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310 Cards in this Set

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  • Back
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Who the poo
u da poo
What is this.
auer rod
What is this.
auer rod
What is this?
BCC
What is this?
Clue Cell
How do you treat this?
metronidazole
What infection is this?
BV
What dz does this indicate?
AML
What is this?
Giardia
Where do people classically contract this?
camping
contaminated rivers and streams
How do you treat this?
metronidazole
What is this?
Herpes Zoster
Where does this virus live?
dorsal root ganglion
What is this?
Kaposi Sarcoma
This is commonly associated with what disease?
HIV/AIDS
What is this?
Pneumothorax
What is this?
primary syphillis chancre
How do you treat this?
PCN
What is this?
psoriasis nails
How do you treat this?
surgical resection
What is this?
SCC
SCC looks like an ulcer
What is this?
SCC
What is this?
strep pneumo
What is this?
target cells

REPRESENTS
excess membrane relative to the amount of hemoglobin
What is this?
tinea corporis
What are these associated with?
iron def
thalasemia
liver disease
What is this?
1st degree AVB
What is this?
1st degree AVB
How do you treat this?
Nothing.
What is this?
AF
How do you treat this?
rate control with BB or CCB

ASA or coumadin depending on chads2-vasc
78F presents with palpitations and this EKG. She has HTN and DM. Denies history of stroke or CHF. What type of anticoagulation does she require?
coumadin
What is this?
STEMI
What is this?
asystole
What is this?
2nd degree AVB type 1 mobitz
What is the treatment?
nothing
What is this?
torsades
What is this?
Aflutter
What is this?
LBBB
What is this?
MAT
What is the treatment?
BB or CCB
What is this?
VT
What is the treatment for this?
cardioversion
What is this?
NSR
What is this?
PVC
`
What is this?
inferior MI
What is this?
sinus tach
What is this?
3rd degree AVB
How do you treat this?
Magnesium, cardioversion
What is this?
AVNRT/SVT
What is this?
V flutter
What is this?
Vent trigeminy
How do you treat this?
cardioversion
67M with DM, HTN, HL, presents with chest pain for the past 3 hours. Is hypotensive in triage. EKG shows this. What should you give?
IV fluids

preload dependent
65M with DM, HTN, presents with 5 hours of palpitations. EKG shows this. BP 143/85. What should you give to treat this acutely?
a fib

BB or CCB
MTP 5mg IV or dilt 20mg IV.
70M with h/o CAD, presents with CP, and is still having CP. EKG shows this. What should you not give.
NTG
60M presents with melena and stool changes for 6m. This imaging indicates what dx?
colon mass/cancer
34F with h/o BRBPR and diarrhea for one year. Barium enema shows this. What is the likely diagnosis?
UC

lead pipe
What dx is this?
achalasia
55M with lung cancer, presents with cp. This is the CXR. What is the dx?
pericardial effusion
65M presents with N/V x3 days. Xray is done. What does the pt have?
sbo
What is this?
volvulus
84M presents with N/V. Xray shows this. What is the next step in management?
Has sbo. Keep NPO, and place NGT.
55F with breast cancer, presents with chest pain, sob. Vitals shows HR 105, BP 90/65. PE shows JVD. Lungs are clear. CXR shows this. What is the next step in management?
pericardial effusion with evidence of tamponade. Needs emergent pericardiocentesis.
What is this?
Rheumatoid arthritis
What serology do you do the dx this?
ANA, rheumatoid factor, anti-ccp
What is this associated with?
PCOS
DM (most common)
in older people associated with cancer (like GI)
What is this called?
bird's beak
What dz does this indicate and how do you treat?
Achalasia

Tx: lifestyle changes, meds, pneumoatic dilatation, surgery
What is this?
Tinea cruris
What is this? What is it caused by?
Chancroid.

Haemophilus ducreyi
What is this?
Cold sore
What causes this? Tx?
HSV

Acyclovir
What is this?
epidural hematoma
What vessel causes this?
middle meningeal artery
What are the sx's?
Epidural Hematoma

lucid period after the trauma

Then pts start to have somnelence, then obtundation, then the sx's get bad.
What dz is this associated with?
Graves dz
What is this?
bullous pemphigoid
What is this associated with?
Reed sternberg cells
associated with hodgkins

cells are multi-nucleated or have a bilobed nucleus resembling "owl's eyes"
What is this?
sickle cell
What is this?
spherocytes
What imaging would you do to dx the dz associated with this finding?
Echo. This is splinter hemorrhage. Pt has endocarditis
What is this?
staghorn calculi
What does this pt have?
croup

