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First Aid Rapid Review, part 4
Classical lab values, part 2
44
Medical
Graduate
05/22/2010

Additional Medical Flashcards

 


 

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Term
Increased alpha-fetoprotein in amniotic fluid/maternal serum
Definition

Anencephaly, spina bifida (neural tube defects)

 

[Gastroschisis, omphalocele]

Term
Increased uric acid levels
Definition
Gout, Lesch-Nyhan syndrome, myeloproliferative disorders, loop and thiazide diuretics
Term
Intranuclear eosinophilic droplet-like bodies
Definition
Cowdry type A bodies (HSV or CMV)
Term
Iron-containing nodules in alveolar septum
Definition
Ferruginous bodies (asbestosis: increased cahnce of mesothelioma [and bronchogenic carcinoma])
Term
Large lysosomal vescicles in phagocytes, immunocompromised
Definition
Chediak-Higashi disease (failure of phagolysosome formation)
Term
Low serum ceruloplasmin
Definition
Wilson's disease (hepatolenticular degeneration)
Term
"Lumpy-bumpy" appearance of glomeruli on immunofluorescence
Definition
Poststreptococcal glomerulonephritis
Term
Lytic ("hole-punched") bone lesions on x-ray
Definition
Multiple myeloma
Term
Mammary gland ("blue-domed") cyst
Definition
Fibrocystic change of the breast
Term
Monoclonal antibody spike
Definition
  1. Multiple myeloma (called the M protein; usually IgG or IgA)
  2. Monoclonal gammopathy of undetermined significance (MGUS)
  3. Waldenstrom's (M protein = IgM) macroglobulinemia
Term
Monoclonal globulin protein in blood/urine
Definition
Bence Jones proteins (multiple myeloma [kappa or lambda Ig light chains in urine]), Waldenstrom's macroglobulinemia (IgM)
Term
Mucin-filled cell with peripheral nucleus
Definition
Signet ring (gastric carcinoma [and also lobular carcinoma in situe of the breast])
Term
Narrowing of bowel lumen on barium radiograph
Definition
"String sign" (Crohn's disease)
Term
Needle-shaped, negatively birefringent crystals
Definition
Gout (hyperuricemia)
Term
Nodular hyaline deposits in glomeruli
Definition
Kimmelstiel-Wilson nodules (diabetic nephropathy)
Term
"Nutmeg" appearance of liver
Definition
Chronic passive congestion of liver due to right heart failure
Term
"Onion-skin" periosteal reaction
Definition
Ewing's sarcoma (malignant round-cell tumor)
Term
Periosteum raised from bone, creating triangular area
Definition
Codman's triangle on x-ray (osteosarcoma, pyogenic osteomyelitis)
Term
Podocyte fusion on EM
Definition
Minimal change disease (child with nephrotic syndrome) [results in loss of negative charge barrier]
Term
Polished, "ivory-like" appearance of bone at cartilage erosion
Definition
Eburnation (osteoarthritis resulting in bony sclerosis)
Term
Protein aggregates in neurons from hyperphosphorylation of protein tau
Definition
Neurofibrillary tangles (Alzheimer's disease and CJD)
Term
Pseudopalisade tumor cell arrangment
Definition
Glioblastoma multiforme
Term
RBC casts in urine
Definition
Acute glomerulonephritis
Term
Rectangular, crystal-like inclusions in Leydig cells
Definition
Reinke crystals (Leydig cell tumor)
Term
Renal epithelial casts in urine
Definition
Acute toxic/viral nephrosis
Term
Rhomboid crystals, positively birefringent
Definition
Pseudogout (calcium pyrophosphate dihydrate)
Term
Rib notching
Definition
Coarctation of the aorta
Term
Sheets of medium-sized lymphoid cells ("starry sky" appearance on histology)
Definition
Burkitt's lymphoma (t[8:14] c-myc activation, associated with EBV)
Term
Silver-taining spherical aggregation of tau proteins in neurons
Definition
Pick bodies (Pick's disease: progressive dementia, similar to Alzheimer's)
Term
Small granulomatous lesion in lungs (can calcify)
Definition
Ghon focus (Primary TB: Mycobacterium bacilli)
Term
Small, round RBC inclusions
Definition
Heinz bodies (G6PD deficiency, alpha-thalassemia, chronic liver disease)
Term
"Soup bubble" on x-ray
Definition
Giant cell tumor of bone (generally benign)
Term
"Spikes" on basement membrane, "dome-like endothelial deposits
Definition
Membranous glomerulonephritis (may progress to nephrotic syndrome)
Term
Stacks of red blood cells
Definition
Rouleaux formation (high ESR: multiple myeloma)
Term
Stippled vaginal epithelial cells
Definition
"Clue cells" (Gardnerella vaginalis)
Term
"Tennis-racket"-shaped cytoplasmic organelles (EM) in Langerhands cells
Definition
Birbeck granules (histiocytosis X: eosinophilic granuloma)
Term
Thrombi made of white/red layers
Definition
Lines of Zahn (arterial thrombus, layers of platelets/RBCs)
Term
"Thumb sign" on lateral x-ray
Definition
Epiglottitis (Haemophilus influenzae)
Term
Thyroid-like appearance of kidney
Definition
Chronic bacterial pyelonephritis
Term
"Tram-track" appearance on LM
Definition
Membranoproliferative glomerulonephritis
Term
Triglyceride accumulation in liver cell vacuoles
Definition
Fatty liver disease (alcoholic or metabolic syndrome)
Term
WBCs that look "smudged"
Definition
CLL (almost always B cell; affects the elderly)
Term
"Wire loop" glomerular appearance on LM
Definition
Lupus nephropathy
Term
Yellow CSF
Definition
Xanthochromia (subarachnoid hemorrhage)
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