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USMLE Rapid Review Pathology Classic Labs/Findings

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Question
Answer
AntiCentromere antibodies   Scleroderma (CREST)  
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Antidesmoglein (epithelial) antibodies, blistering   Pemphigus vulgaris  
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Anti-GBM Ab, glomerularnephritis and lung hemorrhage.   Goodpasture's syndrome  
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Antihistone Antibodies   Drug-induced SLE  
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Anti-IgG Antibodies (IgM against IgG), +RF, systemic inflammation, joint pannus, boutonniere deformity.   Rheumatoid arthritis  
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Antimitochondrial antibodies (AMA's), female, cholestatsis, portal hypertension.   Primary biliary cirrhosis  
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Antineutrophil cytoplasmic antibodies (ANCAs)   Vasculitis (Wegener's: cANCA; Microscopic polyangiitis: pANCA; Pauci-immune crescentic glomerulonephritis: pANCA; Churg-Strauss: pANCA)  
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Antinuclear antibodies (ANAs: anti-Smith and Anti-dsDNA), type III hypersensitivity   SLE  
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Antiplatelet antibodies, bleeding diathesis   Idiopathic thrombocytopenic purpura (ITP)  
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Anti-topoisomerase antibodies   Diffuse systemic scleroderma (not CREST)  
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Anti-transglutaminase/antigliadin antibodies, diarrhea, distention, weight loss, malabsorption, flattening of villi.   Celiac disease  
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Azurophilic granular needles in leukemic blasts, seen in AML (especially the promyelocytic type)   Auer rods  
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"Bamboo spine" on x-ray, chronic inflammation arthritis, HLA-B27 association, causes sacroiliitis, seronegative.   Ankylosing spondilitis  
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Basophillic nuclear remnants in RBC's, due to splenectomy or nonfunctional spleen. Seen in patients with sickle cell, trauma, ITP, splenectomy (immunize these ppl).   Howell-Jolly bodies  
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Basophillic stippling of RBC's   Lead poisoning or sideroblastic anemia  
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Bloody tap on LP   Subarachnoid hemorrhage: MCC is berry aneurysm, 2nd MCC is A-V malformation.  
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"Boot shaped" heart on x-ray   Tetrology of Fallot, RVH  
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Branching gram +'ve rods with sulfur granules   Actinomyces israelii  
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Bronchogenic apical lung tumor; can compress sympathetic ganglion and cause Horner's syndrome.   Pancoast's tumor  
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"Brown" tumor of bone, cysts or hemorrhage into bone. Hemorrhage (hemosiderin) causes brown color of osteolytic cysts. Due to:   1. Hyperparathyroidism (takes Ca2+ from bone) 2. Osteitis fibrosis cystica (von Recklinghausen's disease of bone AKA NFT type I)  
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Cardiomegaly with apical atrophy, megacolon, megaesophagus.   Chaga's disease caused by Trypanosoma cruzi  
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Cellular crescents in Bowman's capsule   RPGN  
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"Chocolate cysts" of ovary, frequently bilateral. Also in peritoneum ("gun powder" stain in peritoneum)   Endometriosis  
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Circular grouping of dark tumor cells surrounding pale nerofibrils. Associated with neuroblastoma, medduloblastoma, and Ewing's sarcoma.   Homer Wright rosettes  
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Colonies of mucoid Pseudomonas in lungs, CFTR mutation in Caucasians resulting in fat-soluble vitamin deficiency and mucous plugs.   Cystic Fribrosis  
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Degeneration of dorsal column nerves (cuneatus, gracilus)   Tabes dorsalis (tertiary syphillis)  
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Depigmentation of neurons in substantia nigra. Decreased DA, decreased melanin. Basal ganglia disorder: rigidity (cogwheel), resting tremor, bradykinesia[paucity] )   Parkinson's disease  
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Desquamated epithelium casts in sputum. Seen in bronchial asthma ; can result in whorled mucous plugs.   Curschmann's spirals  
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Disarrayed granulosa cells in eosinophillic fluid. Seen in granulosa-theca cell tumor of the ovary.   Call-Exner bodies  
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Dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia. Finding in HPV: predisposes to cervical cancer (16, 18), perinuclear cytoplasmic clearing.   Koilocytes  
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Enlarged cells with intranuclear inclusion bodies; Cowdry A   Owl's eys appearance of CMV  
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Enlarged thyroid cells with ground-glass nuclei; papillary carcinoma of the thyroid.   "Orphan Annie" eye nuclei  
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Eosinophilic cytoplasmic inclusion in liver cells; associated with alcoholic liver disease.   Mallory bodies  
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Eosinophilic cytoplasmic inclusion in nerve cell. Seen in Parkinson's disease.   Lewy body  
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Eosinophilic globule in liver. Seen in viral hepatitis, often yellow fever.   Councilman body  
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Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells   Negri bodies of Rabies virus (Lyssavirus)  
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Extracellular amyloid deposition in gray matter of brain. Seen in Alzheimer's disease.   Senile plaques  
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Giant B cells with bilobed nuclei with prominent inclusions (owl's eye). Seen with Hodgkin's lymphoma.   Reed-Sturnberg cells  
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Glomerulus-like structure surrounding vessel in germ cells; Seen in yolk sac tumor.   Schiller-Duval bodies  
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"Hair-on-end" (crew-cut) appearance on x-ray, marrow expansion   Beta-thalassema, sicke cell anemia  
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hCG elevated   Choriocarcinoma, hydatidiform mole (w/ w/out): precursor to choriocarcinoma.  
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Heart nodules (inflammatory). Seen with rheumatic fever. Focal myocardial inflammation with MNGC   Aschoff bodies  
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