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ABIM - First Aid

Classic Findings

QuestionAnswer
Actinic keratosis Often precedes squamous cell carcinoma
Addison’s disease 1° adrenocortical deficiency
Albright’s syndrome Polyostotic fibrous dysplasia, precocious puberty, café-au-lait spots, short stature, young girls
Albuminocytologic dissociation Guillain-Barré (↑ protein in CSF with only modest ↑ in cell count)
Alport’s syndrome Hereditary nephritis with nerve deafness
Anti–basement membrane antibodies Goodpasture’s syndrome
Anticentromere antibodies Scleroderma (CREST)
Anti-double-stranded DNA antibodies (ANA antibodies) SLE (type III hypersensitivity)
Anti–epithelial cell antibodies Pemphigus vulgaris
Antigliadin antibodies Celiac disease
Antihistone antibodies Drug-induced SLE
Anti-IgG antibodies Rheumatoid arthritis
Antimitochondrial antibodies 1° biliary cirrhosis - Mighty mouse eating PB&J
Antineutrophil antibodies Vasculitis
Anti platelet antibodies. How to treat? Idiopathic thrombocytopenia purport. Supportive care usually. If significant bleeding, can treat with steroids or IVIg. Refractory cases may require splenectomy.
Arachnodactyly Marfan’s syndrome, Ehlers Danlos
Argyll Robertson pupil Neurosyphilis
Arnold-Chiari malformation Cerebellar tonsillar herniation
Aschoff bodies Areas of inflammation that are granulomatous structures in the connective tissue of the heart. Rheumatic fever
Atrophy of the mammillary bodies Wernicke’s encephalopathy
Auer rods Acute myelogenous leukemia (especially the promyelocytic type)- t(15,17) means good prognosis
Autosplenectomy Sickle cell anemia
Babinski’s sign UMN lesion
Baker’s cyst in popliteal fossa Rheumatoid arthritis
“Bamboo spine” on x-ray Ankylosing spondylitis
Bartter’s syndrome Hyperreninemia
Basophilic stippling of RBCs Lead poisoning
Becker’s muscular dystrophy Defective dystrophin; less severe than Duchenne’s
Bell’s palsy LMN (forehead also affected) CN VII palsy
Bence Jones proteins Multiple myeloma (kappa or lambda Ig light chains in urine), Waldenström’s macroglobulinemia (IgM)
Berger’s disease IgA nephropathy
Bernard-Soulier disease Defect in platelet adhesion
Bilateral hilar adenopathy, uveitis Sarcoidosis
Birbeck granules on EM Histiocytosis X (eosinophilic granuloma) - Tennis racket shaped organelles found in Langerhans cells.
Bloody tap on LP Subarachnoid hemorrhage
“Blue bloater” Chronic bronchitis
Blue-domed cysts Fibrocystic change of the breast, chronic cystic mastitis; Treat with self-care and anti-inflammatories
Blue sclera Osteogenesis imperfecta– Brittle bone disease. Congenital, prone to fracture. Deficiency of type I collagen. Treatment includes supportive therapy, physical therapy, bisphosphonates.
Boot-shaped heart on x-ray Tetralogy of Fallot; RVH
Bouchard’s nodes Osteoarthritis (PIP swelling 2° to osteophytes)
Boutonnière deformity Rheumatoid arthritis
Branching rods in oral infection Actinomyces israelii
“Brown tumor” of bone Hemorrhage causes brown color of osteolytic cysts: 1. Hyperparathyroidism 2. Osteitis fibrosa cystica (von Recklinghausen’s disease)
Brushfield’s spots Down syndrome. Small, white or grayish last brown spots on the periphery of the iris due to aggregation of connective tissue.
Bruton’s disease X-linked agammaglobulinemia, More common in males, can't generate mature B cells, leading to no antibody production. Recurrent infection with encapsulated bacteria. Treat with human antibody infusions.
Budd-Chiari syndrome Posthepatic venous thrombosis
Buerger’s disease Small/medium-artery vasculitis (thromboangiitis obliterans), vessels blocked with thrombi, particularly in the legs, leading to gangrene. Associated with smoking.
Burkitt’s lymphoma 8:14 translocation; associated with EBV
Burton’s lines Lead poisoning
C-ANCA, P-ANCA Wegener’s granulomatosis, polyarteritis nodosa
Café-au-lait spots on skin Neurofibromatosis– autosomal dominant disorder with developmental delay and neuro fibromas found on the skin.
