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421 Cards in this Set

  • Front
  • Back
"Bamboo spine" on x-ray -- CF
Ankylosing spondylitis
"Blue bloater" -- CF
Chronic bronchitis
"Brown tumor" of bone -- CF
Hemorrhage causes brown color of osteolytic cysts: 1. Hyperparathyroidism; 2. Osteitis fibrosa cystica (von Recklinghausen's disease)
"Chocolate cysts" -- CF
Endometriosis (frequently involves both ovaries)
"Lumpy-bumpy" appearance of glomeruli on immunofluorescence -- CF
Poststreptococcal glomerulonephritis
"Machine-like" murmur -- MF cause
PDA
"Orphan Annie" nuclei -- CF
Papillary carcinoma of the thyroid
"Pink puffer" -- CF
Emphysema (centroacinar [smoking], panacinar [α1-antitrypsin deficiency])
"Smudge cell" -- CF
CLL
"Strawberry tongue" -- CF
Scarlet fever
"Tram-track" appearance on LM -- CF
Membranoproliferative glomerulonephritis
"Wire loop" appearance on LM -- CF
Lupus nephropathy
"Worst headache of my life" -- CF
Berry aneurysm--associated with adult polycystic kidney disease
Actinic keratosis -- CF
Often precedes squamous cell carcinoma
Addison's -- MF cause
Autoimmune (infection is the 2nd most common cause)
Addison's disease -- CF
1° adrenocortical deficiency
Albright's syndrome -- CF
Polyostotic fibrous dysplasia, precocious puberty, café-au-lait spots, short stature, young girls
Albuminocytologic dissociation -- CF
Guillain-Barré (incr protein in CSF with only modest incr in cell count)
Alport's syndrome -- CF
Hereditary nephritis with nerve deafness
Aneurysm, dissecting -- MF cause
Hypertension
Anti-basement membrane antibodies -- CF
Goodpasture's syndrome
Anticentromere antibodies -- CF
Scleroderma (CREST)
Anti-double-stranded DNA antibodies (ANA antibodies) -- CF
SLE (type III hypersensitivity)
Anti-epithelial cell antibodies -- CF
Pemphigus vulgaris
Antigliadin antibodies -- CF
Celiac disease
Antihistone antibodies -- CF
Drug-induced SLE
Anti-IgG antibodies -- CF
Rheumatoid arthritis
Antimitochondrial antibodies -- CF
1° biliary cirrhosis
Antineutrophil antibodies -- CF
Vasculitis
Antiplatelet antibodies -- CF
Idiopathic thrombocytopenic purpura
Aortic aneurysm, abdominal and descending aorta -- MF cause
Atherosclerosis
Aortic aneurysm, ascending -- MF cause
3° syphilis
Arachnodactyly -- CF
Marfan's syndrome
Argyll Robertson pupil -- CF
Neurosyphilis
Arnold-Chiari malformation -- CF
Cerebellar tonsillar herniation
Aschoff bodies -- CF
Rheumatic fever
Atrophy of the mammillary bodies -- CF
Wernicke's encephalopathy
Auer rods -- CF
Acute myelogenous leukemia (especially the promyelocytic type)
Autosplenectomy -- CF
Sickle cell anemia
Babinski's sign -- CF
UMN lesion
Bacteremia/pneumonia (IVDA) -- MC
S. aureus
Bacteria associated with cancer -- MC
H. pylori
Bacteria found in GI tract -- MC
Bacteroides (2nd most common is E. coli )
Bacterial meningitis (adults) -- MF cause
Streptococcus pneumoniae
Bacterial meningitis (elderly) -- MF cause
S. pneumoniae
Bacterial meningitis (kids) -- MF cause
S. pneumoniae or Neisseria meningitidis
Bacterial meningitis (newborns) -- MF cause
Group B streptococcus
Baker's cyst in popliteal fossa -- CF
Rheumatoid arthritis
Bartter's syndrome -- CF
Hyperreninemia
Basophilic stippling of RBCs -- CF
Lead poisoning
Becker's muscular dystrophy -- CF
