RAPID REVIEW KEY ASSOCIATIONS Flashcards
Mitochondrial inheritance
Disease occurs in both males and females, inherited through females only
Intellectual disability
Down syndrome, fragile X syndrome
Vitamin deficiency (USA)
Folate (pregnant women are at high risk; body stores only 3- to 4-month supply; prevents neural tube defects)
Bacterial meningitis (adults and elderly)
pneumoniae
Bacterial meningitis (newborns and kids)
Group B streptococcus/E coli/Listeria monocytogenes (newborns), S pneumoniae/N meningitidis (kids/teens)
HLA-DR3
Diabetes mellitus type 1, SLE, Graves disease, Hashimoto thyroiditis (also associated with HLA-DR5), Addison disease
HLA-DR4
Diabetes mellitus type 1, rheumatoid arthritis, Addison disease
H pylori
Bacteria associated with gastritis, peptic ulcer disease, and gastric malignancies (eg, adenocarcinoma, MALToma)
Opportunistic infection in AIDS
Pneumocystis jirovecii pneumonia
Helminth infection (US) PICA CULO
Enterobius vermicularis
Viral encephalitis affecting temporal lobe
HSV-1
Infection 2° to blood transfusion
Hepatitis C
Food poisoning (exotoxin mediated)
S aureus, B cereus
Osteomyelitis
S aureus (most common overall)
Osteomyelitis in sickle cell disease
Salmonella
Osteomyelitis with IV drug use
Pseudomonas, Candida, S aureus
UTI
E coli, Staphylococcus saprophyticus (young women)
Sexually transmitted disease
C trachomatis (usually coinfected with N gonorrhoeae)
Nosocomial pneumonia
S aureus, Pseudomonas, other enteric gram ⊝ rods(BACTEROIDES absceso)
Pelvic inflammatory disease
C trachomatis, N gonorrhoeae
Infections in chronic granulomatous disease
S aureus, E coli, Aspergillus (catalase ⊕)
Metastases to bone
Prostate, breast > kidney, thyroid, lung
Metastases to brain
Lung > breast > melanoma, colon, kidney
Metastases to liver
Colon»_space; stomach > pancreas
S3 heart sound
ventricular filling pressure (eg, mitral regurgitation, HF), common in dilated ventricles
S4 heart sound
Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)
Constrictive pericarditis
TB (developing world); idiopathic, viral illness (developed world)
Holosystolic murmur
VSD, tricuspid regurgitation, mitral regurgitation
Ejection click
Aortic stenosis
Mitral valve stenosis
Rheumatic heart disease
Opening snap
Mitral stenosis
Heart murmur, congenital
Mitral valve prolapse
Chronic arrhythmia
Atrial fibrillation (associated with high risk of emboli)
Cyanosis (early; less common)
Tetralogy of Fallot, transposition of great vessels, truncus arteriosus, total anomalous pulmonary venous return,
tricuspid atresia
Late cyanotic shunt (uncorrected left to right becomes right to left)
Eisenmenger syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)
Hypertension, 2°
Renal artery stenosis(fibromuscular dysplasia), chronic kidney disease (eg, polycystic kidney disease, diabetic nephropathy),
hyperaldosteronism
Aortic aneurysm, thoracic
Marfan syndrome (idiopathic cystic medial degeneration)
Aortic aneurysm, abdominal
Atherosclerosis, smoking is major risk factor
Aortic aneurysm, ascending or arch
3° syphilis (syphilitic aortitis), vasa vasorum destruction
Sites of atherosclerosis
Abdominal aorta > coronary artery > popliteal artery > carotid artery
Aortic dissection
Hypertension
Right heart failure due to a pulmonary cause
Cor pulmonale
Heart valve in bacterial endocarditis
Mitral > aortic (rheumatic fever), tricuspid (IV drug abuse)
Endocarditis presentation associated with bacterium
S aureus (acute, IVDA, tricuspid valve), viridans streptococci (subacute, dental procedure), S bovis (colon cancer), culture negative (Coxiella, Bartonella, HACEK)
Temporal arteritis
Risk of ipsilateral blindness due to occlusion of ophthalmic artery; polymyalgia rheumatica
Recurrent inflammation/thrombosis of small/medium
Buerger disease (strongly associated with tobacco) vessels in extremities
Cardiac 1° tumor (kids)
Rhabdomyoma, often seen in tuberous sclerosis
Cardiac tumor (adults)
Metastasis, myxoma (90% in left atrium; “ball valve”)
Congenital adrenal hyperplasia, hypotension
21-hydroxylase deficiency
Hypopituitarism
Pituitary adenoma (usually benign tumor)