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Details

First Aid Classic Lab/Findings
First Aid 2012 (pp. 585-588)
99
Medical
Professional
12/24/2012

Additional Medical Flashcards

 


 

Cards

Term
anti-centromere antibodies
Definition
scleroderma (CREST)
Term
anti-desmoglein (epithelial) antibodies
Definition
pemphigus vulgaris (blistering)
Term
ant-glomerular basement membrane antibodies
Definition
Goodpasture's syndrome (glomerulonephritis and hempysis)
Term
anti-histone antibodies
Definition
Drug-induced SLE (hydralazine, isoniazid, phenytoin, procainamide)
Term
anti-IgG antibodies
Definition
rheumatoid arthritis (systemic inflammation, joint pannus, boutonniere deformity)
Term
anti-mitochondrial antibodies (AMAs)
Definition
primary biliary cirrhosis (female, cholestasis, portal hypertension)
Term
anti-neutrophil cytoplsmic antibodies (ANCAs)
Definition
vasculitis (c-ANCA: Wegner's; p-ANCA: microscopic polyangiitis, Churg-Strauss syndrome)
Term
anti-nuclear antibodies (ANAs: anti-Smith and anti-dsDNA)
Definition
SLE (type III hypersensitivity)
Term
anti-platelet anibodies
Definition
idiopathic thrombocytopenic purpura (ITP)
Term
anti-topoisomerase antibodies
Definition
diffuse systemic scleroderma
Term
anti-transglutaminase/anti-gliadin/anti-endomysial antibodies
Definition
celiac disease (diarrhea, distention, weight loss)
Term
"apple core" lesion on abdominal x-ray
Definition
colorectal cancer (usually left-sided)
Term
azurophilic granular needles in leukemic blasts
Definition
Auer rods (acute myelogenous leukemia, especially the promyelocytic [M3] type)
Term
Bacitracin response
Definition
sensitive: Streptococcus pyogenes (group A); resistant Streptococus agalactiae (group B)
Term
"bamboo spine" on x-ray
Definition
anklyosing spondylitis (chronic inflammatory arthritis: HLA-B27)
Term
basophilic nuclear remnants in RBCs
Definition
Howell-Jolly bodies (due to splenectomy or non-functional spleen)
Term
basophilic stippling of RBCs
Definition
lead poisoning or sideroblastic anemia
Term
bloody tap on LP
Definition
subarachnoid hemorrhage
Term
"boot-shaped" heart on x-ray
Definition
Tetrology of Fallot, RVH
Term
branching gram-positive rods with sulfur granules
Definition
Actinomyces israelii
Term
bronchogenic apical lung tumor
Definition
Pancoast tumor (can compress sympathetic ganglion and cause Horner's syndrome
Term
"brown" tumor of bone
Definition
hemorrhage (hemosiderin) causes brown color of osteolytic cysts. Due to: hyperparathyroidism, osteitis fibrosa cystica
Term
cardiomegaly with apical atrophy
Definition
Chagas' disease (Trypanosoma cruzi)
Term
cellular crescents in Bowman's capsule
Definition
rapidly progressive crescentic glomerulonephritis
Term
"chocolate cyst" of ovary
Definition
endometriosis (frequently involves both ovaries)
Term
circular grouping of dark tumor cells surrounding pale neurofibrils
Definition
Homer Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)
Term
colonies of mucoid Pseudomonas in lungs
Definition
cystic fibrosis (AR mutation to CFTR resulting in fat-soluble vitamin deficiency and mucous plugs)
Term
decreased alpha-fetoprotein in amniotic fluid/maternal serum
Definition
Down syndrome or other chromosomal abnormality
Term
degeneration of dorsal column nerves
Definition
tabes dorsalis (tertiary syphilis)
Term
depigmentation of neurons in substantia nigra
Definition
Parkinson's disease *basal ganglia disorder: rigidity, resting tremor, bradykinesia)
Term
desquamated epithelium casts in sputum
Definition
Curschmann's spirals (bronchial asthma; can result in whorled mucous plugs)
Term
disarrayed granulosa cells in eosinophilic fluid
Definition
Call-Exner bodies (granulosa-theca cell tumor of the ovary)
Term
dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia
Definition
koilocytes (HPV: predisposes to cervical cancer)
Term
enlarged cells with intranuclear inclusion bodies
Definition
"owl's-eye" appearance of CMV
Term
enlarged thyroid cells with ground-glass nuclei
Definition
"Orphan Annie" eye nuclei (papillary carcinoma of the thyroid)
Term
eosinophilic cytoplasmic inclusion in liver cell
Definition
Mallory bodies (alcoholic liver disease)
Term
eosinophilic cytoplasmic inclusion in nerve cell
Definition
Lewy body (Parkinson's disease)
Term
eosinophilic globule in liver
Definition
councilman body (toxic or viral hepatitis, often yellow fever)
Term
eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells
Definition
rabies virus (Lyssavirus)
Term
extracellular amyloid deposition in gray matter of brain
Definition
senile plaques (Alzheimer's disease)
Term
giant B cells with bilobed nuclei with prominent inclusions ("owl's-eye")
