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Rapid Review - Classic Lab Findings
FA12 585-588
99
Medical
Professional
02/23/2013

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Cards

Term
Anticentromere antibodies
Definition
Scleroderma (CREST)
Term
Antidesmoglein (epithelial) antibodies
Definition
Pemphigus vulgaris (blistering)
Term
Anti-glomerular basement membrane antibodies
Definition
Goodpasture's syndrome (glomerulonephritis and hemoptysis)
Term
Antihistone antibodies
Definition
Drug-induced Systemic Lupus Erythematosus (hydralazine, isoniazid, phenytoin, procainamide)
Term
Anti-IgG antibodies
Definition
Rheumatoid arthritis (systemic inflammation, joint pannus, boutonniere deformity)
Term
Antimitochondrial antibodies (AMAs)
Definition
Primary biliary cirrhosis (Female, cholestasis, portal hypertension)
Term
Antineutrophil antibodies (ANCAs)
Definition
Vasculitis (c-ANCA = Wegener's; p-ANCA = microscopic polyangiitis, Churg-Strauss syndrome)
Term
Antinuclear antibodies (ANAs; including anti-Smith and anti-dsDNA)
Definition
Systemic Lupus Erythematosus (Type III hypersensitivity)
Term
Antiplatelet antibodies
Definition
Idiopathic Thrombocytic Purpura (ITP)
Term
Anti-topoisomerase antibodies
Definition
Diffuse systemic scleroderma
Term
Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies
Definition
Celiac disease (diarrhea, distention, weight loss)
Term
"Apple core" lesion on abdominal x-ray
Definition
Colorectal cancer (usually left-sided)
Term
Azurophilic granular needles in leukemic blasts
Definition
Auer rods (acute myelogenous leukemia, especially the promyelocytic (M3) type)
Term
Bacitracin response in culture
Definition
Sensitive: Streptococcus pyogenes (group A); Resistant: Streptococcus agalactiae (Group B)
Term
"Bamboo spine" on x-ray
Definition
Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27
Term
Basophilic nuclear remnants in RBCs
Definition
Howell-Jolly bodies (due to splenectomy or nonfunctional spleen, e.g. sickle cell anemia)
Term
Basophilic stippling of RBCs
Definition
Lead poisoning or sideroblastic anemia
Term
Bloody tap on LP
Definition
Subarachnoid hemorrhage
Term
"Boot-shaped" heart on x-ray (Cour-en-sabot)
Definition
Tetralogy of Fallot, RVH
Term
Branching gram-positive rods with sulfur granules
Definition
Actinomyces israelii (yellow color = sand in Israel)
Term
Bronchogenic apical lung tumor
Definition
Pancoast tumor (can compress sympathetic ganglion and cause Horner's syndrome)
Term
"Brown" tumor of bone
Definition
Hemorrhage (hemosiderin) causes brown color of osteolytic lesions in hyperparathyroidism or in osteitis fibrosis cystica
Term
Cardiomegaly, apical atrophy
Definition
Chagas' disease (Trypanosma cruzi)
Term
Cellular crescents in Bowman's capsule
Definition
Rapidly progressive crescentic glomerulonephritis
Term
"Chocolate cyst" of ovary
Definition
Endometriosis (frequently in both ovaries)
Term
Circular grouping of dark tumor cells surrounding pale neurofibrils
Definition
Homer Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)
Term
Colonies of mucoid Pseudomonas in lungs
Definition
Cystic fibrosis (AR mutation to CFTR resulting in fat-soluble vitamin deficiency and mucoid plugs)
Term
Decreased alpha-fetoprotein in amniotic fluid/maternal serum
Definition
Down syndrome or other chromosomal abnormality
Term
Degeneration of dorsal column nerves
Definition
Tabes dorsalis (tertiary syphilis)
Term
Depigmentation of neurons in substantia nigra
Definition
Parkinson's disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)
Term
Desquamated epithelium casts in sputum
Definition
Curschmann's spirals (bronchial asthma; can result in whorled mucous plugs)
Term
Disarrayed granulosa cells in eosinophilic fluid
