-
11-hydroxylase deficiency
virilism, no cortisol, salt retention, hypertension
-
Addison’s Disease
primary adrenocortical deficiency
-
Addisonian Anemia
pernicious anemia (antibodies to intrinsic factor or parietal cells ? ?IF ? ?Vit B12 ? megaloblastic anemia)
-
Adhesive arachnoiditis:
Caused by bacterial meningitis, leads to obstructive hydrocephalus
-
-
AFP in amniotic fluid or mother’s serum
Spina Bifida; Anencephaly
-
AFP increase
Neural tube defects, hepatocellular carcinoma, yolk sac and embryonal carcinoma
-
Albright’s Syndrome
polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls
-
Albumino-Cytologic Dissociation
Guillain-Barre (markedly increased protein in CSF with only modest increase in cell count)
-
Alport’s Syndrome
hereditary nephritis with nerve deafness, Type 4 collagen defect (basement membranes)
-
Alzheimer’s
progressive dementia; tau proteins, neurofibrillary tangles, apolipoprotein E4 allele, narrow gyri and wide sulci (atrophy), occipital sparing, hydrocephalus ex vacuo, plaques in hippocampus and cortex, ? Acetylcholine, Hiramo bodies (inrtacellular inclusion bodies in hippocampal cells)
-
Amnion nodosum
Renal agenesis
-
Amyloid in thyroid
Thyroid medullary carcinoma (calcitonin)
-
Analgesic abuse
Papillary necrosis, esp. in diabetics
-
Anasarca
Minimal change disease
-
Aneurysmal nodules
Polyarteritis nodosa
-
Angiomyolipoma
Tuberous sclerosis
-
Anosmia
Kallman’s syndrome
-
Anterior vermian atrophy
alcoholism
-
Anti-centromere antibody
Limited scleroderma (CREST)
-
Anti-DNA topoisomerase antibody
Diffuse scleroderma
-
Anti-endomysial antibody
Celiac sprue
-
Anti-jo antibody
polymyositis
-
Anti-mitochondrial antibody
Primary biliary cirrhosis
-
Anti-sacharommyces cervisiae antibody
Crohn’s
-
Anti-Smith antibodies
Specific for SLE, anti-ribonulceoprotein
-
Anti-smooth muscle antibody
Autoimmune hepatitis type I
-
Antiplatelet Antibodies
idiopathic thrombocytopenic purpura
-
-
Argyll-Robertson Pupil
loss of light reflex constriction (contralateral or bilateral), “Prostitute’s Eye” - accommodates but does not react, Pathognomonic for3 Syphilis
-
Arnold-Chiari Malformation
cerebellar tonsil herniation
-
Aschoff Bodies
rheumatic fever
-
Ashleaf spots (skin)
Tuberous sclerosis
-
-
Auer Rods
acute promyelocytic leukemia (AML type M3)
-
Autosplenectomy
sickle cell anemia
-
-
Bacterial conjunctivitis
S. aureus, strep. pneumo, Hemophilus aegyptius
-
Barrett’s
columnar metaplasia of lower esophagus (* risk of adenocarcinoma)
-
Bartter’s Syndrome
hyperreninemia
-
Basophilic Stippling of RBCs
lead poisoning
-
Becker’s Muscular Dystrophy
similar to Duchenne, but less severe (deficiency in dystrophin protein)
-
Bell’s Palsy
CNVII palsy (entire face; recall that UMN lesion only affects lower face)
-
Bence Jones Protein
multiple myeloma free light chains (either kappa or lambda) Waldenstrom’s macroglobinemia
-
Berger’s Disease
IgA nephropathy
-
Bernard-Soulier Disease
defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein)
-
Berry Aneurysm
circle of Willis (subarachnoid bleed), often associated with ADPKD
-
Bilateral breast cancer
Lobular carcinoma
-
Bilateral renal cell carcinoma
Von Hippel-Lindau
-
Birbeck Granules
histiocytosis X (eosinophilic granuloma)
-
Bladder trabeculation\BPH
-
Bloody nipple discharge
Intraductal papilloma
-
Blue Bloater
Chronic Bronchitis
-
Blue Sclera
Osteogenesis imperfecta
-
Blueberry muffin baby
Rubella????