Defective dystrophin; less severe than Duchenne's
Bell's palsy -- CF
LMN CN VII palsy
Bence Jones proteins -- CF
Multiple myeloma (kappa or lambda Ig light chains in urine), Waldenström's macroglobulinemia (IgM)
Berger's disease -- CF
IgA nephropathy
Bernard-Soulier disease -- CF
Defect in platelet adhesion
Bilateral hilar adenopathy, uveitis -- CF
Sarcoidosis
Birbeck granules on EM -- CF
Histiocytosis X (eosinophilic granuloma)
Bloody tap on LP -- CF
Subarachnoid hemorrhage
Blue sclera -- CF
Osteogenesis imperfecta
Blue-domed cysts -- CF
Fibrocystic change of the breast
Boot-shaped heart on x-ray -- CF
Tetralogy of Fallot; RVH
Bouchard's nodes -- CF
Osteoarthritis (PIP swelling 2° to osteophytes)
Boutonnière deformity -- CF
Rheumatoid arthritis
Brain tumor (adults) -- MC
Mets > astrocytoma (including glioblastoma multiforme) > meningioma > schwannoma
Brain tumor (kids) -- MC
Medulloblastoma (cerebellum)
Brain tumor--supratentorial (kids) -- MC
Craniopharyngioma
Branching rods in oral infection -- CF
Actinomyces israelii
Breast cancer -- MC
Infiltrating ductal carcinoma (in the United States, 1 in 9 women will develop breast cancer)
Breast mass -- MC
Fibrocystic change (in postmenopausal women, carcinoma is the most common)
Breast tumor (benign) -- MC
Fibroadenoma
Bruton's disease -- CF
X-linked agammaglobulinemia
Budd-Chiari syndrome -- CF
Posthepatic venous thrombosis
Buerger's disease -- CF
Small/medium-artery vasculitis
Bug in debilitated, hospitalized pneumonia patient -- MC
Klebsiella
Burkitt's lymphoma -- CF
t8:14; associated with EBV; "starry sky" appearance on histology
Burton's lines -- CF
Lead poisoning
Café-au-lait spots on skin -- CF
Neurofibromatosis
Caisson disease -- CF
Gas emboli
Calf pseudohypertrophy -- CF
Duchenne's muscular dystrophy
Call-Exner bodies -- CF
Granulosa-theca cell tumor of the ovary
c-ANCA, p-ANCA -- CF
Wegener's granulomatosis, microscopic polyangiitis
Cancer associated with AIDS -- MF cause
Kaposi's sarcoma
Cardiac 1° tumor (adults) -- MC
Myxoma (4:1 left to right atrium; "ball and valve")
Cardiac 1° tumor (kids) -- MC
Rhabdomyoma
Cardiac tumor (adults) -- MC
Mets
Cardiomegaly with apical atrophy -- CF
Chagas' disease
Cardiomyopathy -- MC
Dilated cardiomyopathy
Cerebriform nuclei -- CF
Mycosis fungoides (cutaneous T-cell lymphoma)
Chagas' disease -- CF
Trypanosome infection
Chancre -- CF
1° syphilis (not painful)
Chancroid -- CF
Haemophilus ducreyi (painful)
Charcot's triad -- CF
Multiple sclerosis (nystagmus, intention tremor, scanning speech), cholangitis (jaundice, RUQ pain, fever)
Charcot-Leyden crystals -- CF
Bronchial asthma (eosinophil membranes)
Chédiak-Higashi disease -- CF
Phagocyte deficiency
Cherry-red spot on macula -- CF
Tay-Sachs, Niemann-Pick disease, central retinal artery occlusion
Cheyne-Stokes -- CF
respirations Central apnea in CHF and incr intracranial pressure
Chromosomal disorder -- MC
Down syndrome (associated with ALL, Alzheimer's dementia, and endocardial cushion defects)
Chronic arrhythmia -- MC
Atrial fibrillation (associated with high risk of emboli)
Chronic atrophic gastritis -- CF
Predisposition to gastric carcinoma
Chvostek's sign -- CF
Hypocalcemia (facial muscle spasm upon tapping)
Clear cell adenocarcinoma of the vagina -- CF
DES exposure in utero
