Zebras (p. 495- 511) Flashcards
autosomal dominant dwarfism dur to early epiphyseal closure –> shortening and thickening of bones
Achondroplasia
What are some si/sx of achondroplasia?
leg bowing hearing loss sciatica infantile hydrocephalus pt with normal lifespan
neurologic disorder affecting the pupil of the eye and autonomic nervous system characterized by one eye pupil larger than normal and constricts slowly in bright light.
- DTR, esp achilles
Adie syndrome
What ganglion does Adie syndrome affect?
ciliary ganglion or spiral ganglion
X- linked recessive defect in long chain fatty acid metabolism due to peroxisomal enzyme deficiency
Adrenoleukodystrophy
What si/sx does adrenoleukodystrophy cause?
rapidly progressive central demyelination
adrenal insufficiency, hyperpigmentation of skin, spasticity, seizures, death by age 12.
Increased skeletal density because of osteoclastic failure and multiple fractures due to decreased perfusion of thick bone. Also causes anemia because of decreased marrow space blindness, deafness and CN dysfunction bc impingement of neural foramina.
Albers-Schonberg disease (Osteopetrosis)
Defect of phenylalanine metabolism causing accumulation of homogentisic acid
presents with BLACK URINE, ochronosis (blue black pigmentation of ear, nose, cheeks) and arthropathy bc cartilage binding homogentisic acid.
Alkaptoneuria
X linked hereditary collagen defect causing sensorineural hearing loss, lens dislocation and hematuria (glomerulonephritis)
Alport syndrome
Dermal deposits of silver bound to albumin Related to prolonged exposure or ingestion of silver containing products. Dx? How to make dx?
Argyria
Dx made by slate gray skin color, including mucosa and sclera.
How do you treat Argyria
psychosocial support, discoloration irreversible.
DNA repair defect affects B and T lymphocytes. Autosomal recessive dz usually appears by age 2. Si/Sx: ataxia of gait, telangectasias of skin/conjunctiva and recurrent sinus infections
Ataxia-telangectasia
“Idiopathic portal hypertension” Spleomegaly and portal htn following subclcinical portal vein occlusion. Insidious onset occuring years after initial occlusive event
Banti syndrome
Kidney disease that causes Na, K, Cl wasting. Despite increased renin, BP remains low.
Bartter’s syndrome
Autosomal dominant fetal overgrowth syndrom of macrosomia, microcephaly, macroglossia, organomegaly, omphalocele, distinctive lateral earlobe fissures, hypoglycemia associated with hyperinsulinemia, increased incidence of Wilm’s tumor
Beckwith-Wiedemann syndrome
Autosomal recessive defect of platelet GP1b receptor(binds to von Willebrand factor) presents with chronic severe mucosal bleeds and GIANT platelets on blood smear
Bernard-Soulier syndrome
Subacute cortical demential caused by small artery infarcts in periventricular white matter, usually seen in long standing HTN but is rare.
Binswanger dx
Disruption of heart’s normal rhythm. Si/Sx ventricular arrhythmia w/ fainting, seizures, difficulty breathing. A/w SCN5A gene and very high/low levels of K or Ca
Brugada syndrome
X linked block of Bcell maturation causing decreased levels of B crells and IgG levels. Recurrent bacterial infections AFTER 6 months
Brutons agammaglobulinemia
Pt with BV disease that occurs when the thickening of BV walls blocks the blood flow to the brain. Primarily affects small blood vessels in the white matter of the brain. Si/Sx migraines, multiple strokes, dementia, seizures, vision problems. Psych issues.
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy
CADASIL
Decompression sickness (the bends) caused by rapid ascent from deep sea diving that onsets within 30 min to 1 hr. Sx: joint pain, cough, skin burning, mottling
Caisson’s disease
Segmental cystic dilation of the intrahepatic bile ducts complicated by stones and cholangitis, can be CA precursor
Caroli’s disease.
