrenal medulla in adult
pheochromocytoma (generally begn)
refractory peptic ulcers and high gastrin levels
Zollinger-Ellison syndrome, assoc MEN1
esophageal cancer
worldwide: squamous cell carcinoma
US: adenocarcinoma
acute gastic ulcer associated with CNS injury
Cushing ulcer (inc ICP stimulates vagal gastric H secretion)
acute gastic ulcer associated with severe burns
Curling ulcer (dec plasma volume results in sloughing gastric mucosa)
b/l ovarian mets from gastric carcinoma
Krukenburg tumor (mucin-secreting signet ring cells)
chronic atrophic gastritis (autoimmune)
predisposition to gastric carcinoma (can also cause pernicious anemia)
alternating areas of transmural inflame + normal colon
skip lesions of Chrons
site of diverticula
sigmoid colon
diverticulum of pharynx
zenker diverticulum (false)> dx w/ barium swallo
hepatocellular carcinoma
HBV, other causes of cirrhosis (alcoholic liver disease, hemochromatosis), aflatoxins
congential conjugated hyperbiliribinemia (black liver)
Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin to bile)
hereditary harmless jaundice
Gilbert syndrome (benign congenital unconjugated hyperbilirbinemia)
Wilson disease
hereditary ATP7B mutation
hemochromatosis
multiple blood transfusions or hereditary HFE mutation» bronze diabetes, inc risk hepatocellular carcinoma
pancreaitits (acute)
gallstones, alcohol
pancreaitis (chronic)
alcohol (adults), CF (kids)
auto splenectomy (fibrosis & shrinkage)
sickle cell disease (Hb S)
bleeding disorder w/ Gp1b def
Bernard-Souiler syndrome (defect to adhesion to vWF)
bleeding disorder w/ Gp2b/3a
Glanzmann thrombasthemai (defect in platelet:platelet adhesion)
DIC causes
severe sepsis
obstretric complications
cancer
burns
trauma
mjr surgery
acute pancreatitis
APL
malignancy associated w/ non-infectious fever
hodgkin lymphoma
most common type of hodgkin lymphoma
nodular sclerosis
t(14, 18)
Follicular Lymphoma (BCL2 activation, anti-apoptic oncogene)
t(8, 14)
Burkitt lymphoma (c-myc fusion)
most common type of non-hogkin lymphoma
diffuse large B-cell lymphoma
most common primary bone tumor in adults
MM
Ages for ALL, CLL, AML, CML
ALL: child
CLL: adult > 60
AML: adult ~65
CML: adult 45-65
death in CML
blast crisis
t(9:22)
CML, philly choromsome (BRC-ABL oncogene, tyrosine kinase activation); more rarely assoicated w/ ALL
most tumor of infancy
strawberry hemiangioma (grows rapidly, spontaneously regresses)
herald patch
pityriasis rosea
most common pit tumor
prolactinoma, somatotrophic adeoma
most common glomerulonephritis in adult
berger disease (IgA nephropathy)
most common nephrotic in adult
membraneous nephropathy
most common nephrotic in kid
minimal change disease
MCC clear cell adenocarcinoma of vagina
DES exposure in utero
most common ovarian tumor, benign b/l
serous cystadenoma
most common ovarian tumor, malig
serious carcinoma
gyneocological malig
endometrial carcinoma (US)
cervical carcinoma (worldwide)
breast tumor in young F
fibroademona
most common testicular cancer
seminoma (malig, radiosensitive), inc placental ALP