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Rapid Review FA
Classic Presentations Page 2
| Question | Answer |
|---|---|
| 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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