Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
308 Cards in this Set
- Front
- Back
- 3rd side (hint)
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
|
|