Clue cells -- CF
Gardnerella vaginitis
Codman's triangle on x-ray -- CF
Osteosarcoma
Cold agglutinins -- CF
Mycoplasma pneumoniae, infectious mononucleosis
Cold intolerance -- CF
Hypothyroidism
Condylomata lata -- CF
2° syphilis
Congenital adrenal hyperplasia -- MF cause
21-hydroxylase deficiency
Congenital cardiac anomaly -- MC
VSD
Constrictive pericarditis -- MC
Tuberculosis
Continuous machinery murmur -- CF
Patent ductus arteriosus
Cori's disease -- CF
Debranching enzyme deficiency
Coronary artery involved in thrombosis -- MC
LAD > RCA > LCA
Cotton-wool spots -- CF
Chronic hypertension
Cough, conjunctivitis, coryza + fever -- CF
Measles
Councilman bodies -- CF
Toxic or viral hepatitis
Cowdry type A bodies -- CF
Herpes virus
Crescents in Bowman's capsule -- CF
Rapidly progressive crescentic glomerulonephritis
Cretinism -- MF cause
Iodine deficit/hypothyroidism
Crigler-Najjar syndrome -- CF
Congenital unconjugated hyperbilirubinemia
Curling's ulcer -- CF
Acute gastric ulcer associated with severe burns
Currant-jelly sputum -- CF
Klebsiella
Curschmann's spirals -- CF
Bronchial asthma (whorled mucous plugs)
Cushing's syndrome -- MF cause
Corticosteroid therapy (2nd most common cause is excess ACTH secretion by pituitary)
Cushing's ulcer -- CF
Acute gastric ulcer associated with CNS injury
Cyanosis (early; less common) -- MC
Tetralogy of Fallot, transposition of great vessels, truncus arteriosus
Cyanosis (late; more common) -- MC
VSD, ASD, PDA (close with indomethacin; open with misoprostol)
D-dimers -- CF
DIC
Death in CML -- MF cause
Blast crisis
Death in SLE -- MF cause
Lupus nephropathy
Dementia -- MF cause
Alzheimer's (2nd most common is multi-infarct)
Demyelinating disease -- MC
Multiple sclerosis
Depigmentation of neurons substantia nigra -- CF
in Parkinson's disease (basal ganglia disorder--rigidity, resting tremor, bradykinesia)
Dermatitis, dementia, diarrhea -- CF
Pellagra (niacin, vitamin B3 deficiency)
DIC -- MF cause
Gram-negative sepsis, obstetric complications, cancer, burn trauma
Dietary deficit -- MC
Iron
Dog or cat bite -- CF
Pasteurella multocida
Donovan bodies -- CF
Granuloma inguinale
Dressler's syndrome -- CF
Post-MI fibrinous pericarditis
Dubin-Johnson syndrome -- CF
Congenital conjugated hyperbilirubinemia (black liver)
Duchenne's muscular dystrophy -- CF
Deleted dystrophin gene (X-linked recessive)
Eburnation -- CF
Osteoarthritis (polished, ivory-like appearance of bone)
Edwards' syndrome -- CF
Trisomy 18 associated with rocker-bottom feet, low-set ears, heart disease
Eisenmenger's complex -- CF
Late cyanosis shunt (uncorrected L -> R shunt becomes R -> L shunt)
Ejection click -- MF cause
Aortic/pulmonic stenosis
Elastic skin -- CF
Ehlers-Danlos syndrome
Epiglottitis -- MC
Haemophilus influenzae type B
Erb-Duchenne palsy -- CF
Superior trunk (C5-C6) brachial plexus injury ("waiter's tip")
Erythema chronicum migrans -- CF
Lyme disease
Esophageal cancer -- MC
Squamous cell carcinoma
Fanconi's syndrome -- CF
Proximal tubular reabsorption defect
Fat, female, forty, and fertile -- CF
Acute cholecystitis
Fatty liver -- CF
Alcoholism
Ferruginous bodies -- CF
Asbestosis
Food poisoning -- MF cause
S. aureus
Gardner's syndrome -- CF
Colon polyps with osteomas and soft tissue tumors
Gaucher's disease -- CF