Definition
Reed-Sternberg cells (Hodgkin's lymphoma)
Term
glomerulus-like structure surrounding vessel in germ cells
Definition
Schiller-Duval bodies (yolk sac tumor)
Term
"hair-on-end" (crew-cut) appearance on x-ray
Definition
beta-thalassemia, sickle cell anemia (marrow expansion)
Term
hCG elevated
Definition
choriocarcinoma, hydatidiform mole (occurs with and without embryo)
Term
heart nodules (granulomatous)
Definition
Aschoff bodies (rheumatic fever)
Term
heterophile antibodies
Definition
infectious mononucleosis (EBV)
Term
hexagonal, double-pointed, needle-like crystals in bronchial secretions
Definition
bronchial asthma (Charcot-Leyden crystals: eosinophilic granules)
Term
high lever of D-dimers
Definition
DVT, PE, DIC
Term
hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lung lobes (can calcify)
Definition
Ghon complex (primary TB: Mycobacterium bacilli)
Term
"honeycomb lung" on x-ray
Definition
interstitial fibrosis
Term
hypersegmented neutrophils
Definition
megaloblastic anemia (B12 deficiency: neurologic symptoms; folate deficiency: no neurologic symptoms)
Term
hypochromic, microcytic anemia
Definition
iron deficiency anemia, lead poisoning, thalassemia (HbF sometimes present)
Term
increased alpha-fetoprotein in amniotic fluid/maternal serum
Definition
dating error, anencephaly, spina fibida (neural tube defect)
Term
increased uric acid levels
Definition
gout, Lesch-Nyhan syndrome, tumor lysis syndrome, 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 chance of mesthelioma)
Term
large lysosomal vesicles in phagocytes, immunodeficiency
Definition
Chediak-Higashi disease (congenital failure of phagolysosome formation)
Term
"lead pipe" appearance of colon on x-ray
Definition
ulcerative colitis (loss of haustra)
Term
linear appearance of glomeruli on immunofluorescence
Definition
Goodpasture's syndrome
Term
low serum ceruloplasmin
Definition
Wilson's disease (hepatolenticular degeneration)
Term
"lumpy-bumpy" appearance of glomeruli on immunofluorescence
Definition
post-streptococcal glomerulonephritis (immune complex deposition of IgG and C3b)
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; normal consequence of aging)
3. Waldenstrom's (M protein = IgM) macroglobulinemia
4. primary amyloidosis
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)
Term
narrowing of bowel lumen on barium radiograph
Definition
"string sign" (Chron's disease)
Term
needle-shaped, negatively birefringent crystals
Definition
gout (monodosium urate crystals)
Term
nodular hyaline deposits in glomeruli
Definition
Kimmelstiel-Wilson nodules (diabetic nephropathy)
Term
novobiocin response
Definition
sensitive: Staphylococcus epidermidis; resistant: Staphylococcus saprophyticus
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
optochin response
Definition
sensitive: Streptococcus pneumoniae; resistant: Viridans streptococcus
Term
periosteum raised from bone, creating triangular area
Definition
Codman's triangle on x-ray (osteosarcoma, Ewing's sarcoma, pyogenic osteomyelitis)
Term
podocyte fusion on EM
Definition
minimal change disease (child with nephrotic syndrome)
Term
polished, "ivory-like" appearance of bone at cartilage erosion
Definition
eburnation (osteoarthritis resulting in body sclerosis)
Term
protein aggregates in neurons from hyperphosphorylation of protein tau
Definition
neurofibrillary tangles (Alzheimer's disease) and Pick bodies (Pick's disease)
Term
pseudopalisading tumor cells on brain biopsy
Definition
glioblastoma multiforme
Term
RBC casts in urine
Definition
acute glomerulonephritis
Term
rectangular, crystal-like, cytoplasmic 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 birefingent
Definition
pseudogout (calcium pyrophosphate dihydrate)
Term
rib notching
Definition
coarctation of the aorta
Term
ring-enhancing brain lesion in AIDS
Definition
Toxoplasma gondii
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; back sky" made up of malignant cells)
Term
silver-staining spherical aggregation of tau proteins in neurons
Definition
Pick bodies (Pick's disease: progressive dementia, changes in personality)
Term
"soap bubble" in femur of tibia on x-ray
Definition
giant cell tumor of bone (generally benign)
Term
"spikes" on basement membrane, "dome-like subepithelial 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 Langerhans cells
Definition
Birbeck granules (histiocytosis X: eosinophilic granuloma)
Term
thrombi made of white/red layers
Definition
lines of Zahn (arterial thrombosis, 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 CSR
Definition
xanthochromia (previous subarachnoid hemorrhage)
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