1 First Aid High Yeild Classic Presentations

Front 1

Abd pain
ascites
hepatomegaly

Back 1

Budd Chari syndrome
-post hepatic venous thrombosis

Front 2

Achiles Tendon Xanthoma

Back 2

Familial Hypercholesterolemia
- decreased LDL receptor signaling

Front 3

Adrenal hemorrhage
hypotension
DIC

Back 3

Waterhouse-Friderichsen syndrome
-meningococcemia

Front 4

Arachnodactylyl
Lens dislocation (BL)
aortic dissection
hyperflexible joints

Back 4

Marfans
-fibrillin defect

Front 5

athlete with polycythemia

Back 5

EPO injection

Front 6

Back pain
fever
night sweats
weight loss

Back 6

Potts Disease
-Vertebral TB

Front 7

BL hilar adenopathy
uveitus

Back 7

Sarcoidosis
"potato nodes"
african american

Front 8

blue sclera

Back 8

osteogenesis imperfectica
-collagen defect

Front 9

Blue line on gums

Back 9

Burtons line- Pb poision

Front 10

Bone Pain
Bone enlargement
arthritis

Back 10

Pagets disease of bone
*increased CLAST and blast

Front 11

Bounding pulse
diastolic heart murmur
head bobbing

Back 11

aortic regurg

Front 12

Butterfly rash
Raynauds
Seen in young female

Back 12

SLE

Front 13

Cafe au Lait spots
Lisch Nodules (iris harmatomas)

Back 13

NeurofibromatosisT I (pheochromocytoma, optic gliomas)

NF II (BL aucoustic neuroma)

Front 14

calf pseudohypertrophy

Back 14

MD

*Duchenes (beckers less common): X linked recessive deletion of dystrophin

Front 15

Cafe au Lait spots
Polycystic fibrous dysplasia
precousius puberty

Back 15

McCune Albright syndrome
*mosiag G proteion signalign mutation

Front 16

Cherry Red SPot on macula

Back 16

Tay Sachs: ganglioside accumulation
Neimann Pick: Sphingomyelin accumulation

*central retinal artery occlusion

Front 17

Chest Pain on exertion

Back 17

angina: stable, moderate exertion. unstable, minimal exertion

Front 18

CHest Pain
Pericardial effusion
Friction Rub
Persistant fever
AFTER MI

Back 18

Dresslers Syndrome
*AI mediated post MI fibrinious pericarditis
*seen 1-12 weeks after M I

Front 19

CHild uses arms to stand up from a squat

Back 19

gowers manuever- MD

Front 20

CHild with fever develops red rash on the face that spreads to body

Back 20

"Slapped CHeecks"
erythema infectiosum/fifth disease
Parvo B19

Front 21

Chorea
Dementia
caudate degeneration

Back 21

Huntingtons disease

AD: CAG repeate

Front 22

Chronic Exercise intolerance with myalgia
Fatigue
painful cramps
myoglobinuria

Back 22

McARdles DIsease: mm glycogen phosphorylase deficit

Front 23

COld intolerance

Back 23

hypothyroidism

Front 24

COnjungate lateral gaze palsy
horizonal diploplia

Back 24

Internuclear opthalmoplegia
*damage to MLF,
BL MS, I
L stroke

Front 25

Contunuous Machine like heart murmus

Back 25

PDA

Close with indomethicin
Open with PGE (misoprostol)

Front 26

Cutaneous/Dermal Edema due to CT deposition

Back 26

Myxedema
Caused by: hypothyroidism, graves disease is periorbital

Front 27

Dark Purple Skin
Mouth Nodules

Back 27

Kaposi Sarcoma

AIDS pt (Gay man)
HHV8

Front 28

Deep labored breathing
Hyperventilation

Back 28

Kussmal Breathing - DKA

Front 29

Dermatitis
Dementia
Diarrhea

Back 29

Pellagra, Niacin B3 deficit

Front 30

DIlated cardiomyopathy
Edema
Polyneuropathy

Back 30

Wet Beriberi
Thiamine B1 deficit

Front 31

Dysphagia (esophageal webs)
glossitis
Fe deficit anemia

Back 31

Plummer Vinson syndrome
*can progress to esophageal sq cell CA

Front 32

Dog or Cat bite resulting in finection

Back 32

Pasteurella multocida (cellulitis at inoculation)

Front 33

Dry Eyes
Dry Mouth
Arthritis

Back 33

Sjogrens Syndrome
*AI destruction of exocrine glands

Front 34

Elastic Skin
Hypermobility of Joints

Back 34

Ehlers Danlos
type III collagen deficit

Front 35

Enlarged hard left suproclavicular LN

Back 35

Virchow Node (abd mets)

Front 36

Erythroderma
Lymphadenopathy
HSM
Atypical T cells

Back 36

Sezary Syndrome- cutaneous T cell lymphoma

OR
Mycosis Fungoides

Front 37

Facial mm spasm on tapping facial n

Back 37

Chvosteks sign (hypocalcemia)