Definition
Call-Exner bodies (granulosa-theca cell tumor of the ovary)
Term
Dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia
Definition
Koilocytes (HPV; predisposes to cervical cancer)
Term
Enlarged cells with intranuclear inclusion bodies
Definition
"Owl's-eye" appearance of CMV
Term
Enlarged thyroid cells with ground-glass nuclei
Definition
"Orphan Annie" eye nuclei (papillary carcinoma of the thyroid)
Term
Eosinophilic cytoplasmic inclusion in liver cell
Definition
Mallory bodies (alcoholic liver disease)
Term
Eosinophilic cytoplasmic inclusion in nerve cell
Definition
Lewy Body (Parkinson's, Lewy Body Dementia)
Term
Eosinophilic globule in liver
Definition
Councilman body (toxic or viral hepatitis, often yellow fever)
Term
Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells
Definition
Rabies virus (Lyssavirus)
Term
Extracellular amyloid deposition in gray matter of brain
Definition
Senile plaques (Alzheimer's disease)
Term
Giant B cells with bilobed nuclei and prominent inclusions ("Owl's Eye")
Definition
Reed-Sternberg cells (Hodgkin's Lymphoma)
Term
Glomerulus-like structure surrounding vessel in germ cells
Definition
Schiller-Duvall bodies (yolk sac tumor)
Term
"Hair-on-end" (crew-cut) appearance on skull X-ray
Definition
Beta-thalassemia, sickle cell anemia (bone marrow expansion)
Term
hCG elevated
Definition
Pregnancy, Choriocarcinoma, hydatidiform mole (with or without embryo)
Term
Heart nodules (granulomatous)
Definition
Aschoff bodies (Rheumatic fever)
Term
Heterophile antibodies
Definition
Infectious mononucleosis (EBV)
Term
Hexagonal, double-pointed, needle-like crystals in bronchial secretions
Definition
Bronchial asthma (Charcot-Leyden crystals; eosinophilic granules)
Term
High D-Dimer
Definition
DVT, PE, DIC
Term
Hilar lymphadenopathy, peripheral granulomatous lesions in mid/lower lung lobes (with or w/o calcification)
Definition
Ghon complex (Primary TB)
Term
"Honeycomb lung" on x-ray
Definition
Interstitial fibrosis
Term
Hypersegmented neutrophils
Definition
Megaloblastic anemia (B12 deficiency = neuro sx; Folate deficiency = no neuro sx)
Term
Hypochromic microcytic anemia
Definition
Iron deficiency anemia OR lead poisoning OR thalssemia (sometimes with HbF)
Term
Increased alpha-fetoprotein in amniotic fluid/maternal serum
Definition
Dating error, neural tube defect (Spina bifida, anencephaly)
Term
Increased uric acid
Definition
Gout, Lesch-Nyhan syndrome, tumor lysis syndrome, loop or thiazide diuretics
Term
Intranuclear eosinophilic droplet-like bodies
Definition
Cowdry type A bodies (HSV or CMV)
Term
Iron-containing nodules in alveolar septum
Definition
Feruginous bodies (asbestos => mesothelioma)
Term
Large lysosomal vesicles in phagocytes, immunodeficiency
Definition
Chediak-Higashi disease (congenital failure of phagolysosome formation)
Term
"Lead pipe" appearance of colon on x-ray
Definition
Ulcerative Colitis (loss of haustra)
Term
Linear appearance of glomeruli on immunofluorescence
Definition
Goodpasture's syndrome (Immune markers along GBM)
Term
Low serum ceruloplasmin
Definition
Wilson's disease (hepatolenticular degeneration)
Term
"Lumpy-bumpy" appearance of glomeruli on immunofluorescence
Definition
Poststreptococcal glomerulonephritis (immune complex deposition: IgG and C3b)
Term
Lytic ("Hole-punched") bone lesions on x-ray
Definition
Multiple Myeloma
Term
Mammary gland ("blue-domed") cyst
Definition
Fibrocystic change of the breast
Term
Monoclonal antibody spike
Definition
1) Multiple Myeloma (called M-protein; IgG or IgA)
2) Monoclonal gammopathy of undetermined significance (MGUS; normal aging)
3) Waldenstrom's macroglobulinemia (IgM)
4) Primary amyloidosis
Term
Monoclonal globulin protein in blood/urine