Glucocerebrosidase deficiency
Gene involved in cancer -- MC
p53 tumor suppressor gene
Ghon focus -- CF
1° TB
Gilbert's syndrome -- CF
Benign congenital unconjugated hyperbilirubinemia
Glanzmann's thrombasthenia -- CF
Defect in platelet aggregation
Glomerulonephritis (adults) -- MF cause
IgA nephropathy (Berger's disease)
Goodpasture's syndrome -- CF
Autoantibodies against alveolar and glomerular basement membrane proteins
Gowers' maneuver -- CF
Duchenne's (use of patient's arms to help legs pick self off the floor)
Group affected by cystic fibrosis -- MC
Caucasians (fat-soluble vitamin deficiencies, mucous plugs/lung infections)
Guillain-Barré syndrome -- CF
Idiopathic polyneuritis
Gynecologic malignancy -- MC
Endometrial carcinoma
Hair-on-end (crew-cut) appearance on x-ray -- CF
B-thalassemia, sickle cell anemia (extramedullary hematopoiesis)
Diabetes insipidus + exophthalmos + lesions of skull -- CF
Hand-Schüller-christian disease
Hand-Schüller-christian disease -- CF
Chronic progressive histiocytosis
HbF -- CF
Thalassemia major
HbS -- CF
Sickle cell anemia
hCG elevated -- CF
Choriocarcinoma, hydatidiform mole (occurs with and without embryo)
Heart murmur -- MC
Mitral valve prolapse
Heart valve (rheumatic fever) -- MC
Mitral valve (aortic is 2nd)
Heart valve in bacterial endocarditis -- MC
Mitral
Heart valve in bacterial endocarditis in IVDA -- MC
Tricuspid
Heberden's nodes -- CF
Osteoarthritis (DIP swelling 2° to osteophytes)
Heinz bodies -- CF
G6PD deficiency
Helminth infection (U.S.) -- MC
Enterobius vermicularis (Ascaris lumbricoides is 2nd most common)
Hematoma--epidural -- MF cause
Rupture of middle meningeal artery (arterial bleeding is fast)
Hematoma--subdural -- MF cause
Rupture of bridging veins (trauma; venous bleeding is slow)
Hemochromatosis -- MF cause
Multiple blood transfusions (can result in CHF and incr risk of hepatocellular carcinoma)
Henoch-Schönlein purpura -- CF
Hypersensitivity vasculitis associated with hemorrhagic urticaria and URIs
Hepatic cirrhosis -- MF cause
EtOH
Hepatocellular carcinoma -- MF cause
Cirrhotic liver (often associated with hepatitis B and C)
Hereditary bleeding disorder -- MC
von Willebrand's
Heterophil antibodies -- CF
Infectious mononucleosis (EBV)
High-output cardiac failure (dilated cardiomyopathy) -- CF
Wet beriberi (thiamine, vitamin B1 deficiency)
HLA-B27 -- CF
Reiter's syndrome, ankylosing spondylitis
HLA-DR3 or -DR4 -- CF
DM type 1 (caused by autoimmune destruction of B cells)
Holosystolic murmur -- MF cause
VSD, tricuspid regurgitation, mitral regurgitation
Homer Wright rosettes -- CF
Neuroblastoma
Honeycomb lung on x-ray -- CF
Interstitial fibrosis
Horner's syndrome -- CF
Ptosis, miosis, and anhidrosis
Howell-Jolly bodies -- CF
Splenectomy (or nonfunctional spleen)
Huntington's disease -- CF
Caudate degeneration (autosomal dominant)
Hyperphagia + hypersexuality + hyperorality + hyperdocility -- CF
Klüver-Bucy syndrome (amygdala)
Hyperpigmentation of skin -- CF
1° adrenal insufficiency (Addison's disease)
Hypersegmented neutrophils -- CF
Macrocytic anemia
Hypertension + hypokalemia -- CF
Conn's syndrome
Hypertension, 2° -- MF cause
Renal disease
Hypochromic microcytosis -- CF
Iron deficiency anemia, lead poisoning
Hypoparathyroidism -- MF cause
Thyroidectomy