Caisson disease Gas emboli
Calf pseudohypertrophy Duchenne’s muscular dystrophy
Call-Exner bodies Small using of the lake fluid-filled spaces between granulosa cells. Granulosa-theca cell tumor of the ovary. treatment is surgical resection.
Cardiomegaly with apical atrophy Chagas’ disease
Cerebriform nuclei Mycosis fungoides (cutaneous T-cell lymphoma)
Chagas’ disease Trypanosome infection
Chancre 1° syphilis (not painful)
Chancroid Haemophilus ducreyi (painful)
Charcot’s triad Multiple sclerosis (nystagmus, intention tremor, scanning speech), cholangitis (jaundice, RUQ pain, fever)
Charcot-Leyden crystals Hexagonal bipyramidal structures in basophils and eosinophils - Bronchial asthma (eosinophil membranes) or parasitic pneumonia
Chédiak-Higashi disease Phagocyte deficiency --> Recurrent infections(Staph aureus and gram neg organisms), albinism, peripheral neuropathy. Light skin with silver hair, often with solar sensitivity. Autosomal recessive.
Cherry-red spot on macula Tay-Sachs (autosomal recessive, developmental delay because of ganglioside accumulation in brain), Riemann-Pick disease (lysosomal storage disease, autosomal recessive, unsteady gait/dysarthria/dysphasia), central retinal artery occlusion
Cheyne-Stokes respirations Central apnea in CHF and ↑ intracranial pressure
“Chocolate cysts” Endometriosis (frequently involves both ovaries)
Chronic atrophic gastritis Predisposition to gastric carcinoma
Spasm upon tapping the face muscles Hypocalcemia (facial muscle spasm upon tapping), Chvostek’s sign
Clear cell adenocarcinoma of the vagina DES exposure in utero
Clue cells Gardnerella vaginitis
Codman’s triangle on x-ray Osteosarcoma
Cold agglutinins Mycoplasma pneumoniae, infectious mononucleosis
Cold intolerance Hypothyroidism
Condylomata lata 2° syphilis
Continuous machinery murmur Patent ductus arteriosus
Cori’s disease Debranching enzyme deficiency
Cotton-wool spots Fluffy white patches on the retina - indicative of diabetic or hypertensive retinopathy
Cough, conjunctivitis, coryza + fever Measles
Councilman bodies Globule of cells that represents a dying hepatocyte, surrounded by normal liver parenchyma. Toxic or viral hepatitis. Liver biopsy shows panlobular lymphocytic infiltrates with ballooning hepatocytes (indicative of hepatocyte necrosis and hepatocyte ap
Cowdry type A bodies Eosinophilic nuclear inclusions composed of nucleic acid and protein seen in cells infected with Herpesvirus
Crescents in Bowman’s capsule Rapidly progressive crescentic glomerulonephritis - Includes Goodpasture, Churg Strauss, PAN, mPA, and Wegner's.
Crigler-Najjar syndrome Congenital unconjugated hyperbilirubinemia
Curling’s ulcer Acute gastric ulcer associated with severe burns
Currant-jelly sputum Klebsiella
Curschmann’s spirals Bronchial asthma (whorled mucous plugs)
Cushing’s ulcer Acute gastric ulcer associated with CNS injury
D-dimers DIC
Depigmentation of neurons in substantia nigra Parkinson’s disease (basal ganglia disorder––rigidity, resting tremor, bradykinesia)
Dermatitis, dementia, diarrhea Pellagra (niacin, vitamin B3 deficiency)
Diabetes insipidus + exophthalmos + lytic bone lesions of the skull histiocytosis X (Hand-Schiller-Christian disease)
Dog or cat bite Pasteurella multocida
Donovan bodies Granuloma inguinal Caused by Klebsiella granulomatous, Ulcerative painless genital lesions.