steeple sign
What is this?
subdural hematoma
Which vessels cause this?
bridging veins
What is this?
syphillis chancre
What is this?
vitiligo
What is the absolute contraindication for treatment for the disease that this pt has?
pregnancy

tx is radioactive iodine ablation
What medication can you use in the longterm management of this?
hydroxyurea. Increases fetal hb
What is this? Tx?
SBO; if needed NGT, NPO and watch
What is this? How do you tx?
Sbo. NPO, NGT if needed.
What this this?
sbo
50M comes in with h/o valve repair. Comes in with sob when laying down at night. Denies family/associoates of the illess. Wht imaging would you grt
echo
X-Ray Foot
X-Ray Hand
actinic keratosis
actinic keratosis

premalignant condition

thick, scaly, or crusty patches of skin
actinic keratosis

premalignant condition

thick, scaly, or crusty patches of skin
Atopic Dermatitis Child
Bacillary Angiomatosis
Bacillary Angiomatosis
is this cancerous?
chalazion
granulomatous inflammation of the meibomian gland

YES THIS IS PRE-MALIGNANT

incision and curettage
chicken-pox
eczema
erythema multiforme
impetigo
impetigo
infant with eczema
kaposi sarcoma
kaposi sarcoma
Lentigo
Lentigo
lice infestation
describe the 5 P's
lichen planus lower lip

"5 Ps"
well-defined pruritic, planar, purple, polygonal papules

no cure
try steroids to reduce
lichen planus shins

5 P's
pruritic, planar, purple, polygonal papule
mycosis fungoides
mycosis fungoides
Necrotizing fasciitis
What is the tx?
pityriasis rosea

no tx necessary
benign condition
pityriasis rosea
porphyria cutanea tarda
psoriasis
psoriasis
Rosacea
Rosacea
scabies
seborrheic dermatitis
seborrheic keratosis
seborrheic keratosis

"stuck-on" appearance
seborrheic keratosis
sezary cells
late stage of mycosis fungoides

is a form of cutaneous lymphoma
in which T-cells fill up with mucopolysaccharidosis
Sezary Syndrome
(cutaneous lymphoma)

part of mycosis fungoides
tinea capitis
tinea corporis
tinea cruris
Tinea manuum
tinea pedis
urticaria
vitiligo
Dermatomyositis

Gottron's Papules
Dermatomyositis

Heliotrope Rash
Dermatomyositis

Shawl Sign
Ewing Sarcoma - Onion Skinning
Ewing Sarcoma - Onion Skinning
Galeazzi's Fracture

fracture of the radius with dislocation of the distal radioulnar joint
Giant Cell Tumor of Bone

Soap Bubble
Gout

Punched Out Lesions
Gout

Punched Out Lesions
Barlow-Ortolani Maneuver
Legg-calve-perthes-disease

AVN
Monteggia's fracture
Nightstick Fracture of Ulna
Legg-Calve Perthes Disease

Petrie Cast
osgood-schlatter disease

tibial tubercle
Osteosarcoma

Periosteal Retraction
Codman's Triangle
Osteosarcoma

Sunburst Pattern
Osteosarcoma

Sunburst Pattern
Pavlik Harness

Developmental Dysplasia of the Hip
Rheumatoid Arthritis

Boutonniere Deformity
Rheumatoid Arthritis

Swan Neck Deformity
Rheumatoid Arthritis - Xray
Salter-Harris Fracture

Type V is a compression fracture
Scoliosis X-Ray
Scoliosis
Slipped Capital Femoral Epiphysis

Screw Fixation
Slipped Capital Femoral Epiphysis
Spinal Brace

Scoliosis
Supracondylar Humerus Fractures
Volkmann's contracture

Humerus Fracture
Compartment Syndrome
What condition is this associated with?
Acoustic Neuroma

Neurofibromatosis
angiomyolipoma
benign tumour of the kidney

Tuberous Sclerosis
ashleaf

Neurofibromatosis
axillary freckling

Neurofibromatosis
cafe au lait

Neurofibromatosis 1
Central Retinal Artery Occlusion

has characteristic cherry red spot
Central Retinal Vein Occlusion
Closed Angle Glaucoma
Dural Tail
Dural Tail

Meningioima
Exudative Macular Degeneration
Fibrosis macular degeneration
GBM
Shagreen Skin Rash