Front 38

fat
fertile
forty
female

Back 38

Acute Cholelithiasis (bile duct blockage)

Front 39

Fever
Chills
HA
myalga
*seen after AB tx for syphalis

Back 39

Jarisch Herxheimer reaction (rapid lysis of spirochetes rexults in toxin release)

Front 40

fever
cough
conjunctivitis
coryza
diffuse rash

Back 40

measles

Front 41

fever
night sweats
weight loss

Back 41

B sx, lymphoma

Front 42

fibrous plaques in solf tissue of penis

Back 42

peyronies disease (CT disorder)

Front 43

Gout
Mental Retardation
Self Mutilation

Back 43

Lesch Nyhann Syndrome

*HGPRT deficit, X linked recessive

Front 44

green yellow rings around peripheral cornea

Back 44

Kayser Fleischer rings
-Copper accumulation from Wilsons disease

Front 45

Harmartomous GI polyps
hyperpigmentation of mouth/hands/feet

Back 45

Peutz Jegher syndrome
-genetic benign polyposis can cause bowel obstruction, increased CA risk

Front 46

HSM
osteoperosis
neurologic syndrome

Back 46

Gaucher Disease- glucocerebridase deficit

Front 47

Hereditary Nephritis
sensotineiral hearling loss
cataracts

Back 47

Alport Syndrome
- mutation in alpha chain of collagen IV

Front 48

Hypercoagulability leading to migrating DVT and vasculitis

Back 48

trosseaus syndrome
*adenocarcinoma of pancreas or lung

Front 49

Hyperphagia
Hypersexual
hyperoral
hyperdolcity

Back 49

Kluver Bucy- BL amygadala lesion

Front 50

hyperreflexxia
hypertonia
+ babinski

Back 50

UMN lesion

Front 51

HTN
hypokalemia
metabolic acidosis

Back 51

conns syndrome

Front 52

Hyporeflexia
Hypotonia
Atrophy

Back 52

LMN lesion

Front 53

hypoxemia
polycythemia
hypercapnea

Back 53

"blue bloater"
*chronic bronchitis, hyperplasia of mucous cells

Front 54

indurated ulcerated genital lesion

Back 54

Non painful chancre:
1 syphalis- trepenoma pallidum

Painful with exudate: chancroid (H ducreyi)

Front 55

infant with failure to thirve
HSM
neurodegeneration

Back 55

Neimann Pick disease
-sphingomyelinase deficit

Front 56

infant with hypoglycemia
rocker bottom feet
clenched hands
structural heart defect

Back 56

Edwards Syndrome
-trisomy 18

Front 57

Keratin pearls on skin bx

Back 57

sq cell CA

Front 58

large skin rash with bulls eye

Back 58

erythema chronicum migrans from ixodes tick bite
*lyme disease

Front 59

lucid interval after traumatic brain injury

Back 59

Epidural hematoma (middle meningeal artery rupture)

Front 60

Male kid
recurrent infections
no mature B cells

Back 60

Burtons agammaglobuinemia
*x linked

Front 61

Mucosal bleeding
prolonged bleeding time

Back 61

Glanzmans thromboplasthenia
*defect in platelet aggregation due to defect in GpIIaIIIa

Front 62

Multiple colon polyps
osteoma/soft tissue tumors
impacted supernumery teeth

Back 62

Garnders Syndrome
-FAP subtype

Front 63

Myopathy (infantile hypertropic cardiomyopathy)
exercise intolerance

Back 63

Pompes Disease
-lysosomal a1,4glucosidase deficit

Front 64

Necrotizing Vasculiis (lungs)
necrotizing glomerulonephritis

Back 64

Wegners C anca and goodpasture (AB to BM- type II)

Front 65

Neonate with arm paralysis after difficult birth

Back 65

Erb Duchenes palsy "waiters tip"

Superior Trunk: C5-C6
brachial plexus injury

Front 66

No lactation post partum
absent menustration
cold intolerance

Back 66

Sheehans syndrome- pit infarct

Front 67

Nystagmous
intention tremor
scannin speech
BL internuclear opthalmoplegia

Back 67

MS

Front 68

Oscillating slow/fast breathing

Back 68

Cheyne Stokes respirations- central apnea in CHF or increased intracranial pressure

Front 69

Painful blue fingers adn toes
hemolytic anemia

Back 69

Raynauds syndrome- vasospasm in extremities

Front 70

painful red raised lesion on palms and soles

Back 70

oslars node- infective endocarditis

Front 71

painless erythematous lesion on palms and soles

Back 71

laneway lesions- infective endocarditis

Front 72

painless jaundice

Back 72

CA of head of pancreas that obstructs bile duct

Front 73

Palpable purpura on butt legs
joint pain
abd pain

Back 73

Henich Scheonlein Purpura
*IgA vasculitis affecting the skin and kidney

Front 74

pancreatic
pit
parathyroid

Back 74

MEN1

Front 75

pink complexion
dyspnea
hyperventilation

Back 75

"Pink Puffer"
*emphysema, centroacinar (smoking).
Panacinar- a1 antitrypsin deficit

