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133 Cards in this Set
- Front
- Back
Actinic (solar) keratosis
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Precursor to squamous cell carcinoma
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Acute gastric ulcer associated with CNS injury
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Cushing ulcer (increased intracranial pressure stimulates vagal gastric secretion)
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Acute gastric ulcer associated with severe burns
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Curling ulcer (greatly reduced plasma volume results in sloughing of gastric mucosa)
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Alternating areas of transmural inflammation and normal colon
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Skip lesions (Crohn disease)
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Aneurysm, dissecting
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Hypertension
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Aortic aneurysm, abdominal and descending aorta
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Atherosclerosis
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Aortic aneurysm at the arch ~~
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3° syphilis - vasa vasorum destruction
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Aortic aneurysm, ascending
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Marfan syndrome (cystic medial degeneration)
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Atrophy of the mammillary bodies
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Wernicke encephalopathy (thiamine deficiency causing ataxia, ophthalmoplegia, and confusion)
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Autosplenectomy (fibrosis and shrinkage)
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Sickle Cell Anemia (HbS)
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Bacteria associated with gastritis, peptic ulcer disease, and stomach cancer
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H. pylori
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Bacterial meningitis (adults and elderly)
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Streptococcus pneumoniae
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Bacterial meningitis (newborns and kids)
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Group B streptococcus/E.coli (newborns), S. pneumoniae/ Neisseria meningitidis (kids)
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Benign melanocytic nevus
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Spitz nevus (most common in 1st two decades)
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Bleeding disorder with GP1B deficiency
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Bernard-Soulier syndrome (plats can't bind vWF)
=> more plats being pumped out => large b/c they're immature |
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Brain tumor (adults)
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mets > astrocytoma (including GBM) > meningioma > schwannoma
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Brain tumor (kids)
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Infratentorial: medulloblastoma (cerebellum) or supratentorial: craniopharyngioma
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Breast cancer
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Infiltrating ductal carcinoma
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Breast mass
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Fibrocystic change, carcinoma (in postmenopausal women)
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Breast tumor (benign)
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Fibroadenoma
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Cardiac 1° tumor (kids)
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RhabdoMYOMA, often seen in tuberous sclerosis
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Cardiac manifestation of lupus
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Libman-Sacks endocarditis (nonbacterial, affecting both sides of mitral valve)
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Cardiac tumor (adults)
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mets,
1° myxoma (4:1 left to right atrium; "ball and valve") |
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Cerebellar tonsillar herniation
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Chiari II malformation
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Chronic arrhythmia
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Atrial fibrillation (associated with high risk of emboli)
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Chronic atrophic gastritis (AI) =>
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predisposition to gastric CA
(can also cause pernicious anemia - lack of RBC's due to B12 deficiency) |
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Clear cell adenocarcinoma of the vagina
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DES exposure in utero
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Compression fracture
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Osteoporosis (type I: postmenopausal woman; type II: elderly man or woman)
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Congenital adrenal hyperplasia, hypotension
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21-hydroxylase deficiency
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Congenital cardiac anomaly
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VSD
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Congenital conjugated hyperbilirubinemia (black liver)
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Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)
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Constrictive pericarditis seen with:
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TB (developing world);
SLE (developed world) |
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Coronary arteries and frequency of thrombosis:
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LAD > RCA > LCA
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Cretinism
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Iodine deficit/hypothyroidism
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Cushing syndrome
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Iatrogenic Cushing (from corticosteroid therapy)
Adrenocortical adenoma (secretes excess cortisol) ACTH-secreting pituitary adenoma Paraneoplastic Cushing (due to ACTH secretion by tumors) |
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Constrictive pericarditis
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TB (developing world); SLE (developed world)
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Cyanosis (Eisenmenger/late):
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VSD, ASD, PDA
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Death in CML
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Blast crisis
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Death in SLE
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DPGN
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Dementia
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Alzheimer disease, multiple infarcts
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Demyelinating disease in young women
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Multiple sclerosis
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causes of DIC:
(6) |
1. severe sepsis
2. obstetric complications 3. cancer 4. burns 5. trauma 6. major surgery |
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Dietary deficit
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Iron
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Diverticulum in pharynx
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Zenker diverticulum (diagnosed by barium swallow)
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Ejection click
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Aortic/pulmonic stenosis
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Esophageal cancer
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Squamous cell carcinoma (worldwide); adenocarcinoma (U.S.)