-
Boot-Shaped Heart
Tetralogy of Fallot
-
Bouchard’s Nodes
osteoarthritis (PIP)
-
Boutonniere’s Deformity
rheumatoid arthritis
-
Bowen’s Disease
carcinoma in situ on shaft of penis (*risk of visceral ca)
-
Briquet’s Syndrome
somatization disorder
-
Broca’s Aphasia
Motor Aphasia intact comprehension
-
-
Bronze Diabetes:
Hemochromatosis
-
Brown Tumor:
hyperparathyroidism
-
Brown-Sequard:
hemisection of cord (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN)
-
Brudzinski sign:
meningitis
-
Brushfield Spots:
Down’s, on iris
-
Bruton’s Disease:
X-linked agammaglobinemia
-
Budd-Chiari:
post-hepatic venous thrombosis
-
Buerger’s Disease:
acute inflammation of small, medium arteries * painful ischemia * gangrene
-
Burkitt’s Lymphoma:
small noncleaved cell lymphoma EBV, 8:14 translocation
-
Caisson Disease:
gas emboli
-
Call-Exner Bodies:
granulosa cell tumor
-
Carbon monoxide poisoning:
hyperemia, edema and necrosis of globus
-
Cardiomegaly with Apical Atrophy:
Chagas’ Disease
-
Carpal Tunnel Syndrome:
Median nerve entrapment
-
Central Nuclei in Muscle:
Muscular dystrophies
-
Chagas’ Disease:
Trypansoma infection sleeping disease, cardiomegaly with apical atrophy, megaesophagus, megacolon
-
Chancre:
1* Syphilis, painless firm ulcers
-
Chancroid:
Haemophilus ducreyi, painful soft ulcers
-
Charcot Triad:
multiple sclerosis (nystagmus, intention tremor, scanning speech)
-
Charcot-Leyden Crystals:
bronchial asthma
-
Chediak-Higashi Disease:
Phagocyte Deficiency: neutropenia, albinism, cranial & peripheral neuropathy
-
Cherry-red spot on macula:
Tay-Sachs, 50% of Niemann-Pick
-
Cheyne-Stokes Breathing:
cerebral lesion
-
Chocolate Cysts:
endometriosis
-
Cholesterol clefts:
atherosclerosis
-
Chordae tendinae short and fused:
Rheumatic heart disease
-
Chronic staph infections:
Chronic granulomatous disease, a deficiency of NADPH oxidase, can’t kill catalase positive bugs
-
Chvostek’s Sign:
Hypocalcemia facial spasm in tetany
-
Clear nuclei:
Thyroid papillary carcinoma (Orphan Annie’s eyes)
-
Clue Cells:
Gardnerella vaginitis, trichomonas?
-
Codman’s Triangle:
osteosarcoma
-
Coin Lesions in Lung:
Pulmonary Hamartoma
-
Cold Agglutinins:
Mycoplasma pneumoniae; infectious mononucleosis
-
Cold thyroid nodules:
Colloid cyst or thyroid adenoma
-
Concentric laminar intimal fibrosis of small arteries of lung:
Primary pulmonary hypertension
-
Condyloma Lata:
2* Syphilis
-
Congenital adrenal hyperplasia:
21-hydroxylase deficiency: virilism, no cortisol, salt loss, hypotension
-
Congenital Hepatic Fibrosis:
Polycystic Kidney Disease, juvenile autosomal recessive form
-
Conn’s Syndrome:
primary aldosteronism
-
Contraction Band Necrosis:
MI
-
Cori’s Disease:
glycogen storage disease (debranching enzyme deficiency)
-
-
Councilman Bodies:
dying hepatocytes
-
Crescents In Bowman’s Capsule:
rapidly progressive (crescentic glomerulonephritis)
-
Creutzfeldt-Jakob:
prion infection * cerebellar & cerebral degeneration
-
Crigler-Najjar Syndrome:
congenital hyperbilirubinemia (unconjugated)
-
Crohn’s:
IBD; ileocecum, transmural, skip lesions, lymphocytic infiltrate, granulomas, (contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps, * colon cancer risk)
-
-
Crushed ping pong balls:
Pneumocystis carinii
-
Crypt abscesses:
Ulcerative colitis
-
Curling’s Ulcer:
acute gastric ulcer associated with severe burns
-
Currant-Jelly Sputum:
Klebsiella
-
Curschmann’s Spirals:
bronchial asthma
-
Cushing’s Disease:
hypercorticism 2* to * ACTH from pituitary (basophilic adenoma), Syndrome: hypercorticism of all other causes (1* adrenal or ectopic)