Front 76

positive anterior drawer sign

Back 76

ACL injury

Front 77

ptosis
miosis
anhidrosis

Back 77

Horner Syndrome
*sns chain lesion

Front 78

Pupil accomadates but wont react

Back 78

Argyll Robertsonian pupil
*neurosyphalis

Front 79

Rapidly progressive leg weakness that ascends
-common after GI/URI infection

Back 79

GBS-
AI inflammatory demyelination polyneuropathy

Front 80

rash on palms and soles

Back 80

Coxsackie A
2 syphalis
RMSF

Front 81

recurrent colds
unusual ezcema
high serum IgE

Back 81

Hyper IgE syndrome- jobs syndrome: PMN chemotaxis abnormality

Front 82

Red currant jelly sputum in EtOHic or DM

Back 82

Klebsiella pneumoniae

Front 83

Red, itchy, swollen rash of aerola/nipple

Back 83

Pagets of the breast
*represents underlying neoplasm

Front 84

red urine in the am
fragile RBC

Back 84

paroxymal nocturnal hemaglobinuria

Front 85

BL renal cell carcinoma
hemangioblastoma
angiomatosis
pheochromocytoma

Back 85

von Hippel Lindau dusease
*dominant tumor suppressor gene mutation

Front 86

resting tremor
rigidity
akinesia
postural instability

Back 86

parkinsons
*nigrostriatal dopamine depletion

Front 87

retinal hemorrhage with pale center

Back 87

Roths Spots
*bacterial endocarditis

Front 88

severe jaundice in neonate

Back 88

Crigler Najjar Syndrome
*congenital unconjugated hyperbilirubenimia

Front 89

severe RLQ pain with rebound tenderness

Back 89

Appendicitis- McBurneys Sign

Front 90

short stature
increased tumors/leukemias
aplastic anemia

Back 90

Fanconi's anemoa
*genetic loss of DNA cross link repair, often progresses to AML

Front 91

Single palm crease

Back 91

simian crease- downs syndrome

Front 92

situs invertus
chronic sinusitis
bronchiectasis
infertility

Back 92

Kartrageners-
dyenin arm defect affecting cilia

Front 93

skin hyperpigmentation

Back 93

addisons
1* adrenocorticol insuffiency --> increase ACTH --> increased aMSH

Front 94

slow progressive weakness in boys

Back 94

Beckers MD
-DUchenes is more severe
-X linked missense mutation in dystrophin

Front 95

Small irregular red spots on buccal lingual mucosa with blue white centers

Back 95

Koplicks spots- Measles, rubeola virus
-coryza, conjunctiva, cough

Front 96

smooth flat white lesion on genitals

Back 96

condylomata lata (2* syphalis)

Front 97

splinter hemorrhage in fingernails

Back 97

bacterial endocarditis

Front 98

strawberry tongue

Back 98

SCARLET FEVER
Kawasaki disease
Toxic Shock

Front 99

Streak ovaries
congenital heart disease
horseshoe kidney
cystic hygroma at birth

Back 99

Truners
XO, short, webbed neck, lymphedema

Front 100

sudden swollen painful big toe, tophi

Back 100

gout
-podagra
-hyperurecemia

Front 101

swollen gums
mucous bleeding
poor wound healing
spots on skin

Back 101

scurvy
-Vit C deficit, cant hydroxylate proline and lysine for collagen synthesis

Front 102

swollen hard painful finger joints

Back 102

Osteoarthritis
-osteophytes on PIP (bouchards) &
DIP (Heberdens)

Front 103

systolic ejection murmur (crescendo decrescendo)

Back 103

aortic valve stenosis

Front 104

thyroid and parathyroid tumors, pheochromocytoma

Back 104

MEN2A

Autosomal Dominant RET mutation

Front 105

Thyroid tumors
pheochromocytoma
ganglioneuromatosis

Back 105

MEN2B

Autosomal Dominant RET mutation

Front 106

Toe Extension/Fanning on plantar scrape

Back 106

Babinski- UMN lesion

Front 107

UL facial drooping involving forehead

Back 107

Bells Palsy- CN VII

Front 108

urethritis
conjunctivitis
arthritis

Back 108

reactive arthritis
-HLA B27

Front 109

Vascular Birthmark (port wine)

Back 109

Hemangioma, benign but associater with Sturge Weber

Front 110

Vomiting blood after esophogastric lacerations

Back 110

Mallory Wiess syndrome
-EtOHics, Bulemics

Front 111

Waxy Casts with low urine flow

Back 111

Chronic end stage renal disease

Front 112

WBC cast in urine

Back 112

acute pyelonephritis

Front 113

Weight loss
diarrhea
arthritis
fever
adenopathy

Back 113

Whipples Disease (tropheryma whippelii)

Front 114

Worst HA of my life

Back 114

SAH