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
HII Presentations
Rapid-rev presentations relevant to HII unit
| Question | Answer |
|---|---|
| Adrenal hemorrhage, Hypotension, DIC | Waterhouse-Friderichsen syndrome (meningococcemia) |
| Back pain, fever, night sweats, weight loss | Pott’s disease (vertebral tuberculosis) |
| Bluish line on gingiva | Burton’s line (lead poisoning) |
| Child with fever develops red rash on face that spreads to body | “slapped cheeks” (erythema infectiosum/fifth disease: parvovirus B19) |
| Dark purple skin/mouth nodules | Kaposi’s sarcoma (usually AIDS patients) [associated with HHV-8) |
| Dog or cat bite resulting in infection | Pasteurella multocida |
| Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells | Sezary syndrome (cutaneous T-cell lymphoma) or mycosis fungoides |
| Fever, chills, headache, myalgia following antibiotic treatment for syphallis | Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in toxin release) |
| Fever, cough, conjunctivitis, coryza, diffuse rash | Measles (morbillivirus) |
| Fever, night sweats, weight loss | B-cell symptoms (lymphomas) |
| Indurated, ulcerated genital lesions (nonpainful) | chancre (primary syphilis) |
| Large rash with bull’s eye appearance | erythema chronicum migrans from tick bite (Lyme disease: Borrelia burgdorferi) |
| Male child, recurrent infections, no mature B cells | Bruton’s disease (X-linked agammaglobulinemia) |
| Painful blue fingers/toes, hemolytic anemia | cold agglutinin disease (autoimmune hemolytic anemia caused by Mycoplasma pneumonia or EBV (infectious mononucleosis)) |
| Palpable purpura, joint pain, abdominal pain (child) | Henoch-Schonlein purpura (IgA vasculitis affecting skin and kidneys) |
| Pupil accommodates but doesn’t react | Argyll-Robertson (prostitute’s) pupil (neurosyphilis) |
| Rash on palms and soles | 2ary Syphilis, Rocky Mountain spotted fever |
| Red “currant jelly” sputum | Klebsiella pneumonia |
| Red urine in the morning | paroxysmal nocturnal hemoglobinuria |
| Renal cell carcinoma, hemangioblastomas, angiomatosis, pheochromocytoma | von Hippel-Lindau disease (dominant tumor suppressor gene mutation—VHL gene on short arm of 3rd chromosome (3p26–p25)). |
| Retinal hemorrhages with pale centers | Roth’s spots (bacterial endocarditis) |
| Short stature, ↑ incidence of tumors/leukemia, aplastic anemia | Fanconi’s anemia (genetic) |
| Small irregular red spots on buccal/lingual mucosa with blue-white centers | Koplik spots (measles) |
| Small, nontender, erythematous lesions on palms/soles | Janeway lesions (infective endocarditits) |
| Smooth, flat, moist white lesions on genitals | condylomata lata (2° syphilis) |
| Splinter hemorrhages in fingernails | bacterial endocarditis |
| “strawberry tongue” | scarlet fever, Kawasaki disease, toxic shock syndrome |
| Ulcerated genital lesions with exudates (painful) | Chancroid (Haemophilus ducreyi) |
| Urethritis, conjunctivitis, arthritis in a male | Reiter’s syndrome (reactive arthritis associated with HLA-B27) |
| Vasculitis from exposure to endotoxin causing glomerular thrombosis | Schwartzman reaction |
| WBC casts in urine | acute pyelonephritis |
| Weight loss, diarrhea, arthritis, fever, adenopathy | Whipple’s disease (Tropheryma whippelii) |
| Constrictive pericarditis in devel. world | M. tuberculosis |
| Death in CML | blast crisis |
| DIC | gram-negative sepsis, cancer, burn trauma |
| Food poisoning | S. aureus, B. cereus, C. botulinum, E. coli |
| Gene involved in cancer | p53 tumor suppressor gene |
| Glomerulonephritis (adults) | Berger’s Disease (IgA nephropathy) |
