Term
urinary urgency, nocturia, frequncy, and hesitancy with constant back pain in an elderly man |
|
Definition
metastatic prostate cancer |
|
|
Term
gray vaginal discharge and fishy odor |
|
Definition
Gardnerella vaginalis Clue cell->movement with potassium hydroxide (Whiff test) Treat with oral metronidazole |
|
|
Term
hypo or hperpigmented skin patches that become more visible after tanning |
|
Definition
Pityriasis versicolor. caused by Malassezia furfur KOH preparation of skin scraping reveals a "spaghetti and meatball" appearance on light microscopy. |
|
|
Term
facial pain, headache, and black necrotic eschar in the nasal cavity in a pt w/ diabetic ketoacidosis |
|
Definition
|
|
Term
how is acute hypoglycemia treated in medical and non-medical setting? |
|
Definition
Non-medical: intramuscular glucagon medical: intravenous dextrose |
|
|
Term
repeated episodes of throbophlebitis |
|
Definition
|
|
Term
an immuno supressed pt w/ fever, chills and SOB, high pluse low BP presents with black lesions on abdoment. |
|
Definition
Ecthyma gangrenosum - caused by Pseudomonas aeruginosa bacteremia |
|
|
Term
repeated spisodes of unilateral sudden severe pain characterized by "stabbing" or "electric shock" and no more than a few seconds of duration triggered by stimulation to CN V. what is it and what treatment? |
|
Definition
trigeminal neuralgia, treat with carbamazepine |
|
|
Term
"red ragged" muscle fibers |
|
Definition
|
|
Term
Pt w/ fever, malaise, fatigue, anorexia, nausea, vomiting, mild abdominal pain, dark urine, and an aversion to smoking |
|
Definition
|
|
Term
Pt w/ history of celiac disease presents w/ erythematous purititic papules, vesicels, and bullae that appear bilaterally and symmetrically on the extensor surface. |
|
Definition
|
|
Term
pt of any age presents with wasting of the muscles (muscular dystrophy), cataracts, heart conduction defects, endocrine changes, and myotonia. |
|
Definition
myotonic dystropy, autosomal dominant trinucleotide repeat expansion disease |
|
|
Term
Kindergarten teacher presents abdominal cramping and bloody diarrhea |
|
Definition
|
|
Term
40 years old man from South America presents w/ dilated cardiomyopathy, megacolon, and megaesophagus. |
|
Definition
Chagas's disease, Trypanosoma cruzi. |
|
|
Term
34 yrd old man presents w/ multicenteric capillary memangioblastoma within the crebellum, retina, and spinal cord |
|
Definition
Von Hippel-Lindau disease. Pt is at increase risk of developing RCC. |
|
|
Term
infant presents with hypotonia, poor feeding, jaundice, macroglossia, consitipation and umbilical hernia. |
|
Definition
congenital hypothyroidism |
|
|
Term
cyanosis restricted to the lower body |
|
Definition
PDA with late onset reversal of shunt flow |
|
|
Term
A pt w/ history of HIV presents w/ finding of ring enhancing lesion in both cerebral hemisphere. |
|
Definition
Toxoplasmosis. treat with sulfadiazine and pyrmethamine |
|
|
Term
An actress uses experience of abuse to enhance her acting. What kind of ego defense is that? |
|
Definition
|
|
Term
|
Definition
it antagonizes various opioid receptors (opioid antagonist)...used to treat opioids overdose |
|
|
Term
a male pt presents with unilateral, repetitive brief heaches characterized by periorbital pain associated with ipsilateral lacrimation, rhinorrhead, horner's syndrome. What's going on? |
|
Definition
this guy is having cluster headache |
|
|
Term
pt presents with variety of complaints in multiple organ systems (at least 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic) over a period of years. What's the diagnosis? |
|
Definition
|
|
Term
pt presents with episodic, hypertion, tachycardia, headache, diaphoresis, and tremor. |
|
Definition
catecholamine-secreting tumors |
|
|
Term
a small child presents with uncontrolled bleeding, recurrent infections, and eczematous rashes...what's the diagnosis? |
|
Definition
|
|
Term
middle age man who works in a gravel pit/industrial mine presents with an X-ray that shows multiple calcified nodules in the upper lung. PPD test is neg. What's the diagnosis? |
|
Definition
|
|
Term
Shortly after delivery, a woman was found having massive bleeding and placenta was found attached to myometrium. what's the diagnosis? |
|
Definition
|
|
Term
Pt presents with proximal muscle weakness and facial rash. has positive ANA and anti-Jo-1. What's the diagnosis? |
|
Definition
|
|
Term
a young female presents with lower abdominal pain. pregnancy test is positive. What's the likely diagnosis? |
|
Definition
|
|
Term
pt presents with pain and stiffness in shoulders and hips, often with fever, malaise, and weight loss. There is no muscular weakness. What's the diagnosis? |
|
Definition
|
|
Term
pt with history of debilitating arthralgias presents with dark connective tissue, pigmented sclera, and urine turns black on standing. What's the diagnosis? |
|
Definition
alkaptonuria, def of homogentisic acid oxidase. |
|
|
Term
pt presents with heptatomegly, skin hyperpigmentation, and DM...what's the diagnosis? |
|
Definition
|
|
Term
pt presents with tinnitus, vertigo, and sensorineural hearing loss...what's the diagnosis? |
|
Definition
Meniere's disease increased volume and pressure of endolymph |
|
|
Term
what is characterized by hyperparakeratosis, accanthosis, rete ridge elongation, mitotic activity above the epidermal basal cell layer, and a reduced stratum granulosum? |
|
Definition
|
|
Term
an infant presents with dystonia, poor feeding, and his diaper smells like burnt sugar, what's the diagnosis? |
|
Definition
Maple syrup urine disease |
|
|
Term
|
Definition
for dissolving clots. promotes thrombolysis by converting plasminogen to plasmin which degrades fibrins and fibrinogen. |
|
|
Term
pt presents with nasal musosal ulceration and glomeruloephritis...what's the diagnosis? What's the antibody culprit here? |
|
Definition
Wegener's C-ANCA (cytoplasmic staining atntineutrophil cytoplasmic antibodies) |
|
|