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Classical presentation of disease.
Quiz yourself on the classical presentation of the most common diseases.
75
Medical
Graduate
02/19/2010

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Term
Abdominal pain, ascites, hepatomegaly
Definition
Budd-Chiari syndrome (poslhepalic venous Ihrombosis)
Term
Adrenal hemorrhage, hypotension, DIC
Definition
Waterhouse-Friderichsen syndrome (meningococcemia)
Term
Arachnodactyly, lens dislocation, aortic dissection, hyperflextble joinls
Definition
Marfan's syndrome (fibrillin defect)
Term
Back pain, fever, night sweats, weight loss
Definition
Poll's disease (vertebral tuberculosis)
Term
Big toe extension/fanning upon plantar scrape
Definition
Baibinski's sign (UMN lesion)
Term
Bilateral hilar adenopathy, uveitis
Definition
Sarcoidosis (noncaseating granulomas)
Term
Blue sclera
Definition
Osteogenesis imperfecta (collagen defect)
Term
Bluish line on gingiva
Definition
Burton's line (lead poisoning)
Term
Bone pain, bone enlargement, arthritis
Definition
Paget's disease of bone (increased osteoblastic and osteoclastic activity)
Term
Cafe-au-lait spots, Lisch nodules (iris hamartoma)
Definition
Neurofibromatosis type 1 (+ bilateral acoustic neuromas = type II
Term
Calf pseudohypertrophy
Definition
Muscular dystrophy (mosl commonly Duchenne's)
Term
"Cherry-red spol" on macula
Definition
Tay-Sachs (ganglioside accumulalion) or Niemann-Pick (lysosomal slorage disease)
Term
Chest pain, pericardial effusion/friction rub, persistent fever following Ml
Definition
Dressler's syndrome (autoimmune-mediated post-MI fibrinous pericarditis)
Term
Child uses arms lo stand up from squat
Definition
Cowers' sign (Duchenne muscular dystrophy: X-linked recessive deleted dystrophin gene)
Term
Child wilh fever develops red rash on face that spreads to body
Definition
"Slapped cheeks" (erythema infectiosum/fiflh disease: parvovirus B19)
Term
Chorea, demenlia, caudate degeneralion
Definition
Hunlinglon's disease (aulosomal-dominant CAG repeal expansion)
Term
Chronic exercise inlolerance wilh myalgia, fatigue, painful cramps
Definition
McArdle's disease (muscle phosphorylase deliciency)
Term
Cold intolerance
Definition
Hypothyroidism
Term
Conjugate lateral gaze palsy, horizontal diplopia
Definition
Internuclear ophthalmoplegia (damage lo MLF; bilateral Imulliple sclerosis], unilateral [stroke])
Term
Continuous "machinery" heart murmur
Definition
PDA (close wilh indomelhacin; open with misoprostol)
Term
Cutaneous/dermal edema due to conneclive lissue deposition
Definition
Myxedema (hypothyroidism, Graves' disease)
Term
Dark purple skin/mouth nodules
Definition
Kaposi's sarcoma (usually AIDS patients [gay men): associated with HHV-8)
Term
Deep, labored brealhing/hyperventilation
Definition
Kussmaul breathing (diabetic ketoacidosis)
Term
Dermatitis, dementia, diarrhea
Definition
Pellagra (niacin [vitamin BJ deficiency)
Term
Dilated cardiomyopathy, edema, polyneuropathy
Definition
Wet beriberi (thiamine [vitamin B,] deficiency)
Term
Dog or cat bile resulting in infection
Definition
Pasteurella multocido
Term
Dry eyes, dry mouth, arlhrilis
Definition
Sjogren's syndrome (auloimmune destruction of exocrine glands)
Term
Adiilles lendon xanthoma
Definition
Familial hypercholesterolemia
Term
Dysphagia (esophageal webs), glossitis, iron deficiency anemia
Definition
Plummer-Vinson syndrome (may progress lo esophageal squamous cell cardnoma)
Term
Elastic skin, hypermobility of joints
Definition
Ehlers-Danlos syndrome (collagen defect)
Term
Enlarged, hard left supraclavicular node
Definition
Virchow's node (abdominal metastasis)
Term
Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells
Definition
S^zary syndrome (cutaneous T-cell lymphoma) or mycosis fungoides
Term
Facial muscle spasm upon tapping
Definition
Chvoslek's sign (hypocalcemia)
Term
Fat, female, forty, and fertile
Definition
Acute cholecystitis (bile duct blockage)
Term
Fever, chills, headache, myalgia following antibiotic Irealmenl for syphilis
Definition
Jarisch-Herxheimer reaclion (rapid lysis of spirochetes results in loxin release)
Term
Fever, cough, conjunctivitis, coryza, diffuse rash
Definition
Measles (Morbillivirus)
Term
Fever, night sweats, weight loss
Definition
B symptoms (lymphoma)
Term
Fibrous plaques in soft tissue of penis
Definition
Peyronie's disease (connective tissue disorder)