| Heart valve in bacterial endocarditis | mitral (rheumatic fever), tricuspid (IV drug abuse), aortic (2nd affected in rheumatic fever) |
| Helminth infection (US) | 1. Enterobius vermicularis 2. Ascaris lumbricoides |
| Aortic aneurysm, ascending | Tertiary syphilis |
| Autosplenectomy (fibrosis and shrinkage) | sickle cell anemia (HbS) |
| Bacteremia/pneumonia (IV drug user) | S. aureus |
| Bacteria associated with stomach cancer | H. pylori |
| Bacterial meningitis (adults and elderly) | H. influenza, N. meningitidis, S. pneumoniae |
| Bacterial meningitis (newborns and kids) | Group B streptococcus (newborns), S. pneumoniae/N. meningitidis (kids) |
| Bleeding disorder with gp1b deficiency | Bernard-Soulier disease (defect in platelet adhesion—receptor for vWF) |
| 2ary bug in viral pneumonia patient | Klebsiella, S. pneumoniae |
| Hepatocellular carcinoma | Hep B and C (cirrhotic liver) |
| Hereditary bleeding disorder | von Willenbrand's disease (low Factor VIII) |
| HLA-B27 | Ankylosing spondylitis, Reiter's syndrome |
| Infection in blood transfusion | Hep C |
| Kidney stones | struvite (ammonium) = radiopaque (Proteus or Staph) |
| Malignancy associated with noninfectious fever | Hodgkin's Lymphoma |
| Mitral valve stenosis | Rheumatic heart disease |
| Myocarditis | Coxsackie B |
| Neoplasm (KIDS) | ALL |
| Pneumonia in AIDS pts | pneumocystis jiroveci (PCP), cytomegalovirus, Mycobacterium avium-intracellulare, aspergillosis, candidiasis |
| Osteomyelitis in noncompromised pts | S. aureus |
| Osteomyelitis in patients with sickle cell disease | Salmonella |
| Osteomyelitis with IV drug abuse | Pseudomonas |
| Patient with ALL/CLL/AML/CML | ALL: child, CLL: adult>60, AML: adult>60, CML: adult 35-50 |
| Hodgkin's disease | young male (except nodular sclerosis type: female) |
| Pelvic inflammatory disease | Neisseria gonorrhoeae (monoarticular arthritis) |
| Philadelphia chromosome | CML (bcr-abl) |
| Pneumonia, hospital acquired | gram-negatives (52%), MRSA (19%), Haemophilus spp. (5%) |
| ICU pneumonia (nosocomial) | S. aureus (17.4%), P. aeruginosa (17.4%), Klebsiella & Enterobacter spp. (18.1%), H. influenzae (4.9%) |
| Primary bone tumor (adults) | MM (multiple myeloma) |
| t(14;18) | Follicular lymphoma (bcl-2 activations) |
| t(8;14) | Burkitt's Lymphoma (c-myc) |
| t(9;22) | Philadelphia Chromosome; CML (bcr-abl |
| Type of non-Hodgkins | Diffuse large cell |
| UTI | E. coli, S. saprophyticus |
| Viral encephalitis | HSV |
| Aortic aneurysm, ascending | Tertiary syphilis |
| Autosplenectomy (fibrosis and shrinkage) | sickle cell anemia (HbS) |
| Bacteremia/pneumonia (IV drug user) | S. aureus |
| Follicular lymphoma (bcl-2 activations) | Follicular lymphoma (bcl-2 activations) |
| Burkitt's Lymphoma (c-myc) | t(8;14) |
| t(9;22)Philadelphia Chromosome; CML (bcr-abl) | t(9;22) |
| Type of hodgkin's | nodular sclerosis (vs mixed cellularity, lymphocity predominance, lymphocytic depletion) |
| UTI | E. coli, S. saprophyticus |
| Viral encephalitis | HSV |
| Adrenal hemorrhage, Hypotension, DIC | Waterhouse-Friderichsen syndrome (meningococcemia) |
| Indurated, ulcerated genital lesions (nonpainful) | chancre (primary syphilis) |
| Bacteremia/pneumonia (IVDA) | S. aureus |
| Bacteria found in GI tract | Bacteroides (2nd most common is E. coli ) |
| Epiglottitis | Haemophilus influenzae type B |
| Heart valve (rheumatic fever) | Mitral valve (aortic is 2nd) |
| Heart valve in bacterial endocarditis | Mitral |
| Heart valve in bacterial endocarditis in IVDA | Tricuspid |
| Primary bone tumor (adults) | Multiple myeloma |
| Type of non-Hodgkin’s | Follicular, small cleaved |
| Viral encephalitis | HSV |
Created by:
srebeiro
Popular USMLE sets