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Food poisoning (exotoxin mediated)
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S. aureus, B. cereus
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Glomerulonephritis (adults)
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Berger disease (IgA nephropathy)
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m.c. gynecologic malignancy in US:
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Endometrial CA
- cervical CA most common worldwide |
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Heart murmur, congential
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Mitral valve prolapse
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Heart valve in bacterial endocarditis
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Mitral>aortic (rheumatic fever), tricuspid (IV drug abuse)
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Helminth infection (U.S.)
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Enterobius vermicularis, Ascaris lumbricoides
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Rupture of middle meningeal artery:
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epidural hematoma
(trauma; lens shaped) |
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Rupture of bridging veins:
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subdural hematoma
(crescent shaped) |
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Hemochromatosis can result in:
(3) |
1. CHF,
2. "bronze diabetes," 3. inc. HCC |
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Hepatocellular carcinoma
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Cirrhotic liver (associated with hepatitis B and C and with alcoholism)
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Hereditary bleeding disorder
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von Willebrand disease
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Hereditary harmless jaundice
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Gilbert syndrome (benign congenital unconjugated hyperbilirubinemia)
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HLA-B27
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Ankylosing spondylitis, reactive arthritis, psoriatic arthritis, reiter's
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HLA-DR3 or -DR4
(3) |
DM1, RA, SLE
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Holosystolic murmur
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VSD, tricuspid regurgitation, mitral regurgitation
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Hypercoagulability, endothelial damage, blood stasis
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Virchow triad (results in venous thrombosis)
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secondary HTN ~~
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2° Renal disease,
or renal artery stenosis |
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Hypoparathyroidism
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Accidental excision during thyroidectomy
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Hypopituitarism
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Pituitary adenoma (usually benign tumor)
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Infection 2° to blood transfusion
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Hepatitis C
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Infections in chronic granulomatous disease
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Staphylococcus aureus, E. coli, Aspergillus (catalase positive)
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Intellectual disability
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Down syndrome, fragile X syndrome
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Kidney stones
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Calcium = radiopaque
Struvite (ammonium) = radiopaque (formed by urease positive organisms such as Proteus vulgaris or Staphylococcus) Uric acid = radiolucent |
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Late cyanotic shunt (uncorrected left to right becomes right to left)
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Eisenmenger syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)
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Liver disease
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Alcoholic cirrhosis
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Lysosomal storage disease
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Gaucher disease
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Male cancer
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Prostatic carcinoma
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Malignancy associated with noninfectious fever
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Hodgkins lymphoma
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Malignancy (kids)
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ALL, medulloblastoma (cerebellum)
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mets to bone:
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PBKTL
in that order |
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Metastases to brain
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Lung > breast > genitourinary > melanoma > GI
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Metastases to liver
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Colon >> stomach, pancreas
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Mitochondrial inheritance
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Disease occurs in both males and females, inherited through females only
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Mitral valve stenosis, think:
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Rheumatic heart disease
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Mixed (UMN and LMN) motor neuron disease
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Amyotrophic lateral sclerosis
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myocarditis is often caused by:
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Coxsackie B
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Nephrotic syndrome (adults)
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Focal segmental glomerulosclerosis
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Nephrotic syndrome (kids)
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Minimal change disease
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Neuron migration failure
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Kallmann syndrome (hypogonadotropic hypogonadism and anosmia)
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causes of nosocomial pneumonia
(3) |
Klebsiella, E. coli, Pseudomonas aeruginosa
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Obstruction of male urinary tract
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BPH
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Opening snap
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Mitral stenosis
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Opportunistic infection in AIDS
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Pneumocystis jirovecii pneumonia
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Osteomyelitis
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S. aureus
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Osteomyelitis in sickle cell disease
