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Rapid Review FA

Classic Presentations Page 2

Recurrent cold (noninflamed) abcesses, eczema, high serum IgE, elevated eosinophils Hyper-IgE syndrome (Job syndrome: neutrophyl chemotaxis abnormality)
"Strawberry tongue" Scarlet fever Kawasaki disease
Abdominal pain, diarrhea, leukocytosis, recent antibiotic use Clostridium difficile infection
Back pain, fever, night sweats Pott disease (vertebral TB)
Adrenal hemorrhage, hypotension, DIC Waterhouse-Friderichsen syndrome (meningococcemia)
Red "currant jelly" sputum in alcoholic or diabetic patients Klebsiella pneumoniae pneumonia
Large rash with bull's-eye appereance Erythema migrans from Ixodes tick bite (Lyme disease: Borrelia)
Ulcerated genital lesions Nonpainful, indurated: chancre (1 syphilis, Treponema pallidum) Painful, with exudate: chancroid (Haemophilus ducreyi)
Pupil accommodates but doesn't react Neurosyphilis (Argyll Robertson pupils)
Smooth, moist, painless, wart-like white lesions on genitals Condyloma lata (2 syphilis)
Fever, chills, headache, myalgia following antibiotic treatment for syphilis Jarich-Herxheimer reaction (rapid lysis of spirochetes results in endotoxin-like release)
Dog or cat bite resulting infection Pasteurella multocida (cellulitis at inoculation site)
Rash on palms and soles Coxsackie A, 2 syphilis, Rocky Mountain spotted fever
Black eschar on face of patient with diabetic ketoacidosis Mucor or Rhizopus fungal infection
Chorioretinitis, hydrocephalus, intracraneal calcifications Congenital toxoplasmosis
Child with fever later develops red rash on face that spread to body Erythema infectiosum/fifth disease ("slapped cheeks" appereance, caused by parvovirus B19)
Fever, cough, conjunctivitis, coryza, diffuse rash Measles
Small, irregular red spots on buccal/lingual mucosa with blue-white centers Koplik spots (measles [rubeola] virus)
Bounding pulses, wide pulse pressure, diastolic heart murmur, head bobbing Aortic regurgitation
Systolic ejection murmur (crescendo-decrescendo) Aortic stenosis
Continuos "machine-like" heart murmur PDA (close with indomethacin; keep open with PGE analogs)
Chest pain on exertion Angina (stable: with moderate exertion; unstable: with minimal exertion or rest)
Chest pain with ST depression on ECG Angina (negative troponin) or NSTEMI (positive troponin)
Chest pain, pericardial effusion/friction rub, persistent fever following MI Dressler syndrome (autoimmune-mediated post-MI fibrinous pericarditis, 2 weeks to several months after acute episode)
Painful, raised red lesions on pads of finger/toes Osler nodes (infective endocarditis, immune complex deposition)
Created by: peterapichardo
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