-
Cushing’s Ulcer:
acute gastric ulcer associated with CNS trauma
-
Cystathioine synthase deficieny:
homocystinuria
-
-
de Quervain’s Thyroiditis:
self-limiting focal destruction (subacute thyroiditis)
-
Depigmentation Of Substantia Nigra:
Parkinson’s
-
Dew drop on rose petal:
Chicken pox
-
Diaphragmatic pleural plaques:
Asbestosis
-
DiGeorge’s Syndrome:
thymic hypoplasia * T-cell deficiency
-
Donovan Bodies:
granuloma inguinale (STD)
-
dopamine receptors:
Schizophrenia
-
Double bubble sign on ultrasound:
Down’s syndorme – duodenal atresia
-
Down’s Syndrome:
trisomy 21 or translocation
-
Dressler’s Syndrome:
Post-MI Fibrinous Pericarditis autoimmune
-
Dubin-Johnson Syndrome:
congenital hyperbilirubinemia (conjugated), striking brown-to-black discoloration of the liver
-
Duchenne Muscular Dystrophy:
deficiency of dystrophin protein * MD X-linked recessive
-
Duret Hemorrhages:
Uncal herniation
-
Eburnation:
osteoarthritis (polished, ivory-like appearance of bone)
-
Eccentric intimal fibrosis with medial hypertrophy:
Chronic transplant rejection
-
-
Edwards’ Syndrome:
trisomy 18, rocker-bottom feet, low ears, heart disease
-
Ehler’s-Danlos:
defective collagen
-
Eisenmenger’s Complex
late cyanotic shunt (R?L) pulmonary HTN & RVH 2? to long-standing VSD, ASD, or PDA
-
Embolizing endocarditis
Infectious, marantic (fibrin deposits in hypercoagulable states)
-
Erb-Duchenne Palsy:
trauma to superior trunk of brachial plexus Waiter’s Tip
-
Erythema Chronicum Migrans:
Lyme Disease
-
Ewing Sarcoma:
undifferentiated round cell tumor of bone
-
Excavation of Optic Cup:
Glaucoma
-
Exopthalmos:
hyperthyroid
-
Eyrthroplasia of Queyrat:
carcinoma in situ on glans penis
-
False positive VDRL:
SLE, Treponema pertenue (non-STD tropical infection)
-
Fanconi’s Syndrome:
impaired proximal tubular reabsorption 2* to lead poisoning or Tetracycline (glycosuria, hyperphosphaturia, aminoaciduria, systemic acidosis)
-
FAT RN:
TTP (fever, anemia, thrombocytopenia, renal failure, neuro problems)
-
-
Fecalith:
Acute appendicitis
-
Felty’s Syndrome:
rheumatoid arthritis, neutropenia, splenomegaly
-
Ferruginous Bodies:
asbestosis
-
-
Fish-mouthed mitral valve:
Rheumatic heart disease
-
Flea-bitten Kidney:
Malignant Hypertension
-
Frontal bossing:
Sickle cell anemia
-
Fungus ball in lung:
Apergillus
-
galactosemia:
Galactose-1-phosphate uridyl transferase deficiency or galactokinase deficiency
-
Gardner’s Syndrome:
adenomatous polyps of colon plus osteomas & soft tissue tumors
-
Garlic odor on breath:
Arsenic (or lasagna)
-
Gaucher’s Disease:
Lysosomal Storage Disease glucocerebrosidase deficiency, hepatosplenomegaly, femoral head & long bone erosion, anemia
-
Ghon Complex:
Tuberculosis, primary
-
Gilbert’s Syndrome:
benign congenital hyperbilirubinemia (unconjugated)
-
GIST:
Tumor arising in cells of Cajal (pacemakers of gut)
-
Glanzmann's Thrombasthenia:
defective glycoproteins on platelets
-
Glucose, protein in CSF:
Bacterial meningitis
-
Gold Pneumonia:
Lipid pneumonia, exogenous (aspiration) or endogenous (obstruction
-
Goodpasture’s:
autoimmune: ab’s to glomerular & alveolar basement membranes; linear immunofluorescence
-
Gower’s Maneuver:
Duchenne’s MD use of arms to stand
-
Grave’s Disease:
autoimmune hyperthyroidism (TSI)
-
Gray discoloration of skin:
Argyria (silver poisoning)
-
Guillain-Barre:
idiopathic polyneuritis (ascending muscle weakness & paralysis; usually self-limiting)
-
H shaped vertebrae:
Sickle cell anemia
-
Hamman-Rich Syndrome:
idiopathic pulmonary fibrosis
-
Hand-Schuller-Christian:
chronic progressive histiocytosis
-
Hashimoto’s Thyroiditis:
autoimmune hypothyroidism (antimicrosomal or antithyroglobulin); Hurthle cells, thyroid germinal centers,
-
Hashitoxicosis:
initial hyperthyroidism in Hashimoto’s Thyroiditis that precedes hypothyroidism
-
Hat size increase:
Paget’s disease of bone
-
Heart Failure Cells:
CHF; hemosiderin-laden macrophages in lungs
-
Heberden’s Nodes:
Osteoarthritis (DIP)
-
Heinz Bodies:
G6PDH Deficiency
-
Hemarthrosis:
Coagulation factor deficiency
-
Hemorrhagic Temporal Lobe Lesion:
HSV
-
Hemorrhagic Urticaria:
Henoch-Schonlein
-
Henoch-Schonlein purpura:
hypersensivity vasculitis
-
Hereditary Spherocytosis:
RBC cytoskeletin defect, most commonly spectrin
-
Heterophil Antibodies:
infectious mononucleosis (EBV)
-
Hirano Bodies:
alzheimer’s
-
Hirschprung’s Disease:
aganglionic megacolon
-
HLA B27:
Ankylosing spondylitis, psoriasis, IBD, Reiter’s syndrome
-
Honeycomb lung:
Pulmonary fibrosis
-
Horner’s Syndrome:
ptosis, miosis, anhidrosis (lesion of cervical sympathetic nerves often 2* to a Pancoast tumor)
-
Howell Jolley Bodies:
Splenectomy, remnant of nuclear DNA
-
Human placental lactogen increase:
Placental site trophoblastic tumor
-
Hunter’s:
Decreased iduronosulfate sulfatase
-
Huntington’s:
progressive degeneration of caudate nucleus, putamen & frontal cortex; AD
-
Hurler’s:
Decreased alpha-L-iduronidase
-
-
Hydrosalpinx:
Chronic pelvic inflammatory disease
-
Hypersegmented PMNs:
Megaloblastic anemia
-
Hypochromic Microcytic RBCs:
iron-deficiency anemia
-
IgM against IgG:
Rheumatoid arthritis (rheumatoid factor)
-
Index finger overlapping 3rd and 4th: Edward’s
(Trisomy 18)
-
dopamine receptors:
Parkinson’s
-
? Immunoglobulins:
X-linked Brutons agammaglobulinemia, and common variable immunodeficiency
-
Jacksonian Seizures:
epileptic events originating in the primary motor cortex (area 4)
-
Jarisch-Herxheimer Reaction:
Syphilis over-aggressive treatment of an asymptomatic pt. that causes symptoms 2? to rapid lysis
-
Job’s Syndrome:
immune deficiency: neutrophils fail to respond to chemotactic stimuli
-
Joint Mice:
osteoarthritis (fractured osteophytes)
-
Kaposi Sarcoma:
malignant vascular tumor (HHV8 in homosexual men)
-
Kartagener’s Syndrome:
immotile cilia 2? to defective dynein arms infection, situs inversus, sterility
-
Kussmaul Breathing:
acidosis
-
Kawasaki Disease:
mucocutaneous lymph node syndrome (lips, oral mucosa)
-
-
Keratoconjunctivitis:
adenovirus
-
Kernig’s sign:
meningitis
-
Keyser-Fleischer Ring:
Wilson’s
-
Kimmelstiel-Wilson Nodules:
diabetic nephropathy
-
Klinefelter’s Syndrome:
47, XXY
-
Kluver-Bucy:
bilateral lesions of amygdala (hypersexuality; oral behavior)
-
-
-
Krabbe Disease:
Beta-galactosidase deficiency
-
Krukenberg Tumor:
adenocarcinoma with signet-ring cells (typically originating from the stomach) metastases to the ovaries
-
Lacunar cells:
Variant of Reed-Sternberg cell seen in nodular sclerosing Hodgkin’s Disease
-
Lacunar infarct:
Chronic hypertension
-
Laennec’s Cirrhosis:
alcoholic cirrhosis
-
Lamellar bodies:
Contain surfactant in Type II pneumocytes
-
Langhans giant cells:
Tuberculosis, other including coccidioides
-
Lemon sign:
Ultrasonographic finding in Neural Tube Defects
-
Lemon yellow skin color:
Pernicious anemia
-
Lesch-Nyhan:
HGPRT deficiency, gout, retardation, self-mutilation
-
Letterer-Siwe:
acute disseminated Langerhans’ cell histiocytosis
-
Leukocoria:
Retinoblastoma
-
Leukocyte alk. Phos. Positive:
leukemoid rxn.