What mutation is CADASIL caused by
NOTCH 3 mutation- autosomal dominant
Autosoml dominant peroneal muscular atrophy causing foot drop and stocking-globe decrease in vibration/pain/temperature sense and DTRs. Histologically demyelination and remyelination of segmental areas of the nerve (type 1 kids, type 2 adults)
Charcot Marie Tooth disease
Autosomal recessive defect of microtubule function of neurtrophils causing decreased lysosomal fusion to phagosomes. Presents with recurrent staph/strep infections, ALBINISM, peripheral and cranial neuropathis
Chediak-Higashi syndrome
Central apnea seen in CHF, increased ICP, cycles of apnea followed by regular breathing. Biot’s is an uncommon variant seen in meningitis
Cheyne-Stokes respirations
Phagocytes lack respiratory bursts or NADPH oxidase so can engulf bacteria but are unable to kill the. Reccurent Aspergillus, staph aureus, infections. Dx? Tx?
Chronic granulomatous Dz (CGD)
Tx: recombinant interferon
Autosomal recessive faulure of tubular resorption of cystine and dibasic amino acids (lysine, orthithine, arginine) Clinically = cysteine stones
Cystinuria
How to tx cystinuria?
hydration to increase urine volume and alkanize urine with bicarb and acetazolamide
Type of lysosomal storage disorder where there is a defect in the membrane of the lysome caused by mutation in the LAMP2 gene. Si/Sx Cardiomyopathy,
Xlinked transmission
Danon disease
Tenosynovitis causing pain on flexion of thumb (motion of abductor pollicis longus)
de Quervain’s tenosynovitis
Pure red cell aplasia, congenital or acquired deficiency in TBC stem cell - congenital disorder sometimes associated with abnormal facies, cardiac and renal abnormalities. Dx? Tx?
Diamond- Blackfin syndrome
tx: steroids
Embryologic defect in develpment of pharyngeal pouches 3 and 4 causing thymic aplasia causing T cell deficiency and parathyroid aplasia
Di George’s syndrome
What is the mc presenting complaint of Pt with Di Georges syndrome? Why?
Tetany because of hypocalcemia secondary to hypoparathyroidism
Acute pericarditis, develops within 2-4 weeks after acute MI or heart surgery, may be due to autoimmune reaction to myocacrdial antigens
Dressler’s syndrome
Collection of symptoms that includes recurrent throat and ear pain, foreign body sensation. Si/Sx: dysphagia, elongated styloid process of temporal bone or calcified stylohyoid ligament.
Eagle syndrome
Autosomal dominant defect in collagen synthesis variable expressivity Si/Sx: Loose joints, increased skin elasticity, mitral regurgitaion, genu recurvatum of knee, aortic dilation.
Ehlers Danlos syndrome
Connective tissue disease causing thin, transluscent skin, easy bruising, characteristic facial appearance, fragile arteries, intesting and/or uterus.
Autosomal dominant
COL3A1 gene mutation
Ehlers Danlos syndrome vascular type
Syndrome of polydactyly + single atrium
Ellis van Creveld
Waiters tip - upper brachial plexopathy
Erbs palsy (C5-6)
IgG autoantibody mediated hemolytic anemia and thrombocytopenia associated with collagen vascular disease, TTP, hepatic cirrhosis, leukemia, sarcoidosis hashimotos thyroiditis. Dx? Tx?
Evan’s syndrome
Tx: prednisone and IVIG
X linked defect in galactosidase
sx: lower trunk skin lesions, corneal opacity, renal/cardiac/cerebral dz that are invariably lethal in infancy or childhood
Fabry’s disease
Autosomal recessive disorder of DNA repair. Presents with pancytopenia, increased risk of malignanc, short stature, birdlike facies, cafe au lait spots, congenital urogential defects, retardation ABSENT THUMB lol
Fanconi’s anemia (dont confuse with syndrome)
Dysfunction of proximal renal tubules, congenital or acquired (drugs, multiple myeloma, toxic metals)
decreased resorption of glucose, amino acids, phsophate, bicarb so all these are seen in urine. A/w RTA II. Sx: systemic acidosis polyuria polydipsia
Fanconi syndrome
Auto recessive defect in ceramidase, causing ceramide accumulation in nerves. Onset within the month of birth. Death by age 2
Farber’s disease.
Rheumatoid arthritis +splenomegaly +neutropenia often with thrombocytopenia
Felty’s syndrome
Variant of hepatocellular CA. It occurs in young people (20-40), is not associated with viral hepatitis or cirrhosis. Histologically: nests and cords of malignant hepatocytes separated by dense collagen bundles
Fibrolamellar CA
Chlamydia or gonorrhea perihepatitis as a complication of pelvic inflammatory disease. Presents with RUQ pain and sepsis
Fitz Hugh Curtis syndrome