Hypopituitarism -- MF cause
Adenoma
Increased uric acid levels -- CF
Gout, Lesch-Nyhan syndrome, myeloproliferative disorders, loop and thiazide diuretics
Increased α-fetoprotein in amniotic fluid/maternal serum -- CF
Anencephaly, spina bifida (neural tube defects)
Infection in blood transfusion -- MF cause
Hepatitis C
Infection in burn victims -- MF cause
Pseudomonas
Intussusception -- CF
Adenovirus (causes hyperplasia of Peyer's patches)
Janeway lesions -- CF
Endocarditis
Jarisch-Herxheimer reaction -- CF
Syphilis--overaggressive treatment of an asymptomatic patient that causes symptoms due to rapid lysis
Job's syndrome -- CF
Neutrophil chemotaxis abnormality
Kaposi's sarcoma -- CF
AIDS in MSM (men who have sex with men)
Kartagener's syndrome -- CF
Dynein defect
Kayser-Fleischer rings -- CF
Wilson's disease
Keratin pearls -- CF
Squamous cell carcinoma
Kidney stones -- MC
Calcium = radiopaque (2nd most common is ammonium = radiopaque; formed by urease-positive organisms such as Proteus vulgaris or Staphylococcus)
Kimmelstiel-Wilson nodules -- CF
Diabetic nephropathy
Klüver-Bucy syndrome -- CF
Bilateral amygdala lesions
Koilocytes -- CF
HPV
Koplik spots -- CF
Measles
Krukenberg tumor -- CF
Gastric adenocarcinoma with ovarian metastases
Kussmaul hyperpnea -- CF
Diabetic ketoacidosis
Lens dislocation + aortic dissection + joint hyperflexibility -- CF
Marfan's syndrome (fibrillin deficit)
Lesch-Nyhan syndrome -- CF
HGPRT deficiency
Leukemia (adults) -- MF cause
AML
Lewy bodies -- CF
Parkinson's disease
Libman-Sacks disease -- CF
Endocarditis associated with SLE
Lines of Zahn -- CF
Arterial thrombus
Lisch nodules -- CF
Neurofibromatosis (von Recklinghausen's disease)
Liver disease -- MC
Alcoholic liver disease
Location of brain tumors (adults) -- MC
Supratentorial
Location of brain tumors (kids) -- MC
Infratentorial
Low serum ceruloplasmin -- CF
Wilson's disease
Lucid interval -- CF
Epidural hematoma
Lysosomal storage disease -- MC
Gaucher's disease
Lytic bone lesions on x-ray -- CF
Multiple myeloma
Male cancer -- MC
Prostatic carcinoma
Malignancy associated with noninfectious fever -- MC
Hodgkin's disease
Malignant skin tumor -- MC
Basal cell carcinoma (rarely metastasizes)
Mallory bodies -- CF
Alcoholic liver disease
Mallory-Weiss syndrome -- CF
Esophagogastric lacerations
McArdle's disease -- CF
Muscle phosphorylase deficiency
McBurney's sign -- CF
Appendicitis
Mental retardation -- MF cause
Down syndrome (fragile X is the 2nd most common cause)
Mets to bone -- MC
Breast, lung, thyroid, testes, prostate, kidney
Mets to brain -- MC
Lung, breast, skin (melanoma), kidney (renal cell carcinoma), GI
Mets to liver -- MC
Colon, gastric, pancreatic, breast, and lung carcinomas
MI -- MF cause
Atherosclerosis
Mitral valve stenosis -- MF cause
Rheumatic heart disease
MLF syndrome (INO) -- CF
Multiple sclerosis
Monoclonal antibody spike -- CF
Multiple myeloma (called the M protein; usually IgG or IgA), MGUS (monoclonal gammopathy of undetermined significance), Waldenström's (M protein = IgM) macroglobulinemia
Motor neuron disease -- MC
ALS
Myocarditis -- MF cause
Coxsackie B
Myxedema -- CF
Hypothyroidism
Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis -- CF
Wegener's and Goodpasture's (hemoptysis and glomerular disease)
