-
Actinic (solar) keratosis
squamous cell carcinoma
-
acute gastric ulcer associated with CNS injury
Cushing's ulcer (increase ICP stimulates vagal gastric secretion)
-
Acute gastric ulcer associated with severe burns
Curling's ulcer (greatly reduced plasma volume results in sloughing of gastric mucosa)
-
Alternating areas of transmural inflammation and normal colon
Skip lesions (Crohn's disease: autoimmune)
-
Aneurysm, dissecting
Hypertension
-
Aortic aneurysm, abdominal and descending aorta
Atherosclerosis
-
Aortic aneurysm, ascending
tertiary syphilis
-
Atrophy of the mammillary bodies
Wernicke's encephalopathy (thiamine deficiency causing ataxia, opthalmoplegia, and confusion)
-
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)
Streptococcus pneumoniae
-
Bacterial meningitis (newborns and kids)
Group B streptococcus (newborns), S. penumoniae/Neisseria meningitidis (kids)
-
Benign melanocytic nevus
Spitz nevus (most common in first two decades)
-
Bleeding disorder with GpIb deficiency
Bernard-Soulier disease (defect in platelet adhesion)
-
Brain tumors (adults)
Supratentorial : mets > astrocytoma (including glioblastoma multiforma) > meningioma > schwannoma
-
Brain tumor (kids)
Infratentorial: medulloblastoma (cerebellum) or supratentorial: craniopharyngioma (cerebrum)
-
breast cancer
Infiltrating ductal carcinoma
-
Breast mass
- 1. fibrocystic change
- 2. Carcinoma (in postmenopausal women)
-
Breast tumor (benign)
Fibradenoma
-
Bug in debilitated, hospitalized penumonia patient
Klebsiella
-
Cardiac primary tumor (kids)
Rhabdomyoma
-
cardiac manifestation of lupus
Libman-Sacks endocarditis (nonbacterial, affecting mitral)
-
cardiac tumor (adults)
- 1. metastasis
- 2. primary myxoma (4:1 left to right atrium; "ball and valve")
-
Cardiomyopathy
Dilated cardiomyopathy (40% are familial)
-
cerebellar tonsillar herniation
arnold-chiari malformation (often causes hydrocephalus)
-
chronic arrhythmia
atrail fibrillation (associated with high risk of emboli)
-
chronic atrophic gastritis (autoimmune)
predisposition to gastric carcinoma (can also cause pernicious anemia)
-
Clear cell adenocarcinoma of the vagina
DES exposure in utero
-
congenital adrenal hyperplasia
21-hydroxylase deficiency
-
congenital cardiac anomaly
VSD
-
congenital conjugated hyperbilirubinemia (black liver)
Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)
-
constrictive pericarditis in developing world
tuberculosis
-
coronary artery involved in thrmobosis
LAD>RCA>LCA
-
cretinism
Iodine deficit/hypothyroidism
-
Cushing's syndrome
- 1. corticosteroid therapy
- 2. excess ACTH secretion by pituitary
-
Cyanosis (early; less common)
Tetralogy of Fallot, transposition of great vessels, truncus arteriosus
-
Cyanosis (late; more common)
VSD, ASD, PDA
-
Death in CML
Blast crisis
-
Death in SLE
Lupus nephropathy
-
Dementia
- 1. alzheimer's disease
- 2. multiple infarcts
-
DIC
Gram-negative sepsis, obstetric complications, cancer, burn trauma
-
diverticulum in pharynx
zenker's diverticulum (diagnosis by barium swallow)
-
ejection click
aortic/pulmonic stenosis
-
esophageal cancer
squamous cell carcinoma
-
-
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
- 1. enterobius vermicularis
- 2. ascaris lumbricoides
-
hematoma - epidural
rupture of middle meningeal artery (arterial bleeding is fast)
-
hematoma - subdural
rupture of bridging veins (trauma; venous bleeding is slow)
-
hemochromatosis
multiple blood transfusions ( can results in CHF and incrase risk of hepatocelullar carcinoma)
-
Hepatocellular carcinoma
Cirrhotic liver (often associated with hepatitis B and C)
-
Hereditary harmless jaundice
Gilbert's syndrome (benign congenital unconjugated hyperbilirubinemia)
-
HLA-B27
- ankylosing spondylitis
- reiter's syndrome
- ulcerative colitis
-
HLA-DR3 or DR4
Diabetes mellitus Type 1, rheumatoid arthritis, SLE
-
Holosystolic murmur
VSD, tricuspid regurgitation, mitral regurgitation
-
hypercoagulability, endothelial damage, blood stasis
virchow's triad (results in venous thrombosis)
-
hypertension, secondary
renal disease
-
hypoparathyroidism
thyroidectomy
-
-
infection in blood transfusion
