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Patho quick review
First Aid- Classic Findings
| Question | Answer |
|---|---|
| Clue Cells | Gardnerella vaginitis: vaginal epithelial cells covered with bacteria |
| codman's triangle on x-ray | Osteosarcoma: elevation of periosteum (also osteomyelitis) |
| cold agglutinins/ cryoagglutinin | Mycoplasma pneumonia, infectious mononucleosis: (IgM) |
| Cold intolerance | Hypothyroidism |
| Chondylomata lata | Secondary syphilis |
| continuous machinery murmur | patent ductus arteriosus (may shut by 24 hrs) |
| cori's disease | debranching enzyme deficiency: absence of alpha-1,6 glucosidase (glycogen storage ds) |
| cough, conjunctivitis, coryza (runny nose) and fever (+koplic spots) | measles: koplik spots- grey or white spots on buccal mucosa |
| councilman bodies | toxic or viral hepatities: councilman bodies are apoptotic liver cells, (also seen in yellow fever) |
| cowdry type A bodies | Herpesvirus: eosinophilic intracytoplasmic inclusions in site of neurons |
| crescents in bowman's capsule | rapidly progressive crescentic glomerulonephritis |
| crigler-najjar syndrome | congenital unconjugated hyperbilirubinemia |
| Curling's ulcer | acute gastric ulcer associated with severe burns "curling iron" |
| Currant-jelly sputum | Klebsiella pneumonia |
| currant-jelly stool | intrasusceptions (infant) |
| curshmann's spirals | bronchial asthma (whorled mucous plugs) |
| cushing's ulcer | acute gastric ulcer associated with CNS injury |
| d-dimers | increased in DIC, pulmonary embolism, Budd-Chiari, and DVT's |
| depigmentation of neurons in substantia nigra | Parkinson's disease (basal ganglia disorder-rigidity, resting tremor, bradykinesia) Pigment is melanin; no dopa= no melanin |
| dermatitis, dementia, diarrhea | Pellagra (niacin, vitamin B3 deficiency) |
| Dog or Cat bite | pasteurella multocida |
| dressler's syndrome | Post-MI fibrinous pericarditis (occurs weeks after an MI) |
| Dubin-Johnson syndrome | congenital conjugated hyperbilirubinemia (black liver) |
| Duchenne's muscular dystrophy | Deleted dystrophin gene (x-linked recessive) |
| eburnation | osteoarthritis (polished, ivory-like appearance of bone) |
| Edward's Syndrome | Trisomy 18 associated with rocker-bottom feet, low set ears, heart disease, decreased afp, |
| Eisenmenger's complex | late cyanosis shunt (uncorrected L --> R shunt becomes R --> L shunt) |
| elastic skin | Ehlers-Danlos syndrome, Problem in collagen |
| Erb-Duchenne palsy | Superior trunk (C5-C6) brachial plexus injury ("waiter's tip" commonly a birth trauma) |
| Fanconi Syndrome | Proximal tubular reabsorption defect (caused by using expired tetracycline or heavy metal exposure) |
| erythema chronicum migrans | Lyme disease (expanding bullseye rash- red rash with central clearing) |
| Fanconi's anemia | genetically inherited aplastic anemia (can be caused by expired tetracycline or exposure to heavy metals) |
| "fat, female, forty, and fertile" | acute cholecystitis |
| Fatty liver/ hepatic steatosis | alcoholism |