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First Aid Rapid Review, part 2
Part 2, classic presentations
63
Medical
Graduate
05/15/2010

Additional Medical Flashcards

 


 

Cards

Term
Infant with hypoglycemia, failure to thrive, and hepatosplenomegaly
Definition
Cori's disease (debranching enzyme) [and von Gierke's]
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 with bull's eye appearance
Definition
Erythema chronicum migrans from tick bite (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 agammaglubulinemia)
Term
Mucosal bleeding and prolonged bleeding time
Definition
Glanzmann's thrombasthenia (defect in platelet aggregation due to lack of GpIIb/IIIa)
Term
Multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth
Definition

Gardner's syndrome (genetic disorder, predisposes to colon cancer)

 

[A gardener grows vegetables like Gardner's grows tissue]

Term
Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis
Definition
Wegener's [if upper airway] and Goodpasture's syndromes (hemoptysis and glomerular disease)
Term
Neonate with arm paralysis following difficult birth
Definition
Erb-Duchenne palsy (superior turnk [C5-C6] brachial plexus injury: "waiter's tip")
Term
No lactation postpartum, absent menstruation, cold intolerance
Definition
Sheehan's syndrome (pituitary infarction)
Term
Nystagmus, intetion tremor, scanning speech
Definition
Charcot's triad 1 (multiple sclerosis)
Term
Oscillating slow/fast breathing
Definition
Cheyne-Stokes respirations (central apnea in CHF or increased intracranial pressure)
Term
Painful blue fingers/toes, hemolyic anemia
Definition
Cold agglutinin disease (autoimmune 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
Osler's node (infective endocarditis)
Term
Painless jaundice
Definition
Cancer of the pancreatic head obstructing bile dut
Term
Palpable purpura, joint pain, abdominal pain (child) [hematuria]
Definition
Henoch-Schonlein purpura (IgA vasculitis affecting skin and kidneys)
Term
Pancreatic, pituitary, parathyroid tumors
Definition
Wermer's syndrome (MEN 1)
Term
Pink complex, dyspnea, hyperventilation
Definition
"Pink puffer" (emphysema: centroacinar [smoking] panacinar [a1-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
Polyuria, acidosis, growth failure, electrolyte imbalance
Definition
Fanconi's syndrome (proximal tubule reabsorption defect)
Term
Positive anterior "drawer" sign [tibia displaced anterior to fibula]
Definition
ANterior cruciate ligament (ACL) injury
Term
Ptosis, miosis, anhidrosis
Definition
Horner's syndrome (sympathetic chain lesion)
Term
Pupil accomodates, but does not react
Definition
Argyll Robertson pupil
Term
Rapidly progressive leg weakness that ascends (following GI/upper respiratory infection)
Definition
Guillain-Barre syndrome (autoimmune acute inflammatory demyelinating polyneuropathy)
Term
Rash on palms and soles
Definition
Secondary syphilis, Rocky Mountain spotted fever [Coxsackie A virus]
Term
Recurrent colds, unusual eczema [truncal], high serum IgE
Definition
Job's syndrome (hyper-IgE syndrome: neutrophil chemotaxis abnormality)
Term
Red "currant jelly" sputum
Definition
Klebsiella pneumoniae
Term
Red, itchy, swollen rash of nipple/areola
Definition
Paget's disease of the breast (represents underlying neoplasm)
Term
Red urine in the morning
Definition
Paroxysmal nocturnal hemoglobinuria [complement mediated hemolyis; lack of CD-59/DAF]
Term
Renal cell carcinoma, hemangioblastomas, angiomatosis, pheochromocytoma
Definition
von Hippel-Lindau disease (dominant tumor suppressor gene mutation)
Term
Resting tremor, rigitidy, akinesia, postural instability
Definition
Parkinson's disease (nigrostriatal dopamine depletion)
Term
Restrictive cardiomyopathy (juvenile form: cardiomegaly), exercise intolerance
Definition
Pompe's disease (lysosomal glucosidase deficiency)
Term
Retinal hemorrhages with pale centers
Definition
Roth's spots (bacterial endocarditis)
Term
Severe RLQ with rebound tenderness
Definition
McBurney's sign (appendicitis)
Term
Short stature, increased incidence of tumors/leukemia, aplastic anemia
Definition
Fanconi's anemia (genetically inherited; often progresses to AML)
Term
Single palm crease
Definition
Simian crease (Down syndrome)
Term
Situs inversus, chronic sinusitis, bronchiectasis
Definition
Kartagener's syndrome (dynein defect affecting cilia)
Term
Skin hyperpigmentation
Definition
Addison's disease (primary adrenocortical insufficiency of autoimmune or infectious etiology)
Term
Slow, progressive muscle weakness in boys
Definition
Becker's muscular dystrophy (X-linked, defective dystrophin; less severe than Duchenne's)
Term
Small, irregular red spots on buccal/lingual mucosa with blue-white centers
Definition
Koplik spots (measles)
Term
Small, nontender, erythematous lesions on palms/soles
Definition
Janeway lesions (infective endocarditis)
Term
Smooth, flat, moist white lesions on genitals
Definition
Condylomata lata (secondary syphilis)
Term
Splinter hemorrhages in fingernails
Definition
Bacterial endocarditis
Term
"Strawberry tongue"
Definition
Scarlet fever, Kawasaki disease, toxic shock syndrome
Term
Streak ovaries, congenital heart disease, horseshoe kidney
Definition
Turner's syndrome (XO, short stature, webbed neck, lymphedema)
Term
Sudden swollen/painful big toe joint, tophi
Definition
Gout/podagra (hyperuricemia)
Term
Swollen gums, mucous bleeding, poor wound healing, spots on skin
Definition
Scurvy (vitamin C deficiency: can't hydroxylate proline/lysine for collagen synthesis)
Term
Swollen, hard, painful finger joints
Definition
Osteoarthritis (osteophytes on PIP [Bouchard's nodes], DIP [Heberden's nodes])
Term
Systolic ejection murmur (crescendo-decrescendo)
Definition
Aortic valve stenosis
Term
Thyroid, parathyroid, adrenal tumors
Definition
Sipple's syndrome (MEN 2A)
Term
Ulcerated genital lesion with exudate (painful)
Definition
Chancroid (Haemophilus ducreyi)
Term
Unilateral face drooping
Definition
Bell's palsy (LMN CN VII palsy)
Term
Urethritis, conjunctivitis, arthritis in a male
Definition
Reiter's syndrome (reactive arthritis associated with HLA-B27)
Term
Vascular birthmark (port-wine stain)
Definition
Hemangioma (benign,  but associated with Sturge-Weber syndrome)
Term
Vasculitis from exposure to endotoxin causing glomerular thrombosis
Definition
Shwartzman reaction (following second exposure to endotoxin)
Term
Vomiting blood following esophagogastric lacerations
Definition
Mallory-Weiss syndrome (alcoholics and eating disorders)
Term
"Waxy" casts with very low urin flow
Definition
Chronic end-stage renal disease
Term
WBC casts in urine
Definition
Acute pyelonephritis or cystitis
Term
Weight loss, diarrhea, arthritis, fever, adenopathy
Definition
Whipple's disease (Tropheryma whippelii)
Term
"Worst headache of my life"
Definition
[Subarachnoid hemorrhage, commonly caused by] Berry aneurysm (associated with adult polycystic kidney disease)
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