Needle-shaped, negatively birefringent crystals -- CF
Gout
Negri bodies -- CF
Rabies
Neoplasm (kids) -- MC
ALL (2nd most common is cerebellar medulloblastoma)
Nephritis + cataracts + hearing loss -- CF
Alport's syndrome
Nephrotic syndrome -- MC
Membranous glomerulonephritis
Nephrotic syndrome (adults) -- MF cause
Membranous glomerulonephritis
Nephrotic syndrome (kids) -- MF cause
Minimal change disease (associated with infections/vaccinations; treat with corticosteroids)
Neurofibrillary tangles -- CF
Alzheimer's disease
Niemann-Pick disease -- CF
Sphingomyelinase deficiency
No lactation postpartum -- CF
Sheehan's syndrome (pituitary infarction)
Nutmeg liver -- CF
CHF
Obstruction of male urinary tract -- MC
BPH
Occupational exposure to asbestos -- CF
Malignant mesothelioma
Opening snap -- MF cause
Mitral stenosis
Opportunistic infection in AIDS -- MC
Pneumocystis carinii pneumonia
Organ receiving mets -- MC
Adrenal glands (due to rich blood supply)
Organ sending mets -- MC
Lung > breast, stomach
Osler's nodes -- CF
Endocarditis
Osteomyelitis -- MF cause
S. aureus
Osteomyelitis in patients with sickle cell disease -- MF cause
Salmonella
Osteomyelitis with IVDA -- MF cause
Pseudomonas
Ovarian tumor (benign) -- MC
Serous cystadenoma
Ovarian tumor (malignant) -- MC
Serous cystadenocarcinoma
Owl's eye -- CF
CMV
Painless jaundice -- CF
Pancreatic cancer (head)
Palpable purpura on legs and buttocks -- CF
Henoch-Schönlein purpura
Pancoast's tumor -- CF
Bronchogenic apical tumor associated with Horner's syndrome
Pancreatic tumor -- MC
Adenocarcinoma (head of pancreas)
Pancreatitis (acute) -- MF cause
EtOH and gallstones
Pancreatitis (chronic) -- MF cause
EtOH (adults), cystic fibrosis (kids)
Pannus -- CF
Rheumatoid arthritis
Parkinson's disease -- CF
Nigrostriatal dopamine depletion
Patient with ALL/CLL/AML/CML -- MC
ALL—child, CLL—adult > 60, AML—adult > 60, CML—adult 35-50
Patient with Hodgkin's -- MC
Young male (except nodular sclerosis type--female)
Patient with minimal change disease -- MC
Young child
Patient with Reiter's -- MC
Male
Peau d'orange -- MF cause
Carcinoma of the breast
Periosteal elevation on x-ray -- CF
Pyogenic osteomyelitis
Peutz-Jeghers syndrome -- CF
Benign polyposis
Peyronie's disease -- CF
Penile fibrosis
Philadelphia chromosome (bcr-abl ) -- CF
CML (may sometimes be associated with AML)
Pick bodies -- CF
Pick's disease
Pick's disease -- CF
Progressive dementia, similar to Alzheimer's
PID -- MF cause
Neisseria gonorrhoeae (monoarticular arthritis)
Pituitary tumor -- MC
Prolactinoma (2nd--somatotropic "acidophilic" adenoma)
Plummer-Vinson syndrome -- CF
Esophageal webs with iron deficiency anemia
Pneumonia in cystic fibrosis, burn infection -- MF cause
Pseudomonas aeruginosa
Pneumonia, hospital-acquired -- MF cause
Klebsiella
Podagra -- CF
Gout (MP joint of hallux)
Podocyte fusion -- CF
Minimal change disease
Polyneuropathy preceded by GI or respiratory infection -- CF
Guillain-Barré syndrome
Polyneuropathy, cardiac pathology, and edema -- CF
WET beriberi (thiamine, vitamin B1 deficiency)
Pompe's disease -- CF
Lysosomal glucosidase deficiency associated with cardiomegaly
Port-wine stain -- CF
Hemangioma
Positive anterior "drawer sign" -- CF
Anterior cruciate ligament injury
Pott's disease -- CF
