USmle eponymous conditions Flashcards
abdominal pain, ascites, hepatomegaly
Budd-Chiari syndrome -posthepatic venous thrombosis
Abdominal pain, diarrhea, leukocytosis, recent antibiotic use
C. Diff
achiles tendon xanthoma
Familial hypercholesterolaemia (decreased LDL)
adrenal haem, hypotension, DIC
Waterhouse-friderichsen (meningococcemia)
anaphylaxis following blood transfusion
IgA deficiency
Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints
marfan’s
athlete with polycythaemia
secondary to EPO injections
Back pain, fever, night sweats
vetebral TB (Pott’s disease)
bilateral acoustic schwannomas
neurofibromatosis type 2
bilateral hilar adenopathy, uveitis
sarcoidosis (non-caseating granulomas)
black eschar on face with a hx of diabetic ketoacidosis
mucor or rhizopus fungal infection
blue sclera
osteogenesis imperfecta
bluish line on gingiva
Burton Line (lead poisoning)
bone pain, bone enlargement, arthritis
Pagets disease (increased osteoblast and cleast activity)
bounding pulse, wide pulse pressure, diastolic murmur, head bobbing
aortic regurg
butterfly rash and reynauds
SLE
café-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities
McCune Albright syndrome (mosaic G preotein signalling mutation)
Café-au-lair spots, lisch nodules (iris harmatoma),cutaneous neurofibromas, pheochromocytoma, optic gliomas
neurofibromatosis type 1
calf pseudohypertrophy
muscular dystrophy (commonly Duchenne, due to X linked recessive mutation of dystrophin gene)
cherry red spots on macula
central retinal artery occlusion (Neimann-Pick or Tay-Sachs)
chest pain, pericardial friction rub (effusion), persistent fever following MI
Dressler syndrome (autoimmune mediated post MI occuring 2 weeks to several months after)
child uses arms to get up from squatting
duchenne muscular dystrophy
child with red cheeks after a fever (spreads to body)
slapped cheeks disease (firth disease - parvovisur B19)
chorea, dementia, caudate degeneration
huntingdon’s (autosomal dominant CAG repeat expansion)
chorioretinitis, hydrocephalus, intracranial calcifications
congenital toxoplasmosis
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria
McArdle disease - skeletal muscle glycogen phosphorylase deficiency)
cold intolerance
hypothyroidism
conjugate gaze palsy, horizontal diplopis, nystagmus
internuclear opthalmoplegia (damage to MLF)
continuous machine like murmur
PDA
cutaneous/dermal edema due to connective tissue deposition
myxedema (hyperthyroidism, graves disease - pretibial)
cutaneous flushing, diarrhoea, bronchospasm
carcinoid syndrome (right sided cardiac valvular lesions)
dark purple skin/mouth nodules in pt with AIDS
kaposi sarcome
deep, laboured breathing with hyperventilation
Kussmauls resps (ketoacidosis)
dermatitis, dementia, diarrhoea
Pellegra (niacin - vit B3 deficiency)
dialated cardiomyopathy, oedema, alcoholism, malnutrition
Wet beriberi - thiamine deficiency (B1)
infection post dog or cat bite
Pasturella multocida - cellulitis as site
dry eyes, dry mouth, arthritis
Sjorgren’s - autoimmune destruction of exocrine glands
dysphagia (oesophageal webs), glossitis, iron deficiency
Plummer-Vinson syndrome - can progress to oesophageal SCC
elastic skin, hypermobility of joints, increased bleeding
Ehlers-Danlos (type V collagen defect, or type III collagen defect in vascular subtype)
enlarged, hard, left sided supraclavicular node
Vichow node - gastric malignancy
episodic vertigo, tinnitus, hearing loss
meniere disease
erythroderma, lymphadenopathy, hepatomegaly, atypical T cells