Dressler’s syndrome Post-MI fibrinous pericarditis
Dubin-Johnson syndrome Congenital conjugated hyperbilirubinemia (black liver)
Duchenne’s muscular dystrophy Deleted dystrophin gene (X-linked recessive). Muscle degeneration. muscle replaces with fat and fibrosis. Progressive proximal muscle weakness w loss of muscle mass. Pseudo-hypertrophy of calves + deltoid muscles. Difficult to walk upstairs
Eburnation Osteoarthritis (polished, ivory-like appearance/bony sclerosis of bone appearing at the site of cartilage erosion)
Edwards’ syndrome Trisomy 18 associated with rocker-bottom feet, low-set ears, heart disease
Eisenmenger’s complex Late cyanosis shunt (uncorrected L → R shunt becomes R → L shunt)
Elastic skin Ehlers-Danlos syndrome
Erb-Duchenne palsy Superior trunk brachial plexus injury (“waiter’s tip”)
Erythema chronicum migrans Lyme disease
Fanconi’s syndrome Proximal tubular reabsorption defect
“Fat, female, forty, and fertile” Acute cholecystitis
Fatty liver Alcoholism
Ferruginous bodies In asbestosis, macrophages phagocytose asbestos fibers covered in iron rich material. These become small brown nodules in the septum of the alveolus.
Gardner’s syndrome Some type of familial adenomatous polyposis. Colon polyps with osteomas of the mandible, goal and long bones; and soft tissue tumors - thyroid and adrenal tumors.
Gaucher’s disease Glucocerebrosidase deficiency --> Causes glucocerebroside to accumulate in spleen, liver, kidneys, lungs, brain, bone marrow.
Ghon focus A complex composed of central KCS necrosis surrounded by macrophages and lymphocytes. Seen in 1° TB, identified on chest x-ray.
Gilbert’s syndrome Benign congenital unconjugated hyperbilirubinemia
Glanzmann’s thrombasthenia Defect in platelet aggregation
Goodpasture’s syndrome Autoantibodies against alveolar and glomerular basement membrane proteins
Gowers’ maneuver Duchenne’s (use of patient’s arms to help legs pick self off the floor)
Guillain-Barré syndrome Idiopathic polyneuritis
“Hair-on-end” appearance on x-ray β-thalassemia, sickle cell anemia (extramedullary hematopoiesis)
Langerhans cell histiocytosis (Hand-Schiller-Christian disease) Chronic progressive histiocytosis - Proliferation of epidermal dendritic cells, can affect almost any organ
HbF Thalassemia major
HbS Sickle cell anemia
hCG elevated Choriocarcinoma, hydatidiform mole (occurs with and without embryo)
Heberden’s nodes Osteoarthritis (DIP swelling 2° to osteophytes)
Heinz bodies Hb fragments taken out of Hb cells; G6PD deficiency, chronic liver dz, alpha thal
Henoch-Schönlein purpura Hypersensitivity vasculitis associated with hemorrhagic urticaria and URIs
Heterophil antibodies Infectious mononucleosis (EBV)
High-output cardiac failure (dilated cardiomyopathy) Wet beriberi (thiamine, vitamin B1 deficiency)
HLA-B27 Reiter’s syndrome, ankylosing spondylitis
HLA-DR3 or -DR4 Diabetes mellitus type 1 (caused by autoimmune destruction of β cells)
Homer Wright rosettes Neuroblastoma
Honeycomb lung on x-ray Interstitial fibrosis
Horner’s syndrome Ptosis, miosis, and anhidrosis
Howell-Jolly bodies Splenectomy (or nonfunctional spleen)
Huntington’s disease Caudate degeneration (autosomal dominant)
Hyperphagia + hypersexuality + hyperorality + hyperdocility Klüver-Bucy syndrome (amygdala)
Hyperpigmentation of skin 1° adrenal insufficiency (Addison’s disease)
Hypersegmented neutrophils Macrocytic anemia
Hypertension + hypokalemia Conn’s syndrome - hyperdaldosteronism
Hypochromic microcytosis Iron deficiency anemia, lead poisoning
Increased α-fetoprotein in amniotic fluid/maternal serum Anencephaly, spina bifida (neural tube defects)
Increased uric acid levels Gout, Lesch-Nyhan syndrome (X-linked deficiency of an enzyme that causes your acid buildup in all body fluids, mental deficiency), myeloproliferative disorders, loop and thiazide diuretics
Intussusception Adenovirus (causes hyperplasia of Peyer’s patches)
Janeway lesions Endocarditis
Jarisch-Herxheimer reaction Syphilis—overaggressive treatment of an asymptomatic patient that causes symptoms due to rapid lysis
Job’s syndrome Neutrophil chemotaxis abnormality
Kaposi’s sarcoma AIDS in MSM (men who have sex with men)
Kartagener’s syndrome Dynein defect causing defect in ciliary motility resulting in bronchiectasis, sinusitis, situs inversus. autosomal recessive. affected males are infertile, due to sperm immobility.