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Salmonella
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Osteomyelitis with IV drug use
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Pseudomonas, S. aureus
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Ovarian metastasis from gastric carcinoma or breast cancer
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Krukenberg tumor (mucin-secreting signet-ring cells)
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Ovarian tumor (benign, bilateral)
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Serous cystadenoma
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Ovarian tumor (malignant)
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Serous cystadenoCA
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Pancreatitis (acute)
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Gallstones, alcohol
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Pancreatitis (chronic)
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Alcohol (adults), cystic fibrosis (kids)
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Patient with ALL /CLL /AML /CML
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child/elderly/elderly/MA adult
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Pelvic inflammatory disease
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Chlamydia trachomatis, Neisseria gonorrhoeae
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Philadelphia chromosome t(9;22) (bcr-abl)
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CML (may sometimes be associated with ALL/AML)
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Pituitary Tumor
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Prolactinoma, somatotropic "acidophilic" adenoma
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1° amenorrhea
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Turner syndrome (45,XO)
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1° bone tumor (adults)
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Multiple myeloma
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1° hyperaldosteronism ~~
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Conn syndrome = primary, aldo-secreting tumor
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1° hyperparathyroidism
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Adenomas, hyperplasia, carcinoma
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1° liver cancer
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Hepatocellular carcinoma (chronic hepatitis, cirrhosis, hemochromatosis, α1-antitrypsin deficiency)
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PHTN is seen in:
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COPD, asthma
(not to mention CHF) |
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Recurrent inflammation/thrombosis of small/medium vessels
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Buerger disease (strongly associated with tobacco) in extremities
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Renal tumor
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Renal cell carcinoma: associated with von Hippel-Lindau and cigarette smoking; paraneoplastic syndromes (EPO, renin, PTH, ACTH)
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Right heart failure due to a pulmonary cause
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Cor pulmonale
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S3 (gallop) ~~
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increased ventricular volume
(left-to-right shunt, MR, LV failure [CHF]) |
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S4 (presystolic gallop)
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Stiff/hypertrophic ventricle (AS, RCM)
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2° hyperparathyroidism
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Hypocalcemia of chronic kidney disease
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Sexually transmitted disease
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Chlamydia (usually coinfected with gonorrhea)
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SIADH
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Small cell carcinoma of the lung
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Site of diverticula
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Sigmoid colon
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Sites of atherosclerosis
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Abdominal aorta > coronary artery > popliteal artery > carotid artery
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Stomach cancer is usually:
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adenoCA
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Stomach ulcerations and high gastrin levels
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Zollinger-Ellison syndrome (gastrinoma of duodenum or pancreas)
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t(14;18)
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Follicular lymphomas (bcl-2 activation)
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t(8;14)
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Burkitt lymphoma (c-myc activation)
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t(9;22)
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Philadelphia chromosome, CML (bcr-abl fusion)
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Temporal arteritis
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Risk of ipsilateral blindness due to thrombosis of ophthalmic artery; polymyalgia rheumatica
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Testicular tumor
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Seminoma (malignant, radiosensitive)
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Thyroid cancer
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Papillary carcinoma
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benign gynecological tumor:
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Leiomyoma (EST-dependent, not precancerous)
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Tumor of infancy
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Hemangioma (like strawberry - usually regresses spontaneously by childhood)
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Tumor of the adrenal medulla (adults)
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Pheochromocytoma (usually benign)
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Tumor of the adrenal medulla (kids)
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Neuroblastoma (malignant)
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Type of Hodgkin
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Nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)
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UTI
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E. coli,
Staph. saprophyticus (young women) |
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Viral encephalitis that affects temporal lobe is caused by:
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HSV-1
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Vitamin deficiency (U.S.)
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Folate (pregnant women are at high risk; body stores only 3- to 4-month supply; prevents neural tube defects)
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