Tuberous Sclerosis
Lisch Nodules

Neurofibromatosis Type 1
Kyphoscoliosis
Macular Degeneration
meningiomas
mulberry tumors
(yellow tumors)

Tuberous Sclerosis
Neurofibromas
open and closed angle glaucoma
open angle glaucoma

trabecular network is not draining aqueous humor
Open-Angle Glaucoma
Open-Angle Glaucoma

cupping of the optic disk
Open-Angle Glaucoma
optic nerve glioma
remove surgically

Neurofibromatosis 1
Kyphoscoliosis

curvature of the spine in both a coronal and sagittal plane
phakoma

Tuberous Sclerosis
what disease does this finding suggest
rhabdomyoma in the heart

Tuberous Sclerosis
sebaceous adenomas
x-ray foot

shows a fracture
x-ray hand
Retinal hamartoma is seen in which disease
Tuberous Sclerosis
Dacryocystitis
What causes this and how do you treat?
Dacryocystitis

infection / inflammation of the nasolacrimal sac
S aureus, S pneumo

Tx: abx and warm compress
Episclerititis
Hordeolum
Hordeolum
Orbital Cellulitis
What causes this and how do you treat?
Orbital Cellulitis
bacterial infection spread by the paranasal sinuses
S aureus, S pneumo

TX
IV abx with Vanco, clinda or doxycyclilne

ABSCESS
drain it
Subconjunctival hemorrhage
Tophi from Gout
Tophi in the Foot from Gout
Tophi in the Hands from Gout
X-ray of Tophi from Gout
Beckwith–Wiedemann syndrome

macroglossia
omphalocele
gigantism

Wilms tumor
Beckwith–Wiedemann syndrome

macroglossia
omphalocele
gigantism

Wilms tumor
Bilateral wilms tumor or nephroblastoma

usually does not cross midline

assoc with Beckwith-Wiedemann
Cecal-volvulus
Chediak-Higashi

giant granules in neutrophils
Chediak-Higashi

giant granules in neutrophils
Chediak-Higashi

oculocutaneous albinism
What is the defect?
Chediak-Higashi

microtubule defect --> cannot phagocytose --> recurrent pyogenic infections

oculocutaneous albinism
Club foot
DiGeorge

Absent Thymic Shadow
this is a complication of what infection
Fetal Hydrops

complication of Parvovirus B19 infection
Foot Deformities
Foot Deformities
Gaucher's Cells

wrinkled paper
enlarged cytoplasm
Hunter and Hurler

Gargoylism
(structural defects and MR)
1 - Name the locations of the fluid collections
2 - Name immune vs non-immune causes.
Hydrops Fetalis
pleural effusion / pericardial effusion / ascites / scalp

IMMUNE CAUSES --> Rh incompatibility

NON-IMMUNE
iron def anemia / 0/4 alpha thalassemia (Hb Barts)
lysosomal storage (def of beta-glucuronidase)
Parvovirus B19
CMV / Syphilis
twin-twin transufsion (recipient twin is affected)
Intussusception

Ultrasound
showing target sign
Job Syndrome
Hyper IgE

failure to lose primary teeth
Larrge Wilms Tumor

usually does not cross midline
Neuroblastoma

large, distended and multiple skin nodules
Neuroblastoma Tumor
Neuroblastoma Tumor
Neuroblastoma Tumor
Neuroblastoma Tumor
Neuroblastoma Tumor
Niemann-Pick Disease
Tay-Sachs
Central Retinal Artery Occlusion

Cherry Red Spot
Otitis Media

Cholesteatoma

a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear or mastoid process
Patau - Trisomy 13

punched out scalp lesions
Peritonsillar abscess with uvular deviation
Peritonsillar abscess sometimes shows uvular deviation
Pneumatosis intestinalis

air in the bowel wall
Pneumatosis intestinalis

air in the bowel wall
Pneumatosis intestinalis

air in the bowel wall
Retropharyngeal abscess
Retropharyngeal abscess
Retropharyngeal abscess CT
Sigmoid Volvulus
Thymic Shadow in DiGeorge and SCID
Volvulus

twisting of bowel around itself
Volvulus
CT Scan
WAGR

aniridia
WAGR

aniridia
What syndrome is associated with this finding?
Wilms Tumor or nephroblastoma

encapsulated and vascularized and do not cross midline

assoc with Beckwith-Wiedemann
what condition is associated with this
Wilms Tumor or nephroblastoma

encapsulated and vascularized and do not cross midline

assoc with Beckwith-Wiedemann
A psammoma body in papillary carcinoma of the thyroid
AML can present with chloroma, a greeny tumor
DiGeorge

