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36 Cards in this Set
- Front
- Back
Elliptocytosis
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hemolytic, normochromic. defect in RBC membrane skeleton spectrin > ankyrin (vs spherocytosis which is opp)
smear = oval RBC |
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myelodyplastic syndrome
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pre-malig of AML (^ risk w/ ^ blast)
Classified = RA = refractory anemia (blast < 1%) RARS= RA ring siderblast (<1%) RAEB = RA excess blast (<5%) RAEB in T = RAEB in transformation (>5%) |
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Auer rods
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AML (M3); peroxidase-positive cytoplasmic inclusion in graulocytes and myeloblast.
comp of these = DIC |
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Diffuse large B cell lympoma
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MC adult NHL, CD23 & CD5+
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Mantle cell lymphoma
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older male NHL, t(11:14) = deactivation of cyclin D. poor prob CD 5+ and CD23 -.
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mycosis fungoides
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aka sezary syndrome. attacks epidermis-dermis junction
T cell lymphoma CD4+. cutaneous patches or nodules. |
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Waldenstrom's macroglobulinemia
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like Multiple myeloma but M spike = IgM: hyperviscosity symptoms and no lytic bone lesions.
cold autoimmune hemolytic anemia |
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Multiple myeloma
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monoclonial plasma cell cancer. M spike = IgG (or IgA). punch-out lytic bone lesion or dry tap. Bence Jones protein = lt chain cause kidnedy and resp prob + primary amyloidosis. Mott cells = cytoplasmic deposit of Ig's.
warm autoimmune hemolytic anemia |
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monoclonal gammopathy of undetermined significance
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MGUS: monoclonal plasma cell expansion w/out symptoms of multiple myeloma. >70 yrs.
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Wolff-chaikoff effect
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transient decrease of T3/T4 due to excess ingestion of iodide. ^ iodide inhibs itself via pump activity
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Papillary carcinoma of the Thyroid
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MC, excellent prog, orphan annie nuclei, psammoma bodies. RET & BRAF gene mutation > activation of tyrosine kinase
spread thru blood! |
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Medullary ca of the Thyroid
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from parafollicular "c cells", sheets of cell in amyloid stroma. assoc w/ MEN2
spread thru blood!b |
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Bohr effect of Hb
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rlease of O2 in ^ when pH is lowered (right shift)
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anaclitic depression
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depressed infant from loss of mom and no suitable substitute
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Systemic Mastocytosis
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history of pruitus, rash, flushing, abdominal cramps = abnorm mast cell prolif in BM and other organs leading to ^ histamine secretion> hypergastricemia
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pseudotumor cerebi
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^ ICP w/ no ventricular dilation, no tumor or mass
think young obese woman, papilledema, headache worse in morning & eye movement vision loss. stop drugs that can cause: steroid w/drawl, Vit A, tetracyclines |
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dysarthria
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motor speech prob.
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superoxcide dismutase
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required Cu, Zn. defect = ALS
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Arcuate fasciculus
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connects broca's and wernicke's area: prob = poor repetition but fluent speech, intact comprehension.
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Tregminal nerve
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CN 5, face sensation, mastication and ant 2/3 tongue sensation
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Facial nerve
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facial movement, taste of 2/3 tongue, lacrimation, salivation (subman/subling), eyelid closing, stapedius!!
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Glossopharyngeal
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posterior 1/3 taste, swallowing, salivation of parotid, carotid body monitoring, sinus chemo/baroreceptors and stylopharyngeus.
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Vagus
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taste from epiglottic region, swallowing, palate elevation, midline uvula!, talking, coughing, thoracoabdominal visera, monitoring aortic arch chemo and baroreceptor
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pretectal nucleus
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light reflex: enters eye travels CN II (optic nerve) to pretectal nucleus in midbrain that activated bilateral Edinger-Westphal nuclei = pupils contract bilaterally
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tau proteins
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insoluble cytoskeletal elements
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rosenthal fiber
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eosinophilic corkescrew fibers in pilocytic astroytoma (child).
GFAP + (same as glioblastoma via astroytoma multiforme) |
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area postrema
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in hypothalamus: senses changes in osmolarity. responds to emetics (vom during chemo)
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Procaine, cocaine, tetracaine
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Ester local anesthetics. if allergic to one use amides instead (lidocaine, mepivacine, bupivacine. . all have 2 I's in the name)
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Riluzole
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Rx for ALS: decreases presynaptic glutamate release
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Subfalcine herniation
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cingulate damage via herniation under falx cerebri
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McCune-Albright syndrome
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polyostotic fibrous dysplasia. . bone replaced by fibroblast, collagen, irregular bony trabeculae.
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t(11:22)
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Ewings sarcoma, diaphysis of long bones.
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Alports syndrome mutation
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a chain of collagen IV
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Jarisch-Herxheimer reaction
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rapid lysis of spirochetes = fever, chills, headache, myalgia after AB
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McCune-Albright syndrome
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cafe'-au-lait spots, polyostotic fibrous dysplasia, precocious puberty
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Sezary syndrome
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cutaneous T cell lymphoma or mycosis fungoides; erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells
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