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102 Cards in this Set

  • Front
  • Back
Abdominal pain, ascites, hepatomegaly
Budd Chiari syndrome (posthepatic venous thrombosis)
Achilles tendon xanthoma
familial hypercholesterolemia ( decreased LDL receptor signaling)
Adrenal hemorrhage, hypotension, DIC
Waterhouse-Frederichsen sydrome (meningcoccemia)
Arachnodactylyl, lens dislocation, aortic dissection, hyperflexible joints
Marfan's syndrome (fibrillin defect)
Athlete with polycythemia
erythropotein injection
Back pain, fever, night sweats, weight loss
Pott's disease (TB in vertebrae)
Bilateral hilar adenopathy, uveitis
Blue sclera
(Osteogenesis type I (type I collagen defect)
Bluish line on gingiva
Burton's line (lead poisoning)
Bone pain, bone enlargement, arthritis
Paget's dz of bone (increased osteoblastic and osteoclastic activity)
Bounding pulses, diastolic heart murmur, head bobbing
Aortic regurgitation
Butterfly rash and raynaud's phenomenon in a young female
systemic lupus erythematous
Cafe-au-lait spots, lisch nodules (iris hamartoma)
NF type I (+ pheochromo, optic gliomas)

NF type II (bilateral acoustic neuromas)
Cafe-Au laite spots, polyostotic fibrous dysplasia, precocious puberty
Mcune-Albright syndrome (mosaic G- protein signaling)
Calf pseudohypertophy
Muscular dystrophy (Duchenne's usually) XR deletion of dystrophin gene
Cherry-red spot on macula
Tay Sach's (ganglioside) or Niemann Pick (spingomylein accumulation), central retinal artery occlusion
Chest pain, pericardia effusion/friction rub, persistent fever following MI
Dressler's syndrome (autoimmune post MI fibrinous pericarditis, 1-12 weeks after acute episode)
Child uses arms to stand up from squat
Gower's sign (duchenne muscular dystrophy)
Child with fever develops red rash on face that spreads to body
Slapped cheeks disease; erythema infectiosum...B19
Chorea, dementia, caudate degeneration
Hungtingdon's disease (AD CAG repeat expansion)
Chronic exercise intloerance with myalgia, fatigue, painful cramps, myoglobinuria
McArdle's disease (muscle glycogen phosphorylase deficiency)
Conjugate lateral gaze palsy, horizontal diplopia
Internuclear opthalmoplegia, damage to MLF
Bilateral: MS Unilateral: stroke
Continuous machine-like murmur
PDA (close with indomethacin; open with misoprostol)
Dark purple skin, mouth nodules
Kaposi's sarcoma; AIDS, HHV8
Deep labored breathing/hyperventilation
Kussmaul, (DKA)
Dermatitis, Dementia, diarrhea
pellagra (niacin B3 deficiency)
Dilated cardiomyopathy, edema, polyneuropathy
Wet beriberi (thiamine B1 defiency)
dry mouth and eyes, arthritis
Sjogrens (anti Ro and anti-La)
Dysphagia, glossitis, IDA
plummer vinson syndrome (may prgoress to esophageal squamous cell carcinoma)
elastic skin
Ehler-danlos syndrome (type III collagen defect)
enlarge, hard left supraclavicular node
virchow's node (abdominal metastasis)
Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells
Sezary syndrome (cutaneous T cell lymphoma), or mycosis fungoides
facial muscle spasm upon tapping
Chvostek's sign (hypocalcemia)
Fat, female, forty, and fertile
Acute cholelithiasis (bile duct blockage)
fever, chills, headache, myalgia following antibiotic treatment for syphylis
Jarisch-herxheimer reaction (rapid lysis of spirochetes results in toxin release)
fever, cough, conjunctivitis, coryza, diffuse rash
Measles (morbillivirus)
Fever, night sweats, weight loss
B symptoms (lymphoma)
fibrous plaques in soft tissue of penis
Peyronie's disease (connective tissue disorder)
gout, mental retardation, self-mutilating behavior in boy
Lesch-myhan syndrome (HGPRT defiency, XR)
green-yellow rings around peripheral cornea
Kayer-fleischer rings (Copper accum from wilson's disease)
hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands
Peutz-jeghers syndrome
hepatosplenomegaly, osteoporosis, neurologic symptoms
Gaucher's disease (glucocerebrosidase defiency)
hereditary nephritis, sensorineural hearing loss, cataracts
Alport syndrome (defect in collagen type IV)
hyperphagia, hypersexuality, hyperorality, hyperdocility,
Kluver Bucy (bilateral amygdala lesion)
Hypertension hypokalemia metabolic alkalosis
Conn's syndrome (hyperaldosteronism)
hyporeflexia, hypotonia, atrophy
LMN lesion
hypoxemia, polycythemia, hypercapnia
Chronic bronchitis (hyperplasia of mucus cells)
infant with failure to thrive, hepatosplenomegaly, neurodegeneration
Niemann Pick (sphingomyelinase deficiency)
hypoglycemia, failure to thrive, hepatomegaly
Cori's disease (deficiency of debranching enzyme)
infant with microcephaly, rocker-bottom feet, clenched hands, structural heart defect
Edwards syndrome (tri 18)
keratin pearls on skin biopsy
squamous cell carcinoma
large rash with bull-eyes appearance
erythema chronicum migrans (borrelia from Ixodes)