Absent Thymic Shadow
DiGeorge

Absent Thymic Shadow
Bartholin Cyst Duct and Abscess
Bartholin's Gland Abscess

after an incision reveals purulent fluid
Bulb of Vestibule
cavernous hemangiomas

soft blue and compressible
Cherry Hemangiomas

usually appear in adult, multiply and never go away
Cul-de-Sac - Pouch of Douglas
Cystic hygraoma

consists of lymphatic cysts
usually near lateral neck
benign

can be found in Turners and Downs
1 - where does the fluid accumulate
2 - is it painful
hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle

painless enlargement
Intraductal papilloma

bleeding from one nipple only
Describe the nipple discharge.
mammary duct ectasia
blocked ducts

nipple retraction
bloody discharge
Mccune Albright

bone disorder
(Polyostotic fibrous dysplasia)
prone to fractures

skin pigmentation
cafe au lait spots

precocious puberty
Mccune Albright

bone disorder
(Polyostotic fibrous dysplasia)
prone to fractures

skin pigmentation
cafe au lait spots

precocious puberty
Mccune Albright

bone disorder
(Polyostotic fibrous dysplasia)
prone to fractures

skin pigmentation
cafe au lait spots

precocious puberty
Mccune Albright

bone disorder
(Polyostotic fibrous dysplasia)
prone to fractures

skin pigmentation
cafe au lait spots

precocious puberty
Are these painful?
Porphyria Cutanea Tarda

painless blisters on back of hand
Sarcoma Botryoides

bunches of grapes
malignancy
(rhabdomyosarcoma)
Spider Angiomas

outward radiating vessels
Spondylolisthesis
- occurs when the vertebra shifts forward due to instability from the pars interarticularis (facet joints)

Spondylolysis
-also is a defect of the pars interarticularis (facet joints)
- this occurs as a stress fracture as in sports where back extension causes the facets to press hard against each other
Strawberry Hemangiomas

appear in infancy and disappear in early childhood
Describe the consistency of these lesions.
Tinea versicolor
Malassezia furfur

spaghetti and meatballs

pale and pink velvety macules
Trichomonas Vaginitis

strawberry petechiae and frothy discharge
How do you treat this?
Trichomoniasis flagellates

flagyl
Varicocele

abnormal enlargement of the vein that is in the scrotum draining the testicles - can cause pain
Vulvar Cancer
Late Stage

Cauliflower, hard, ulcerated
Vulvar Cancer
Early Stage

thick, white, raised, nodular, ulcerated
Orbital Septum

the part that covers the front of the eye and includes the eye lid, this is what gets infected and inflamed in orbital cellulitis
Pt is anemic. What does this patient have?
lead poisoning
What is this?
Hypopyon: pus in the eye. Leukocytic exudate see in the anterior chamber of the eye.
How can you treat this?
achalasia;

tx: lifestyle modification; meds such as ccb or nitrates; pneumatic dilatation, or surgery
35M with 3m of bloody diarrhea. what does he have?
UC
This patient has this disease. Where does it affect?
colon to rectum
Patient's with this disease has an increase risk of primary sclerosing cholangitis. true or false?
true
55F with breast cancer comes in with chest pain and has this cxr finding. what does she have?
pericardial effusion
How would you treat this?
pericardiocentesis
45M who is homeless complains of a rash. How do you treat his?
permethrin cream
67F with h/o CAD, presents with 3 months of orthopnea and BLE edema. CXR show this. What is the acute treatment for this finding?
vascular congestion likely from cardiomyopathy; acute treatment lasix
67F has RUq PAIN. Ct shows this. what does the pt have?
Porceline GB
39M has ruq pain, fevers for one week. CT shows this. What does he have?
pyogenic abscess
35F with bloody diarrhea, h/o oral ulcers. XRAY shows this.
chrons, with cobblestoning
Barium enema shows this. What is this called and what is the next step?
apple core lesion, concerning for cancer. colonosocpy next
what does the pt have?
wilsons
what is this
melanoma
35M had intercourse with a prostitute one month ago. He then started to have this rash as pictured. What does he have and what is the tx?
secondary syphillis. Tx PCN
What is this?
spider angioma
55M with h/o heavy etoh abuse, comes in with abdominal distension and with this lesion on his chest. What does this pt most likely have?
liver dz
What is this and what causes it?
erysipilis, strep