Kayser-Fleischer rings Wilson’s disease
Keratin pearls Abnormal squamous cells that form concentric layers; Squamous cell carcinoma
Kimmelstiel-Wilson nodules Nodules located in the Bowman space of glomeruli. Composed of proteins that leaked through the damaged glomerular basement membrane and accumulated. Denotes diabetic nephropathy - Microvascular complications, nephrotic syndrome with diffuse scarring of t
Klüver-Bucy syndrome A syndrome of hyperphagia, hyper sexuality, hyperorality, docility. Bilateral amygdala lesions that cause both anterograde and retrograde amnesia. Visual agnosia - can't recognize familiar objects or people.
Koilocytes Squamous epithelial cell from cervix that has nuclear enlargement – 2 to 3 times normal size - nuclear membrane irregularity, and hyperchromasia. Denotes HPV Infection.
Koplik spots Clustered, white lesions on buccal mucosa, pathognomonic for Measles
Krukenberg tumor Gastric adenocarcinoma with ovarian metastases
Kussmaul hyperpnea Diabetic ketoacidosis
Lens dislocation + aortic dissection + joint hyperflexibility Marfan’s syndrome (fibrillin deficit)
Lesch-Nyhan syndrome HGPRT deficiency; Unable to break down uric acid; can treat with allopurinol, which prevents uric acid production.
Lewy bodies Parkinson’s disease
Libman-Sacks disease Endocarditis associated with SLE
Lines of Zahn Arterial thrombus
Lisch nodules pigmented hamartomatous nodular aggregate of dendritic melanocytes affecting the iris. Neurofibromatosis (von Recklinghausen’s disease)
Low serum ceruloplasmin Wilson’s disease
Lucid interval Epidural hematoma
“Lumpy-bumpy” appearance of glomeruli on immunofluorescence Poststreptococcal glomerulonephritis
Lytic bone lesions on x-ray Multiple myeloma
Mallory bodies Highland inclusion found in the cytoplasm of liver cells, damaged intermediate filaments. Alcoholic liver disease, Primary biliary cirrhosis, HCC, Wilson's disease
Mallory-Weiss syndrome Esophagogastric lacerations
McArdle’s disease Muscle phosphorylase deficiency
McBurney’s sign Appendicitis
medial longitudinal fasciculus (MLF) syndrome (internuclear ophthalmoplegia - eyes don't move together when ABducting) Multiple sclerosis
Monoclonal antibody spike Multiple myeloma (called the M protein; usually IgG or IgA), MGUS (monoclonal gammopathy of undetermined significance), Waldenström’s (M protein = IgM) macroglobulinemia
Myxedema Hypothyroidism
Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis Wegener’s and Goodpasture’s (hemoptysis and glomerular disease)
Needle-shaped, negatively birefringent crystals Gout
Negri bodies Rabies
Nephritis + cataracts + hearing loss Alport’s syndrome
Neurofibrillary tangles Alzheimer’s disease
Niemann-Pick disease Sphingomyelinase deficiency - sphingomyelin accumulates in lysosomes in cells. The lysosomes normally transport material through and out of the cell. Leads to HSM and TCP.
No lactation postpartum Sheehan’s syndrome (pituitary infarction)
Nutmeg liver CHF
Occupational exposure to asbestos Malignant mesothelioma
“Orphan Annie” nuclei Nuclei that appear empty. Papillary carcinoma of the thyroid
Osler’s nodes Endocarditis
Owl’s eye CMV
Painless jaundice Pancreatic cancer (head)
Palpable purpura on legs and buttocks Henoch-Schönlein purpura
Pancoast’s tumor Bronchogenic apical tumor associated with Horner’s syndrome
Pannus Rheumatoid arthritis
Parkinson’s disease Nigrostriatal dopamine depletion
Periosteal elevation on x-ray Pyogenic osteomyelitis
Peutz-Jeghers syndrome Benign polyposis. Hamartomas of small intestine. STK11. Pigmented lesions on skin, lips, mouth.
Peyronie’s disease Penile fibrosis, Can create a bend in the penis when erect.