hepatitis C
-
Kidney stones
- 1. calcium = radiopaque
- 2. struvite (ammonium) = radiopaque (formed by urease-positive organisms such as
- 3. uric acid = radiolucent
-
late cyanotic shunt (uncorrected L-->R becomes R --> L)
Eisenmenger's syndrome (caused by ASD, VSD, PDA' results in pulmonary hypertension/polycythemia)
-
Lysosomal storage disease
Gaucher's disease
-
Malignancy associated with noninfectious fever
Hodgkin's lymphoma
-
malignant skin tumor
Basal cell carcinoma (rarely metastasizes)
-
Mets to bone
Breast, lung, thyroid, tests, prostate, kidney
-
mets to brain
Lung, breast, skin (melanoma), kidney (renal cell carcinoma), GI
-
Mets to liver
Colon, gastric, pancreatic, breast, and ulung carcinomas
-
Mitral valve stenosis
rheumatic heart disease
-
-
Neoplasm (kids)
- 1. ALL
- 2. cerebellar medulloblastoma
-
Nephrotic syndrome (adults)
membranous glomerulonephritis
-
Nephrotic syndrome (kids)
minimal change disease (associated with infections/vaccinations; treat with corticosteroids)
-
Opening snap
Mitral stenosis
-
Organ receiving mets
Adrenal glands (due to rich blood supply)
-
organ sending mets
Lung> breast, stomach
-
-
Osteomyelitis in patients with sickle cell disease
Salmonella
-
Osteomyelitis with IV drug use
Pseudomonas
-
Ovarian metastasis from gastric carcinoma or breast cancer
Krukenberg tumor (mucin-secreting signet-ring cells)
-
Ovarian tumor (benign)
Serous cystadenoma
-
Ovarian tumor (malignant)
Serous cystadenocarcinoma
-
Pancreatic tumor
Adenocarcinoma
-
Pancreatitis
EtOH and gallstones
-
pancreatitis (chronic)
EtOH (adults), cystic fibrosis (kids)
-
Patient with ALL/CLL/AML/CML
- ALL: child
- CLL: adult > 60
- AML: adult > 60
- CML: adult 35-50
-
Patient with Hodgkin's disease
Young male (except nodular sclerosis type: female)
-
Pelvic inflammatory disease
Neisseria gonorrhoeae (monoarticular arthritis)
-
t [9:22]
- Philadelphia chromosome, CML, bcr-abl
- (may someitmes be associated iwth ALL/AML)
-
Pituitary tumor
- 1. prolactinoma
- 2. somatotropic "acidophilic" adenoma
-
Pneumonia, hospital acquired
Klebsiella
-
Primary amenorrhea
Turner's syndrome (XO)
-
Primary bone tumor (adults)
Multiple myeloma
-
Primary hyperaldosteronism
Adenoma of adrenal cortex
-
primary hyperparathyroidism
- 1. adenomas
- 2. hyperplasia
- 3. carcinoma
-
primary liver cancer
hepatocellular carcinoma
-
pulmonary hypertension
COPD
-
recurrent inflammation/thrombosis of small/medium vessels in extremities
Buerger's disease (strongly associated with tobacco)
-
Renal tumor
Renal cell carcinoma: associated with von Hippel-Lindau and adult polycystic kidney disease; paraneoplastic syndrome (erythropoietin, renin, PTH, ACTH)
-
Right heart failure due to a pulmonary cause
Cor pulmonale
-
S3 (protodiastolic gallop)
increase ventricular filling (L-->R shunt, mitral regurgitation, LV failure [CHF])
-
S4 (presystolic gallop)
Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)
-
secondary hyperparathyroidism
Hypocalcemia of chornic kidney disease
-
SIADH
small cell carcinoma of the lung
-
site of diverticula
sigmoid colon
-
site of metastasis
- 1.regional lymph nodes
- 2. liver
-
sites of atherosclerosis
abdominal aorta>coronary>popliteal>carotid
-
stomach cancer
adenocarcinoma
-
stomach ulcerations and high gastrin levels
zollinger-ellison syndrome (gastrinoma of duodenum or pancreas)
-
t[14;18]
follicular lymphomas (bcl-2 activation)
-
t[8;14]
burkitt's lymphoma
-
temporal arteritis
risk of ipsilateral blindness due to thrombosis of ophthalmic artery
-
testicular tumor
seminoma
-
thyroid cancer
papillary carcinoma
-
tumor in women
Leiomyoma (estrogen dependent)
-
tumor of infancy
hemangioma
-
tumor of the adrenal medulla (adults)
pheochromocytoma (usually benign)
-
tumor of the adrenal medulla (kids)
Neuroblastoma (malignant)
-
Type of Hodgkin's
nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)
-
Type of non-Hodgkin's
diffuse large cell
-
UTI
E. coli, Staphylococcus saprophyticus (young women)
-
-
vitamin deficiency (U.S)
Folic acid (pregnant women are at high risk; body stores only 3 to 4 month supply)
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