-
Lewy Bodies:
Parkinson’s (eosinophilic inclusions in damaged substantia nigra cells)
-
Libman-Sacks:
endocarditis with small vegetations on valve leaflets, associated with SLE
-
Lines of Zahn:
arterial thrombus
-
Lisch Nodules:
neurofibromatosis (von Recklinhausen’s disease)
-
Loss of grey-white junction:
Tuberous sclerosis
-
Lou Gehrig’s:
Amyotrophic Lateral Sclerosis degeneration of upper & lower motor neurons
-
Low set ears:
Downs, DiGeorge, Trisomy 18 (Edwards)
-
Lumpy-Bumpy IF Glomeruli:
poststreptococcal glomerulonephritis
-
Machine-like murmur:
Patent ductus arteriosus
-
Macronodular cirrhosis:
Wilson’s, viral hepatitis, alpha-1-antitrypsin
-
Malignant pustule:
Anthrax (black skin lesion)
-
Mallory Bodies:
Alcoholic liver disease: intermediate filaments of hepatocyte cytoskeleton
-
Mallory-Weis Syndrome:
bleeding from esophagogastric lacerations 2* to wretching (alcoholics)
-
Maple syrup/burnt sugar urine:
Alpha-ketoacid dehydrogenase deficiency; valine, leucine and isoleucine build up (branched)
-
Marfan’s:
elastin defect, floppy mitral valve, arachnodactyly, cystic medial necrosis, subluxed lens
-
McArdle’s Disease:
glycogen storage disease (muscle phosphorylase deficiency)
-
McBurney’s Sign:
appendicitis (McBurney’s Point is 2/3 of the way from the umbilicus to anterior superior iliac spine)
-
Meckel’s Diverticulum:
rule of 2’s: 2 inches long, 2 feet from the ileocecum, in 2% of the population, embryonic duct origin; may contain ectopic tissue (gastric, pancreatic, etc.)
-
Meconium ileus:
Cystic Fibrosis
-
Mees lines:
Arsenic (parallel lines on fingernails)
-
Meig’s Syndrome:
Triad: ovarian fibroma, ascites, hydrothorax
-
Melanosis coli:
Laxative abuse
-
Menetrier’s Disease:
giant hypertrophic gastritis (enlarged rugae; plasma protein loss)
-
Meningioma:
Arachnoid cap cells, whorls of cells
-
Mental probs. with heart defect:
Mitral prolapse
-
Mesothelioma:
Asbestos exposure
-
Michealis-Gutmann Bodies:
Malakoplakia, an abnormal tissue response to kidney infection
-
-
-
Micronodular cirrhosis:
Wilsons, alcoholic, hemochromatosis, primary biliary cirrhosis
-
Microsatellite instability:
HNPCC (right-sided colon cancer), but also possible in other cancers
-
Mid-systolic click:
Mitral prolapse
-
Monckeberg’s Arteriosclerosis:
calcification of the media (usually radial & ulnar aa.), pipestem arteries
-
Monoclonal Antibody Spike:
multiple myeloma this is called the M protein (usually IgG or IgA)
-
-
Mucosal bleeding:
Platelet problem (qualitative or quantitative)
-
Munchausen Syndrome:
factitious disorder (consciously creates symptoms, but doesn’t know why)
-
273. Myxedema:
hypothyroidism
-
Necrolytic migratory erythema dermatitis:
?-cell islet tumor
-
Negri Bodies and hydrophobia:
rabies
-
Nelson’s Syndrome:
1* Adrenal Cushings * surgical removal of adrenals * loss of negative feedback to pituitary * Pituitary Adenoma
-
Neuritic Plaques:
Alzheimer’s
-
Neurofibrillary Tangles:
Alzheimer’s
-
Niemann-Pick:
Lysosomal Storage Disease sphingomyelinase deficiency,“foamy histiocytes”
-
Night pain relieved by aspirin:
Osteoid osteoma
-
Non-embolizing endocarditis:
Rheumatic, Libman-Sacks (with SLE)
-
Non-pitting Edema:
Myxedema, Anthrax Toxin
-
Notching of Ribs:
Coarctation of Aorta
-
Nutmeg Liver:
CHF, right heart
-
Ochronosis (dark pigment of fibrous tissue):
Alkaptonuria –homogentisic acid oxidase deficiency
-
Oligoclonal band:
Multiple sclerosis
-
Onion skin kidney arterioles:
Malignant nephrosclerosis (malignant hypertension)
-
Osler-Weber-Rendu Syndrome:
Hereditary Hemorrhagic Telangiectasia
-
Osteogenesis imperfecta:
Type I collagen defect
-
Osteoid production:
osteosarcoma
-
Paget’s Disease:
abnormal bone architecture (thickened, numerous fractures * pain) , woven and lamellar bone mosaic
-
Painless Jaundice:
pancreatic CA (head)
-
Palatal Petechaie:
Strep pharyngitis
-
Palpable purpura:
Hypersensitivity vasculitis (Henoch-Schonlein, serum sickness)
-
Pancarditis:
Rheumatic fever
-
Pancoast Tumor:
bronchogenic tumor with superior sulcus involvement * Horner’s Syndrome
-
Pannus:
rheumatoid arthritis
-
Parkinson’s:
dopamine depletion in nigrostriatal tracts; Cogwheel rigidity
-
PAS positive macrophages:
Whipple’s disease
-
Patent ductus arteriosus:
Maternal rubella and prematurity
-
Pautrier’s Microabscesses:
mycosis fungoides (cutaneous T-cell lymphoma)
-
Periductal edema:
Gynecomastia
-
Periventricular Calcifications:
Congenital CMV (brain ventricles, that is)
-
Peutz-Jegher’s Syndrome:
melanin pigmentation of lips, mouth, hand, genitalia plus hamartomatous polyps of small intestine
-
Peyronie’s Disease:
subcutaneous fibrosis of dorsum of penis
-
Phenylalanine hydroxylase deficiency:
PKU
-
Philadelphia Chromosome:
CML
-
Pick Bodies:
Pick’s Disease
-
Pick’s Disease:
progressive dementia similar to Alzheimer’s, knife-edged gyri
-
Piecemeal Necrosis:
Chronic active hepatitis (periportal hepatocytes)
-
Pink Puffer:
Emphysema Centroacinar – smoking Panacinar - ?1-antitrypsin deficiency
-
Pink, foamy lung exudate:
Pneumocystis carinii pneumonia
-
Plexiform lesions:
Puslmonary HTN (aneurysmal expansion of vessel wall)
-
Plummer-Vinson:
esophageal webs & iron-deficiency anemia, ? SCCA of esophagus
-
Plummer’s Syndrome:
hyperthyroidism, nodular goiter, absence of eye signs (Plummer’s = Grave’s - eye signs)
-
Podagra:
gout (MP joint of hallux)
-
Pompe’s Disease:
glycogen storage disease (acid maltase deficiency) * cardiomegaly
-
Porcelain gallbladder:
Chronic cholecystitis (scarring)
-
Porcelain gallstones:
Associated with gallbladder adenocarcinoma
-
Port-Wine Stain:
Hemangioma
-
Posterior Anterior Drawer Sign:
tearing of the ACL
-
Pott’s Disease:
tuberculous osteomyelitis of the vertebrae
-
Potter’s Complex:
renal agenesis * oligohydramnios * hypoplastic lungs, defects in extremities
-
Proliferating bile ducts:
Obstructive jaundice
-
Psammoma Bodies:
Papillary adenocarcinoma of the thyroid, Serous papillary cystadenocarcinoma of the ovary, Meningioma, Mesothelioma
-
Pseudohypertrophy:
Duchenne muscular dystrophy
-
Pseudopolyps:
Ulcerative colitis
-
Pulmonary atherosclerosis:
Cor pulmonale
-
Punched-Out Bone Lesions:
multiple myeloma
-
Punched-out esophageal lesions:
herpes
-
Rash on Palms & Soles:
2 Syphilis
-
Raynaud’s Disease:
recurrent vasospasm in extremities, Phenomenon: 2* to underlying disease (SLE or scleroderma)
-
RBC poikilocytosis:
Beta-thalassemia
-
Rectangular RBC’s:
Hemoglobin SC
-
Red hyalin globules:
Alpha-1-antitrypsin deficiency (in liver)
-
Red Morning Urine:
paroxysmal nocturnal hemoglobinuria
-
Reed-Sternberg Cells:
Hodgkin’s Disease
-
Reid Index Increased:
chronic bronchitis
-
Reinke Crystals:
Leydig cell tumor
-
Reiter’s Syndrome:
urethritis, conjunctivitis, arthritis non-infectious (but often follows infections), HLA-B27, polyarticular
-
Reye’s Syndrome:
microvesicular fatty liver change & encephalopathy, 2* to aspirin ingestion in children following viral illness
-
Rhomboid crystals:
Pseudogout
-
Riedel’s Thyroiditis:
idiopathic fibrous replacement of thyroid
-
Rim pattern:
SLE, staining pattern with anti-double stranded DNA antibodies
-
Rockerbottom feet:
Patau (Trisomy 13), Edward’s (Trisomy 18)
-
Rose thorns:
Sporotrichosis
-
Rotor Syndrome:
congenital hyperbilirubinemia (conjugated), similar to Dubin-Johnson, but no discoloration of the liver
-
Rouleaux Formation:
multiple myeloma RBC’s stacked as poker chips
-
Rugae loss:
Pernicious anemia (atrophic gastritis)
-
S3 Heart Sound:
L ->R Shunt (VSD, PDA); Mitral Regurg; LV Failure
-
S4 Heart Sound:
Pulmonary Stenosis, Pulmonary HTN
-
Scalloped colloid:
Grave’s disease
-
Schwartzman Reaction:
Neisseria meningitidis impressive rash with bugs
-
Sezary Syndrome:
leukemic form of cutaneous T-cell lymphoma (mycosis fungoides)
-
Shagreen patches:
Tuberous sclerosis
-
Shaver’s Disease:
aluminum inhalation ? lung fibrosis
-
Sheehan’s Syndrome:
postpartum pituitary necrosis
-
Shy-Drager:
parkinsonism with autonomic dysfunction & orthostatic hypotension
-
-
Simmond’s Disease:
pituitary cachexia
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Sipple’s Syndrome:
MEN type IIa (pheochromocytoma, thyroid medulla, parathyroid)
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Sjogren’s Syndrome: triad:
dry eyes, dry mouth, arthritis? risk of B-cell lymphoma
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Smith Antigen:
SLE (also anti-dsDNA)
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Smudge cells:
CLL (delicate cells easily destroyed on peripheral smear)
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Soap Bubble on X-Ray:
giant cell tumor of bone
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Soldiers plaque:
Clinically insignificant remnant of healed pericarditis
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Spider telangiectasia:
Hyperestrinism: liver failure, pregnancy
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Spike & Dome Glomeruli:
membranous glomerulonephritis
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Spitz Nevus:
juvenile melanoma (always benign)
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Splinter hemorrhages:
Infective endocarditis
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Stein-Leventhal:
polycystic ovary
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Stevens-Johnson Syndrome:
erythema multiforme, fever, malaise, mucosal ulceration (often 2? to infection or sulfa drugs)
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Still’s Disease:
juvenile rheumatoid arthritis (absence of rheumatoid factor)
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Strawberry cervix:
Trichomonas vaginalis
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Strawberry gallbladder:
Cholesterolosis
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Strawberry tongue:
Scarlet fever, Kawasaki’s
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String Sign on X-ray:
Crohn’s bowel wall thickening
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Struma Ovarii:
Thyroid teratoma of ovary
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Sugar icing on spleen:
Portal hypertension Sulfer granules: Collection of actinomyces or nocardia organisms in chronic abscessing bronchopneumonia
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Swiss cheese brain:
Clostridia (gas forming)
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Takayasu’s arteritis:
aortic arch syndrome, loss of carotid, radial or ulnar pulses
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Tamm-Horsfall protein:
Hyaline casts (non-specific)
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Target Cells:
Thalassemia
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Tay-Sachs:
gangliosidosis (hexosaminidase A deficiency * GM2 ganglioside)
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Teardrop RBCs:
myelofibrosis
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Temporal lobe encephalitis:
Herpes
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Tendinous Xanthomas:
Familial Hypercholesterolemia
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Tethered cord:
Arnold-Chiari malformation (tonsilar herniation)
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Tetrahydrobiopterin cofactor def.:
PKU
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Tetralogy of Fallot:
VSD, overriding aorta, pulmonary artery stenosis, right ventricular hypertrophy
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Thymidine dimers:
Xeroderma pigmentosum
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Thymus, parathyroid agenesis:
Digeorge (3rd and 4th pharyngeal pouch)
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Thyroidization of Kidney:
chronic pyelonephritis
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TIBC increase:
Anemia of chronic disease
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Tingible Bodies:
Macrophage in lymph node germinal centers
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Tourette’s Syndrome:
involuntary actions, both motor and vocal
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Tram-Track Glomeruli:
membranoproliferative glomerulonephritis
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Tree bark aorta:
Syphilis
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Trousseau’s Sign:
visceral ca, classically pancreatic (migratory thrombophlebitis), hypocalcemia (carpal spasm) (These are two entirely different disease processes and different signs, but they unfortunately have the same name.)