Term
Gout, menial retardation, self-mutilating behavior in a boy
Definition
Lesch-Nyhan syndrome (HGPRT deficiency)
Term
Green-yellow rings around peripheral cornea
Definition
Kayser-Fleischer rings (copper accumulation from Wilson's disease)
Term
Hamartomalous Gl polyps, hyperpigmentation of mouth/feeVhands
Definition
Peulz-Jeghers syndrome (genetic benign polyposis can cause bowel obstruction; increased cancer risk)
Term
Hepatosplenomegaly, osteoporosis, neurologic symploms
Definition
Gaucher's disease (glucocerebrosidase deficiency)
Term
Hereditary nephrilis, sensorineural
hearing loss, cataracts
Definition
Alport's syndrome (collagen mulation)
Term
Hypercoagulability (leading to migrating DVTs and vasculitis)
Definition
Trousseau's sign (adenocarcinoma of pancreas or lung)
Term
Hyperphagia, hypersexualily, hyperoralily, hyperdocilily
Definition
Kluver-Bucy syndrome (bilateral amygdala lesion)
Term
Hypertension, hypokalemia, metabolic acidosis
Definition
Conn's syndrome (1° hyperaldosteronism)
Term
Hypoxemia, polycythemia, hypercapnia
Definition
"Blue bloater" (chronic bronchitis: hyperplasia of mucous cells)
Term
Indurated, ulcerated genital lesion (nonpainful)
Definition
Chancre (1° syphilis: Treponema pallidum)
Term
Infant wilh failure to thrive, hepatosplenomegaly, neurodegeneration
Definition
Niemann-Pick disease (genetic sphingomyelinase deficiency)
Term
Infanl wilh hypoglycemia, failure to thrive, and hepatomegaly
Definition
Cori's disease (debranchlng enzyme deficiency)
Term
Infant with microcephaly, rocker-bottom feet, and structural heart defect
Definition
Edwards' syndrome (Trisomy 18)
Term
Jaundice, RUQ pain, fever
Definition
Charcot's triad 2 (ascending cholangitis)
Term
Keratin pearls on a skin lesion
Definition
Squamous cell carcinoma
Term
Large rash wilh bull's-eye appearance
Definition
Erythema chronicum migrans from lick bile (Lyme disease: Borrelia)
Term
Lucid interval after traumatic brain injury
Definition
Epidural hematoma
Term
Male child, recurrent infections, no mature B cells
Definition
Bruton's disease (X-linked agammaglobulinemia)
Term
Mucosal bleeding and prolonged bleeding lime
Definition
Glanzmann's thrombasthenia (defeel in plalelel aggregation due to lack of Gpllb/IIIa)
Term
Mulliple colon polyps, osteomas/soft lissue lumors, impacted/supernumerary teeth
Definition
Gardner's syndrome (genetic disorder, predisposes lo colon cancer)
Term
Necrolizing vasculitis (lungs) and
necrolizing glomerulonephritis
Definition
Wegener's and Goodpasture's syndromes (hemoptysis and glomerular disease)
Term
Neonate wilh arm paralysis following difficult birth
Definition
Erb-Duchenne palsy (superior trunk [C5-C6J brachial plexus injury: "waiter's lip")
Term
No lactation postpartum, absent menstruation, cold intolerance
Definition
Sheehan's syndrome (pituitary infarction)
Term
Nystagmus, intention Iremor, scanning speech
Definition
Charcot's triad 1 (mulliple sclerosis)
Term
Oscillating slow/fast breathing
Definition
Cheyne-Stokes respirations (cenlral apnea in CHF or T inlracranial pressure)
Term
Painful blue fingers/toes, hemolytic anemia
Definition
Cold agglutinin disease (auloimmune hemolytic anemia caused by Mycoplasma pneumoniae, infectious mononucleosis)
Term
Painful, pale, cold fingers/toes
Definition
Raynaud's syndrome (vasospasm in extremities)
Term
Painful, raised red lesions on palms and soles
Definition
Osier's node (infective endocarditis)
Term
Painless jaundice
Definition
Cancer of the pancrealic head obslrucling bile duct
Term
Palpable purpura, joint pain, abdominal pain (child)
Definition
Henoch-Schonlein purpura (IgA vasculitis affecting skin and kidneys)
Term
Pancrealic, pituitary, parathyroid lumors
Definition
Wermer's syndrome (MEN 1)
Term
Pink complexion, dyspnea, hyperventilation
Definition
"Pink puffer" (emphysema: centroadnar [smoking], panacinar [alpha 1-antitrypsin deficiency])
Term
Polyostotic fibrous dysplasia, precocious puberty, cafe-au-lait spots, short stature in a young girl
Definition
McCune-Albright syndrome (mosaic G-protein signaling mutation)
Term
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Definition
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Definition
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Definition
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Definition
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