Vertebral tuberculosis
Preventable blindness -- MF cause
Chlamydia
Preventable cancer -- MC
Lung cancer
Primary amenorrhea -- MF cause
Turner's (XO)
Primary bone tumor (adults) -- MC
Multiple myeloma
Primary hyperaldosteronism -- MF cause
Adenoma of adrenal cortex
Primary hyperparathyroidism -- MC
Adenomas (followed by hyperplasia, then carcinoma)
Primary hyperparathyroidism -- MF cause
Adenoma
Primary liver tumor -- MC
Hepatoma
Pseudopalisade tumor cell arrangement -- CF
Glioblastoma multiforme
Pseudorosettes -- CF
Ewing's sarcoma
Ptosis, miosis, anhidrosis -- CF
Horner's syndrome (Pancoast's tumor)
Pulmonary hypertension -- MF cause
COPD
Rash on palms and soles -- CF
2° syphilis, Rocky Mountain spotted fever
Raynaud's syndrome -- CF
Recurrent vasospasm in extremities
RBC casts in urine -- CF
Acute glomerulonephritis
Recurrent pulmonary Pseudomonas and S. aureus infections -- CF
Cystic fibrosis
Red urine in the morning -- CF
Paroxysmal nocturnal hemoglobinuria
Reed-Sternberg cells -- CF
Hodgkin's lymphoma
Reid index (increased) -- CF
Chronic bronchitis
Reinke crystals -- CF
Leydig cell tumor
Reiter's syndrome -- CF
Urethritis, conjunctivitis, arthritis
Renal cell carcinoma + cavernous hemangiomas + adenomas -- CF
von Hippel-Lindau disease
Renal epithelial casts in urine -- CF
Acute toxic/viral nephrosis
Renal tumor -- MC
Renal cell carcinoma--associated with von Hippel-Lindau and acquired polycystic kidney disease; paraneoplastic syndromes (erythropoietin, renin, PTH, ACTH)
Rhomboid crystals, positively birefringent -- CF
Pseudogout
Rib notching -- CF
Coarctation of aorta
Right heart failure due to a pulmonary cause -- MF cause
Cor pulmonale
Right-sided heart failure -- MF cause
Left-sided heart failure
Roth's spots in retina -- CF
Endocarditis
Rotor's syndrome -- CF
Congenital conjugated hyperbilirubinemia
Rouleaux formation (RBCs) -- CF
Multiple myeloma
S3 -- CF
Left-to-right shunt (VSD, PDA, ASD), mitral regurgitation, LV failure (CHF)
S4 -- CF
Aortic stenosis, hypertrophic subaortic stenosis
Schiller-Duval bodies -- CF
Yolk sac tumor
Secondary hyperparathyroidism -- MC
Hypocalcemia of chronic renal failure
Senile plaques -- CF
Alzheimer's disease
Sexually transmitted disease -- MC
Chlamydia
Sézary syndrome -- CF
Cutaneous T-cell lymphoma
Sheehan's syndrome -- CF
Postpartum pituitary necrosis
Sheehan's syndrome -- MF cause
Postpartum pituitary infarction 2° to hemorrhage
Shwartzman reaction -- CF
Neisseria meningitidis
SIADH -- MF cause
Small cell carcinoma of the lung
Signet-ring cells -- CF
Gastric carcinoma
Simian crease -- CF
Down syndrome
Sipple's syndrome -- CF
MEN type IIa
Site of diverticula -- MC
Sigmoid colon
Site of metastasis -- MC
Regional lymph nodes
Site of metastasis (2nd most common) -- MC
Liver
Sites of atherosclerosis -- MC
Abdominal aorta > coronary > popliteal > carotid
Sjögren's syndrome -- CF
Dry eyes, dry mouth, arthritis
Skin cancer -- MC
Basal cell carcinoma
Skip lesions -- CF
Crohn's
Slapped cheeks -- CF
Erythema infectiosum (fifth disease)
Smith antigen -- CF
SLE
Soap bubble on x-ray -- CF
Giant cell tumor of bone
Spike and dome on EM -- CF
Membranous glomerulonephritis
Spitz nevus -- CF
Benign juvenile melanoma
Splinter hemorrhages in fingernails -- CF
Endocarditis
Starry-sky pattern -- CF