Definition
Bence Jones proteins (multiple myeloma = kappa/lambda Ig light chains in urine), Waldenstrom's macroglobulinemia (IgM)
Term
Mucin-filled cell with peripheral nucleus
Definition
Signet ring (gastric carcinoma)
Term
Narrowing of bowel lumen on barium radiograph
Definition
"string sign" (Crohn's)
Term
Needle-shaped, negatively birefringent crystals
Definition
Gout (monosodium urate crystals)
Term
Nodular hyaline deposits in glomeruli
Definition
Kimmelstiel-Wilson nodules (diabetic nephropathy)
Term
Novobiocin response (sensitive/resistant)
Definition
Sensitive = Staph epidermidis
Resistant = Staph saprophyticus
Term
Nutmeg liver
Definition
Chronic passive congestion of liver d/t R heart failure
Term
"Onion-skin" periosteal reaction
Definition
Ewing's sarcoma (malignant round-cell tumor)
Term
Optochin response (sensitive/resistant)
Definition
Sensitive = Streptococcus Pneumoniae
Term
Periosteum raised from bone => triangular area
Definition
Codman's triangle on XR (Osteosarcoma, Ewing's Sarcoma, pyogenic osteomyelitis)
Term
Podocyte fusion on electron microscopy
Definition
Minimal change disease (child w/ nephrotic syndrome)
Term
Polished, "ivory-like" appearance of bone at cartilage erosion
Definition
Eburnation (osteoarthritis resulting in bony sclerosis)
Term
Protein aggregates in neurons from hyperphosphorylation of protein tau
Definition
Neurofibrillary tangles (Alzheimers, CJD)
Term
Pseudopalisading tumor cells on brain biopsy
Definition
Glioblastoma multiforme
Term
RBC casts in urine
Definition
Acute glomerulonephritis
Term
Rectangular, crystal-like cytoplasmic inclusions in Leydig cells
Definition
Reinke crystals (Leydig cell tumor)
Term
Renal epithelial casts in urine
Definition
Acute toxic/viral nephrosis
Term
Rhomboid crystals (+) birefringence
Definition
Pseudogout (calcium pyrophosphate dihydrate)
Term
Rib notching
Definition
Coarctation of the aorta (increased collateral circulation through mammary arteries)
Term
Ring-enhancing brain lesion in an AIDS pt
Definition
Toxoplasma gondii
Term
Sheets of medium-sized lymphoid cells ("starry sky" appearance on histology)
Definition
Burkitt's lymphoma (t[8:14] c-myc activation. Associated with EBV. "black sky" made up of malignant cells)
Term
Silver-staining spherical aggregation of tau proteins in neurons
Definition
Pick bodies (Pick's disease => progressive dementia, changes in personality)
Term
"Soap bubble" in femur/tibia on XR
Definition
Giant cell tumor of bone (usually benign)
Term
"Spikes" on basement membrane, "dome"-like subepithelial deposits
Definition
Membranous glomerulonephritis (may progress to nephrotic syndrome)
Term
Stacks of red blood cells
Definition
Rouleaux formation (high ESR, multiple myeloma)
Term
Stippled vaginal epithelial cells
Definition
"Clue cells" (Gardnerella vaginalis)
Term
Tennis-racket shaped cytoplasmic organelles on EM in Langerhans cells
Definition
Birbeck granules (histiocytosis X, eosinophilic granuloma)
Term
Thrombi made of red/white layers
Definition
Lines of Zahn (arterial thrombus, layers of platelets/RBCs)
Term
"Thumb sign" on lateral neck XR
Definition
Epiglottitis (H. influenzae)
Term
Thyroid-like appearance of kidney
Definition
Chronic bacterial pyelonephritis
Term
"Tram-track" appearance on LM
Definition
Membranoproliferative glomerulonephritis
Term
Triglyceride accumulation in liver cell vacuoles
Definition
Fatty liver disease (Alcoholic or metabolic syndrome)
Term
"Smudged" WBCs
Definition
CLL (almost always B cell; affects the elderly)
Term
"Wire loop" glomerular appearance on Light Microscopy
Definition
Lupus nephropathy
Term
Yellow CSF
Definition
Xanthochromia (previous subarachnoid hemorrhage)
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