Philadelphia chromosome (bcr-abl ) CML (may sometimes be associated with AML)
Pick bodies Pick’s disease - Frontotemporal dementia and aphasia. Spherical bodies made of Tau proteins in neurons (Pick bodies)
Pick’s disease Progressive dementia, similar to Alzheimer’s
“Pink puffer” Emphysema (centroacinar [smoking], panacinar [α1-antitrypsin deficiency])
Plummer-Vinson syndrome Esophageal webs with iron deficiency anemia. DEFG - dysmotility of esophagus, Esophageal web, Fe deficiency, Glossitis. treat with correction of iron deficiency and dilation of esophageal web
Podagra Gout (MP joint of hallux)
Podocyte fusion Minimal change disease
Polyneuropathy, cardiac pathology, and edema Dry beriberi (thiamine, vitamin B1 deficiency)
Polyneuropathy preceded by GI or respiratory infection Guillain-Barré syndrome
Pompe’s disease Lysosomal glucosidase deficiency associated with cardiomegaly
Port-wine stain Hemangioma
Positive anterior “drawer sign” Anterior cruciate ligament injury
Pott’s disease Vertebral tuberculosis
Pseudopalisade tumor cell arrangement Glioblastoma multiforme– The most common and most aggressive brain cancer. Ring enhancing lesion on MRI. Need biopsy.
Pseudorosettes. What disease? How to diagnose? What chromosomal abnormality? Ewing’s sarcoma - Small, round, malignant blue cell tumor found in the bone, most commonly in the pelvis, femur, humerus, ribs, clavicle. Translocation between chromosomes 11 and 22. Negative for CD45. Diagnosed on x-ray with lytic lesion and onion skin p
Ptosis, miosis, anhidrosis Horner’s syndrome (Pancoast’s tumor)
Rash on palms and soles 2° syphilis, Rocky Mountain spotted fever
Raynaud’s syndrome Recurrent vasospasm in extremities
RBC casts in urine Acute glomerulonephritis
Recurrent pulmonary Pseudomonas and S. aureus infections Cystic fibrosis
Red urine in the morning Paroxysmal nocturnal hemoglobinuria. Hemolytic anemia, pancytopenia, unprovoked atypical thrombosis, lack of CD 55 and 59.
Reed-Sternberg cells Hodgkin’s lymphoma
Reid index (increased) Chronic bronchitis
Reinke crystals Rodlike cytoplasmic inclusions in Leydig cell tumor in the testes. the tumor secretes excess testosterone causing testicular swelling in men and mineralization in women. Slow-growing and good prognosis. Treatment is usually surgery resection.
Reiter’s syndrome Urethritis, conjunctivitis, arthritis
Renal cell carcinoma + cavernous hemangiomas + adenomas von Hippel–Lindau disease
Renal epithelial casts in urine Acute toxic/viral nephrosis
Rhomboid crystals, positively birefringent Pseudo gout (CPPD) - Calcium pyrophosphate dihydrate (CPPD)
Rib notching Coarctation of aorta
Roth’s spots in retina Retinal hemorrhages with white or pale centers. Differential includes Endocarditis, diabetic retinopathy, hypertensive retinopathy. Usually due to immune complex deposition.
Rotor’s syndrome Congenital conjugated hyperbilirubinemia
Rouleaux formation (RBCs) Multiple myeloma
Russell bodies Multiple myeloma
S3 Left-to-right shunt (VSD, PDA, ASD), mitral regurgitation, LV failure (CHF)
S4 Aortic stenosis, hypertrophic subaortic stenosis
Schiller-Duval bodies Found on histology of Yolk sac tumors.
Senile plaques Extracellular deposits of amyloid in the gray matter of the brain. Alzheimer’s disease
Sézary syndrome Cutaneous T-cell lymphoma
Sheehan’s syndrome Postpartum pituitary necrosis
Shwartzman reaction- Tissue necrosis and thrombosis in response to endotoxin Neisseria meningitidis
Signet-ring cells So containing a large vacuole that pushes the nucleus to the periphery. Gastric carcinoma
Simian crease Down syndrome
Sipple’s syndrome MEN type IIa
Sjögren’s syndrome Dry eyes, dry mouth, arthritis
Skip lesions Crohn’s
Slapped cheeks Erythema infectiosum (fifth disease). Parvovirus B 19
Smith antigen SLE
“Smudge cell” CLL
Soap bubble on x-ray Giant cell tumor of bone
Spike and dome on EM Membranous glomerulonephritis - Nephrotic syndrome that is associated more with hepatitis B than C, solid tumors, diabetes… Capillary light microscopy, deposition of IgG and C-3 on immunofluorescence. Treat with steroids and cyclophosphamide.