Ixodes also vector for babesia
lucid interval after traumatic brain injury
epidural hematoma (middle meningeal)
male child, recurrent infections, no mature B cells
Bruton's agammaglobulinemia (XR)
Mucosal bleeding, prolonged bleeding time
Glanzmann's thrombasthenia (GpIIB/IIIa defect)

*this sounds like von willebrands disease too?
multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth
Gardner's syndrome (FAP subtype)
Myopathy (infantile hypertrophic caridomyopathy), exercise intolerance
Pompe's disease (lysomal alpha-1,4 glucosidase defiency)
necrotizing vasculitis (lungs) and necrotizing glumerulonephritis
Wegner's (c-ANCA) and Goodpastures(anti-BM)
neonates with arm paralysis following difficult birth
Erb-Duchenne (superior trunk (c5-6) injury, waiter's tip)

associated with maternal diabetes..difficult birth
no lactation postpartum, absent menstruation, cold intolerance
Sheehan's syndrome (pituitary infarction
nystagmus, intention tremor, scanning speech, bilateral internuclear opthalmoplegia
multiple sclerosis
oscillating slow/fast breathing
cheyne-stokes respirations (central apnea in CHF or increased cranial pressure)
painful blue finger/toes, hemolytic anemia
gold agglutin disease (m pneumo or infectious mononucleosis causing autoimmune hemolytic anemia)
painful,pale, cold fingers
raynauds syndrome
painful red lesions on palms and soles
Osler's nodes (endocarditis)
painless erythematous lesions on palms and soles
Janeway lesions (endocarditis)
painless jaundice
cancer of the pancreatic head obstructing bile duct
palpable purpura on buttocks, joint pain, abdominal pain
henloch schonlein purpura (IgA vasculitis affecting skin and kidneys)
pancreatic, pituitary, parathyroid tumors
pink complexion, dyspnea, hyperventilation
emphysema (centriacinar-smoking, panacinar- alpha 1 antitrypsin)
polyuria, acidosis, growth failure, electrolyte imbalances
Fanconi's syndrome (proximal tubular readsorption defect)
ptosis, miosis, anhidrosis
Horner's syndrome
pupil accomodates but doesn't react
Argyll Robertson pupil (neurosyphilis)
rapidly progressive leg weakness that ascends (following URI)
Guillain barre- demyelinating disease that ascends ( campylobacter usually associated)
Rash on palms and soles
coxsackie A, secondary syphilis, rocky mountain spotted fever
recurrent colds, unusual eczema, high serum IgE
Job's/hyper IgE syndrome (neutrophil chemotaxis defiency)
red current jelly sputum
red, itchy, swollen rash of nipple/aerola
Paget's dz of breast (represents underlying neoplasm)
red urine in morning
paroxysmal nocturnal hemoglobinuria
(defect in delay accelerating factor, which destabilizes C3 and C5 convertase binding to RBC membrane)
renal cell carcinoma, hemangioblastomas, angiomatosis, pheochromocytoma
Von-hippel-lindau dz (dominant tumor suppresor gene mutaiton AD)
resting tremor, rigidity, akinesia, postural instability
parkinson's (nigrostriatal dopamine depletion)
retinal hemorrhage with pale center
Roth's spots (bacterial endocarditis)
severe jaundice in neonate
Crigler-najjar syndrome (congenital unconjugated hyperbilirubinemia, defect in UDP glucoronyl transferase deficiency)
short stature, increased incidence of tumors/leukemia, aplastic anemia
Fanconi's anemia (genetic loss of DNA crosslink repair; often progress to AML)
situs inversus, chronic sinusitis, bronchiectasis, infertility
Kartagener (dynein arm defect in cilia)
skin hyperpigementation
Addison's dz (primary adrenocortical defiency, icnrease acth and MSH production)
slow, progressive muscle weakness in boys
Becker's dystrophy (XR, less severe than Duchenne's)
small irregular red spots on buccal/lingual mucosa with blue-white centers
koplik spots (measles; rubeola virus)
Smooth, flat, moist white lesions on genitals
Condyloma lata (secondary syphilis)
spliter hemorrhages in fingernails
bacterial endocarditis
streak ovaries, congenital heart disease (coarc), horseshoe kidney, cystic hygroma at birth
Turner syndrome
swollen gums, mucous bleeding, poor wound healing, spots on skin
scurvy (vit c defiency, needed to hydroxylate proline and lysine in collagen syn)
swollen hard painful finger joints
osteoarthritis (osteophytes on PIP (bouchards) and DIP (heberdeens)
systolic ejection murmur
aortic valve stenosis
thyroid tumors, pheochromocytoma, ganglionneuromatosis
MEN 2B (ret mutation, marfinoid habitus)
unilateral facial droopign involving forehead
Bell's palsy (LMN CN VII and palsy)
urethritis, conjunctivitis, arthritis in male
Reactive arthritis assoc with HLA-B27
vascular birthmark (port-wine stain)
Hemangioma (benign, but associated with sturge-weber)
vomitting blood following esophageal lacerations
mallory weiss syndrome

boerrhave's is full thickness perforation*
"waxy" casts with very low urine flow
chronic ESRD
weight loss, diarrhea, arthritis, fever, adenopathy
Whipple disease

PAS stain used for dx
worst headache of my life
subarachnoid hemorrhage (bloody or yellow spinal tap)

rupture of aneurysm (usually marfan's ehlers-danlos, ADPKD) or an AVM