Mycosis fungoides (cutaneous T cell lymphoma) or Sezary syndrome
facial muscles spasm on taping
Chvostek sign - hypocalcaemia
fat, female, forty, fertile
cholelithiasis (gallstones)
fever, chills, headache, myalgia, following antibiotic use for syphylis
Jarisch-Herxheimer reaction (rapid lysis of spirochetes result in endotoxin realese)
fever, cough, conjunctivitis, coryza, diffuse rash
measles
fever, night sweats, weight loss
B symptoms of lymphoma
fibrous plaques in soft tissue of penis with abnormal curvature
Peyronie disease (connective tissue disease)
golden brown rings around peripheral cornea
Wilson disease - kayser-fleischer rings
gout, intellectual disability, self-mutilation in a boy
Lesch-Nyhan syndrome - X linked recessive HGPRT deficiency
harmatoma GI polyps, hyperpigmentation of outh, feet, hands, genitals
Peutz-Jeghers synfroms (inherited benign polyposis increased obstruction risk, cancer risk)
hepatosplenomegaly, pancytopenia, osteoporosis, aseptic femoral head necrosis, bone crises
Gaucher disease - glucocerebrosidase deficiency
hereditary nephritis, sensorineural hearing loss, cataracts
Alport syndrome - mutation in collagen IV
hyperphagia, hypersexuality, hyperorality, hyperdocility
Kluver-Bucy syndrome - bilateral amygdala lesion
hyperreflexia, hypertonia, + Babinski
UMN
hypotonia, hyporeflexia, atrophy, fasciculations
LMN
hypoxaemia, polycythaemia, hypercapnia
chronic bronchitis
indurated, ulcerated genital lesions
painful with exudate: chancroid. Painless: chancre (syphylis)
infant with cleft lip/palate, micrcephaly, polydactyl,cutis aplasia
Patau syndrome (trisomy 13)
infant with hypoglycaemia, hepatomegaly
Cori disease (debranching enzyme disease) or Von Gierke disease (glucose-6-phosphate deficiency)
infant with microcephaly, rocker bottom feet, clenched hands, structural heart defect
Edwards syndrome (trisomy 18)
jaundice, palpable distended non-tender gallbladder
Courvoisier sign - distal malignant obstruction of bilairy tree
large rash with bull’s eye appearance
erythema chronicum migrans - Lyme disease
lucid intervals after traumatic brain injury
epidural haematome (middle menigeal artery rupture)
male child, recurrent infections, no mature B cells
Bruton disease - X linked agammaglobinemia
mucosal bleeding and prolongued bleeding time
glanzmann thrombasthenia - defect in platelet aggregation due to lackof GpIIb/IIIa
muffled heart signs, distended neck veins, hypotension
Becks triad of cardiac tamponade
mutiple colon polyps, osteomas/soft tissue tumors, impacted or extra teeth
Gardner syndrome
myopathy (infantile hypetrophic cardiomyopathy) with exercise intolerance
Pompe disease - lysosomal alpha-1, 4-glucosidase deficiency
neonate with arm paralysis after a difficult birth
Erb-duchenne palsy (superior trunk C5-C6 brachial plexus injury) “waiters tip”
failure to lactate postpartum, absent menstruation, cold intolerance
Sheehan syndrome - pituitary infarction
nystagmus, intention tremor, scanning speech, bilateral internuclear opthalmoplegia
multiple sclerosis
painful blue fingers/toes, haemolytic anaemia
cold agglutin disease - autoimmune haemolytic anaemia caused by mycoplasm pneumoniae, infectious mononucleosis, CLL
painful fingers/toes, changing from white to blue to red with cold or stress
Reynauds - peripheral vasospasm
painful, red, raised lesions on pads of fingers/toes
Oslers nodes (infective endocarditis, immune complex deposition)
painless erythematous lesions on palms/soles
Janeway lesions (infective endocarditis, microemboli)
painless jaundice
cancer of the pancreatic head obstructing the bile duct
