Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Rapid Review FA
Classic Presentations Page 3
| Question | Answer |
|---|---|
| Painless erythematous lesions on palms and soles | Janeway lesions (infective endocarditis, septic emboli/ microabscesses) |
| Splinter hemorrhages in fingernails | Bacterial endocarditis |
| Retinal hemorrhages with pale centers | Roth spots (bacterial endocarditis) |
| Distant heart sounds, distended neck veins, hypotension | Beck triad of cardiac tamponade |
| Cervical lymphadenopathy, desquamating rash, coronary aneurysms, red conjunctivae and tongue, hand-foot changes | Kawasaki disease (mucocutaneous lymph node syndrome, treat with IVIG and aspirin) |
| Palpable purpura on buttocks/legs, joint pain, abdominal pain (child), hematuria | Immunoglobulin A vasculitis (Henoch-Schönlein purpura, affects skin and kidneys) |
| Telangiectasias, recurrent epistaxis, skin discoloration, arteriovenous malformations, GI bleeding, hematuria | Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) |
| Skin hyperpigmentation, hypotension, fatigue | 1° adrenocortical insufficiency ACTH,α-MSH (eg, Addison disease) |
| Cutaneous flushing, diarrhea, bronchospasm | Carcinoid syndrome (right-sided cardiac valvular lesions, increase 5-HIAA) |
| Cold intolerance, weight gain, brittle hair | Hypothyroidism |
| Cutaneous/dermal edema due to deposition of mucopolysaccharides in connective tissue | Myxedema (caused by hypothyroidism, Graves disease [pretibial]) |
| Facial muscle spasm upon tapping | Chvostek sign (hypocalcemia) |
| No lactation postpartum, absent menstruation, cold intolerance | Sheehan syndrome (postpartum hemorrhage leading to pituitary infarction) |
| Deep, labored breathing/hyperventilation | Diabetic ketoacidosis (Kussmaul respirations) |
| Pancreatic, pituitary, parathyroid tumors | MEN 1 (autosomal dominant) |
| Thyroid tumors, pheochromocytoma, ganglioneuromatosis, Marfanoid habitus | MEN 2B (autosomal dominant RET mutation) |
| Thyroid and parathyroid tumors, pheochromocytoma | MEN 2A (autosomal dominant RET mutation) |
| Jaundice, palpable distended non-tender gallbladder | Courvoisier sign (distal malignant obstruction of biliary tree) |
| Vomiting blood following gastroesophageal lacerations | Mallory-Weiss syndrome (alcoholic and bulimic patients) |
| Dysphagia (esophageal webs), glossitis, iron deficiency anemia | Plummer-Vinson syndrome (may progress to esophageal squamous cell carcinoma) |
| Enlarged, hard left supraclavicular node | Virchow node (abdominal metastasis) |
| Arthralgias, adenopathy, cardiac and neurological symptoms, diarrhea | Whipple disease (Tropheryma whipplei) |
| Severe RLQ pain with palpation of LLQ | Rovsing sign (acute appendicitis) |
| Severe RLQ pain with deep tenderness | McBurney sign (acute appendicitis) |
| Hamartomatous GI polyps, hyperpigmented macules on mouth, feet, hands, genitalia | Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel obstruction;cancer risk, mainly GI) |
| Multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth | Gardner syndrome (subtype of FAP) |
| Abdominal pain, ascites, hepatomegaly | Budd-Chiari syndrome (posthepatic venous thrombosis) |
Created by:
cleomp
Popular USMLE sets