Burkitt's lymphoma
Stomach cancer -- MC
Adenocarcinoma
Streaky ovaries -- CF
Turner's syndrome
String sign on x-ray -- CF
Crohn's disease
Subepithelial humps on EM -- CF
Poststreptococcal glomerulonephritis
Suboccipital lymphadenopathy -- CF
Rubella
Sulfur granules -- CF
Actinomyces israelii
Swollen gums, bruising, poor wound healing, anemia -- CF
Scurvy (ascorbic acid, vitamin C deficiency)--vitamin C is necessary for hydroxylation of proline and lysine in collagen synthesis
Systolic ejection murmur (crescendo-decrescendo) -- CF
Aortic valve stenosis
t(14;18) -- CF
Follicular lymphomas (bcl-2 activation)
t(8;14) -- CF
Burkitt's lymphoma (c-myc activation)
t(9;22) -- CF
Philadelphia chromosome, CML (bcr-abl hybrid)
Tabes dorsalis -- CF
3° syphilis
Tendon xanthomas (classically Achilles) -- CF
Familial hypercholesterolemia
Testicular tumor -- MC
Seminoma
Thumb sign on lateral x-ray -- CF
Epiglottitis (Haemophilus influenzae)
Thyroid cancer -- MC
Papillary carcinoma
Thyroidization of kidney -- CF
Chronic bacterial pyelonephritis
Tophi -- CF
Gout
Tracheoesophageal fistula -- MC
Lower esophagus joins trachea/upper esophagus--blind pouch
Trousseau's sign -- CF
Visceral cancer, pancreatic adenocarcinoma (migratory thrombophlebitis), hypocalcemia (carpal spasm)
Tumor in men -- MC
Prostate carcinoma
Tumor in women -- MC
Leiomyoma (estrogen dependent)
Tumor of infancy -- MC
Hemangioma
Tumor of the adrenal medulla (adults) -- MC
Pheochromocytoma (benign)
Tumor of the adrenal medulla (kids) -- MC
Neuroblastoma (malignant)
Type of Hodgkin's -- MC
Nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)
Type of non-Hodgkin's -- MC
Follicular, small cleaved
Type of pituitary adenoma -- MC
Prolactinoma
UTI -- MF cause
E. coli
UTI (young women) -- MF cause
E. coli and Staphylococcus saprophyticus
Vasculitis -- MC
Temporal arteritis (risk of ipsilateral blindness due to thrombosis of ophthalmic artery)
Viral encephalitis -- MC
HSV
Virchow's node -- CF
Left supraclavicular node enlargement from metastatic carcinoma of the stomach
Virchow's triad -- CF
Pulmonary embolism (triad = blood stasis, endothelial damage, hypercoagulation)
Vitamin deficiency (U.S.) -- MC
Folic acid (pregnant women are at high risk; body stores only 3- to 4-month supply)
von Recklinghausen's disease -- CF
Neurofibromatosis with café-au-lait spots
von Recklinghausen's disease of bone -- CF
Osteitis fibrosa cystica ("brown tumor")
Wallenberg's syndrome -- CF
PICA thrombosis
Waterhouse-Friderichsen syndrome -- CF
Adrenal hemorrhage associated with meningococcemia
Waxy casts -- CF
Chronic end-stage renal disease
WBC casts in urine -- CF
Acute pyelonephritis
WBCs in urine -- CF
Acute cystitis
Wermer's syndrome -- CF
MEN type I
Whipple's disease -- CF
Malabsorption syndrome caused by Tropheryma whippelii
Wilson's disease -- CF
Hepatolenticular degeneration
Xanthochromia (CSF) -- CF
Subarachnoid hemorrhage
Xerostomia + arthritis + keratoconjunctivitis sicca -- CF
Sjögren's syndrome
Zenker's diverticulum -- CF
Upper GI diverticulum
Zollinger-Ellison syndrome -- CF
Gastrin-secreting tumor associated with ulcers
Defic of CD55 and CD59, decay accelerating factor (DAF) and membrane attack complex inhibiting factor (MACIF)
dx of Paroxysmal nocturnal hemoglobinuria (PNH)