palpable purpura on buttocks/legs, joint pain, abdominal pain in kids, haematuria
Henoch-schonlein purpura - IgA vasculitis affecting skin and kidneys
pancreatic, pituitary, parathyroid tumors
MEN1 - autosomal dominant
periorbital and/or peripheral oedema, proteinuria >3.5g/day, hypoalbuminaemia, hypercholesterolaemia
nephrotic syndrome
pink compexion, dyspnea, hyperventilation
pink puffer - emphysema (centriacinar smoking, panacina alpha-1 antitrypsin deficiency)
polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalance, hypophosphatemic rickets
fanconi syndrome - multiple combined dysfunction of the proximal tubule
pruritic, purple, polygonal planar papules and plaques - 6 P’s
Lichen planus
ptosis, anhydrosis, miosis
Horner syndrome - sympathetic chain lesion
pupil accomodates but doesn’t react
argyll robertson pupil - neurosyphylis
rash on palms and soles
coxsackie A virus (kids) or secondary syphylis
recurrent non-inflammed (cold) abcesses, unussual eczema, high serum IgE
Job syndrome - hyper IgE with neutrophil chomoitaxis abnormality
Red “currant jelly” sputum in alcoholic or diabetic pt’s
klebsiella pneumonia pneumonia
Red “currant jelly” stools
acute mesenteric ischaemia in adults, intussesception in kids
Red, itchy, swollen rash of nipple/areola
Pagets disease or breast - possible underlying neoplasm
Red urine in the morning, fragile RBCs
paroxysmal nocturnal haemoglobinuria
Renal cell carcinoma (bilateral), hemangioblastomas, angiomatosis, pheochromocytoma
von Hippel-Lindau disease - dominant tumor suppressor gene mutation
resting tremor, rigidity, akinesia, shufling gate
parkinsons - loss of dopaminergic neurons in substantia nigra pars compact
retinal haemorhhages with pale centres
roths spots - infective endocarditis
severe jaundice in neonates
Crigler-Najjar syndrome - congenital unconjugated hyperbilirubinemia
severe RLQ pain on palpating LLQ
Rovsing sign - appendicitis
short stature, café-au-lait spots, thumb/radial defects, increased incidence of tumors, aplastic anaemia
fanconi anemia - genetic loss of DNA crosslink repair, often progresses to AML
single palmar crease
Down’s
Situs inversus, chronic sinusitis, bronchiectasis, infertility
Kartagener syndrome (dynein arm defect affecting cilia)
Skin hyperpigmentation, hypotension, fatigue
1° adrenocortical insufficiency (eg, Addison disease) causes increased ACTH and increased ?-MSH production)
Slow, progressive muscle weakness in boys
Becker muscular dystrophy - X linked missence mutation of dystrophin
small, irregular, red spots on buccal/lingual mucosa with blue-white centres
Koplik spots - measles (rubeola) virus
smooth, moistm painless, wart-like white lesions on genitals
condylomata lata - secondary syphylis
strawberry tongue
scalet fever, kawasaki syndrome
streak ovaries, congenital heart disease, horseshow kidneys, cystic hygroma at birth, short stature, webbed neck, lymphedema
turner sydrome (45, X)
swollen gums, mucosal bleeding, poor wound healing, petichae
scurvy - viatmin C deficiency
telangiectasia, recurrent nose bleeds, skin discolouration, arteriovenous malformation, GI bleeding, haematuria
Osler-Webb-Rendu syndrome
thyroid and parathyroid tumors, pheochromocytoma
MEN 2a - autosomal dominant RET mutation
thyroid tumors, pheochromocytoma, ganglioneuromatosis
MEN 2b
unilateral facial drooping including forehead
UMN disorder of CN VII
urethritis, conjunctivitis, arthritis in male
reactive arthritis associated with HLA-B27
weight loss, diarrhoea, arthritis, fever, adenopathy
Whipple disease