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Turcot’s Syndrome:
adenomatous polyps of colon plus CNS tumors
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Turner’s Syndrome:
45, XO
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Typhoid Fever:
Bradycardia and in white people rose spots on abdomen
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Tyrosinase deficiency:
Albinism
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Uric Acid:
Gout, Lesch Nyhan, Myeloproliferative Disorders, Diuretics (Loop & Thiazides)
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Vincent’s Infection:
“trench mouth” - acute necrotizing ulcerative gingivitis
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Virchow’s Node:
supraclavicular node enlargement by metastatic carcinoma of the stomach
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VMA and metenephrins in urine:
Pheochromocytoma
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von Gierke’s Disease:
glycogen storage disease (G6Pase deficiency)
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von Hippel-Lindau:
hemangioma (or hemangioblastoma), adenomas of the viscera, especially renal cell carcinoma
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von Recklinghausen’s:
neurofibromatosis & café au lait spots & Lisch nodule (iris hamartomas)
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von Recklinghausen’s Disease of Bone:
osteitis fibrosa cystica (“brown tumor”) 2* to hyperparathyroidism
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von Willebrand’s Disease:
defect in platelet adhesion 2* to deficiency in vWF; increased bleeding time and PTT
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Waldenstrom’s macroglobinemia:
proliferation of IgM-producing lymphoid cells
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Wallenberg’s Syndrome:
Posterior Inferior Cerebellar Artery (PICA) thrombosis “Medullary Syndrome”,
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Ipsilateral:
ataxia, facial pain & temp; Contralateral: body pain & temp
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Warthin-Finkeldey Giant Cells:
Measles
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Waterhammer pulse:
Aortic regurgitation
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Waterhouse-Friderichsen:
catastrophic adrenal insufficiency 2* to hemorrhagic necrosis (eg, DIC), often 2* to meningiococcemia
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WBC Casts:
pyelonephritis
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Weber’s Syndrome:
Paramedian Infarct of Midbrain, Ipsilateral: mydriasis; Contralateral: UMN paralysis (lower face & body)
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Wegener’s Granulomatosis:
necrotizing granulomatous vasculitis of paranasal sinuses, lungs, kidneys, etc.
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Weil’s Disease:
leptospirosis
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Wermer’s Syndrome:
MEN type I (thyroid, parathyroid, adrenal cortex, pancreatic islets, pituitary)
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Wernicke-Korsakoff Syndrome:
thiamine deficiency in alcoholics; bilateral mamillary bodies (confusion, ataxia, ophthalmoplegia)
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Wernicke’s Aphasia:
Sensory Aphasia impaired comprehension
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Whipple’s Disease:
malabsorption syndrome (with bacteria-laden macrophages) & polyarthritis
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White matter petechiae:
Fat emboli
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Wilson’s Disease:
hepatolenticular degeneration (copper accumulation & decrease in ceruloplasmin)
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Winged scapula:
Long thoracic nerve (C5,6,7) damage, common with radical mastectomy
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Wire Loop Glomeruli:
lupus nephropathy, type IV
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Wiskott-Aldrich Syndrome:
immunodeficiency: combined B- &T-cell deficiency (thrombocytopenia & eczema)
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Wolff-Chaikoff Effect:
high iodine level (*)’s thyroid hormone synthesis
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Wrinkled glomerular basement membrane:
ischemia
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Zenker’s Diverticulum:
esophageal; cricopharyngeal muscles above UES
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Zollinger-Ellison:
gastrin-secreting tumor of pancreas (or intestine) * * acid * intractable ulcers
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