Spitz nevus Benign juvenile melanoma
Splinter hemorrhages in fingernails Endocarditis
Starry-sky pattern Burkitt’s lymphoma
“Strawberry tongue” Scarlet fever
Streaky ovaries On ultrasound, you just see a streak of fibrous tissue in the expected location of the ovaries. This tissue may contain very few or no ovarian follicles. Turner’s syndrome
String sign on x-ray Crohn’s disease
Subepithelial humps on EM Post streptococcal glomerulonephritis - Low C3, normal C4. Lumpy bumpy on IM, preceded by a URI 1 to 3 weeks prior, supportive therapy and antibiotics
Suboccipital lymphadenopathy Rubella
Sulfur granules Actinomyces israelii
Swollen gums, bruising, poor wound healing, anemia Scurvy (ascorbic acid, vitamin C deficiency)—vitamin C is necessary for hydroxylation of proline and lysine in collagen synthesis
Systolic ejection murmur (crescendo-decrescendo) Aortic valve stenosis
t(8;14) Burkitt’s lymphoma (c-myc activation)
t(9;22) Philadelphia chromosome, CML (bcr-abl hybrid)
t(14;18) Follicular lymphomas (bcl-2 activation). Low-grade lymphoma. Treats indolent with local radiation therapy. Aggressive with RCHOP.
Tabes dorsalis 3° syphilis
Tendon xanthomas (classically Achilles) Familial hypercholesterolemia
Thumb sign on lateral x-ray. What organism? Epiglottitis (Haemophilus influenzae)
Thyroidization of kidney Dilated tubules filled with hyaline casts, giving the kidney tissue a thyroid like appearance - Chronic bacterial pyelonephritis
Tophi Gout
“Tram-track” appearance on LM Separation of basement membrane due to Miss Angela growth. Membranoproliferazive glomerulonephritis - Low C3, very low C4, nephritis associated with hepatitis C > hepatitis B, subacute bacterial endocarditis, lupus, cryo- globulinemia.
Trousseau’s sign - With occlusion of the brachial artery, absence of blood flow will cause spasm of the hand muscles So that the wrist flexes and the finger joints extend, with all the fingers adducted to a point. Sign of hypocalcemia. Seen also in visceral cancer, pancreatic adenocarcinoma (migratory thrombophlebitis), hypocalcemia (carpal spasm).
Virchow’s node Left supraclavicular node enlargement from metastatic carcinoma of the stomach
Virchow’s triad Pulmonary embolism (triad = blood stasis, endothelial damage, hypercoagulation)
von Recklinghausen’s disease Neurofibromatosis with café-au-lait spots
von Recklinghausen’s disease of bone Osteitis fibrosa cystica (“brown tumor”). Caused by hyperparathyroidism, which leads to inc osteoclasts activity, inc bone resorption, dec bone mass, and bone calcification replaced by cyst-like brown tumors that have a moth-eaten appearance on X-ray. Ca
Wallenberg’s syndrome Posterior Inferior Cerebellar Artery thrombosis. loss of pain and temperature sensation ipsilaterally in the face and contralaterally in the body.
Waterhouse-Friderichsen syndrome Adrenal hemorrhage associated with meningococcemia
Waxy casts Chronic end-stage renal disease
WBC casts in urine Acute pyelonephritis
WBCs in urine Acute cystitis
Wermer’s syndrome MEN type I
Whipple’s disease Malabsorption syndrome caused by Tropheryma whippelii
Wilson’s disease Hepatolenticular degeneration
“Wire loop” appearance on LM Lupus nephropathy
“Worst headache of my life” Berry aneurysm—associated with adult polycystic kidney disease
Xanthochromia (CSF) Subarachnoid hemorrhage
Xerostomia + arthritis + keratoconjunctivitis sicca Sjögren’s syndrome
Zenker’s diverticulum Upper GI diverticulum
Zollinger-Ellison syndrome Gastrin-secreting tumor associated with ulcers
Created by: christinapham