Intestine with Gram positive Cocci
Sarcoidosis bilateral hilar lymphadenopathy, non-caseating granulomas
tinea corporis ringworm
Polycystic Disease
Liver with gram negative rods
Scabies (common location in ventral wrist)
Chronic Lymphocytic Lekemia (bcl-2)
Epidural Hematoma
B12 anemia (pernicious), mega, hypersegs
Sideroblastic anemia
AML
AML with Auer Rods
CLL Smudge cell
Hairy Cell Leukemia
Multiple Myeloma (IgG>IgA)
Reed-Sternberg Hodgkin's Lymphoma
Acanthocytes (abetalipoproteinemia)
Dohle Body (Toxic Lymphocytes, EBV)
Heinz Bodies, Bite Cells (i.e. Degmacytes) G6PD Deficiency
Howel Holly Bodies (Asplenia)
Malaria (organisms in cells)
Reticulocytes.
Schistocytes (DIC, TTP, MAHA)
Helmet Cells
Sickle Cell Disease
Spherocytosis
Target Cells (Thallassemia or Severe Liver Disfunction)
Teardrop cells (i.e. dacrocytes) Myelofibrosis (assoc with CML)
Bacterial Conjunctivitis
Cataracts
Central Retinal Artery Occlusion
Central Retinal Vein Occlusion
Glaucoma
Orbital Cellulitis
pre- and post-septal Orbital Cellulitis
Leukocoria (Retinoblastoma)
Diabetic FUndus with hemorrhages
Normal Fundus
Papilledema
Roth Spot (white-centered hemorrhage - endocarditis)
Acne vulgaris
Actinic keratosis
Contact Dermatitis (Hpersensitivity IV) linear Posion Ivy
Cavernous Hemangioma
Condyloma Accumulata
Erythema Infectiosum (Fifths, Parvo B19)
Erythema Multiforme (HSV, target lesion)
Heliotrope rash (Dermatomyositis)
Henoch-Schonlein Purpura
Impetigo
Keyloids
Melanoma
Molluscum Contagiosum
Pityriasis rosea
Psoriasis (uv light, steroids, keratolytics)
Psoriasis nail pitting
Squamous cell skin cancer
temporal arteritis
tinea capitus
tinea cruris
vitiligo (pernicious anemia, DM, Addison's, Hypothyroid)
abdominal straiae (vertical)
acanthosis nigricans
adenoma sebaceum
arterial insufficiency
cafe au lait (NFT1 or NFT2)
cafe au lait (with MR, it's McCune Albright)
chelitis (low riboflavin)
clubbing
cullen's sign (That's an umbilicus. Severe pancreatitis)
Diabetic foot ulcer
erythema marginatum (Rheumatic fever)
Srythema nodosum (IBD, Coccidoides Immitus, TB, Sarcoid)
herpes simplex
hirsuitism (PCOS, Cushing's Syndrome, Phenytoin)
Osler's Lesions (Endocarditis)
Erythema Chronicum Migrans (Lyme Disease)
Malar Rash (SLE)
Neisseriea Septicemia
Neurofibromatosis
Oral Hairy Leucoplakia (EBV, HIV)
pretibial myxedema (Grave's Disease)
pyoderma Gangrenosum (IBD)
Raynaud's Phenomenon (Scleroderma - antitopisomerase antibody)
Sturge Weber (port wine stain with hemangioma)
Chancer, Syphillis, painless
condyoma lata (syphilis secondary)
varicella zoster
shingles
caseating granuloma (TB)
clue cells (Gardnerella Vaginalis)
Gout (Needles, no birefringence)
HPV Koilocytosis
Non-caseating granuloma (Sarcoid)
Positive India Ink stain (Cryptococcus neoformans)
Trichomonas
Abdominal Aortic Aneurism
Congestive Heart Failure
Carotid Stenosis on Angio
Colon Cancer on Barium Enema (Apple core)
Sigmoid colon cancer with barium (apple core)
Congenital Diaphragmatic hernia (male, left)
duodenal atresia (double bubble), Down Syndrome
Liver Tumor on CT
Small Bowel Obstruction
Staghorn Calculus (Proteus, Staphyloccucus)
Toxic Megacolon (Hirschsprung's, U.C.)
Stroke on CT (R MCA Distribution)
Tuberculosis
Tuberculosis cavitation
Pulmonary Hypertension
Pancoast Tumor
Osteoarthritis
Osteoarthritis again
osteosarcoma with sunray pattern
shoulder dislocation
slipped capital femoral epiphysis
Bell's Palsy (LMN, possible hyperacusis)
ptosis (Horner's on the Pt's right)
Peutz-Jegher's freckles (multiple non-cancerous GI polyps. incr in stomach, breast, ovaries CA.) Autosom Dom.
Scleroderma (Antitopoisomerase Ab)
achondroplasia
acute tonsillitis (strep, EBV)
Cushing's Syndrome
Dactylitis (Sickle Cell Disease, probable Salmonella)
Simian Crease (Down)
Erb's Palsy (Brachial Plexus stretch injury at birth)
gyencomastia (EtOH, Spironolatone...)
Rheumatoid Arthritis
Spina Bifida
Strawberry Tongue (Kawasaki's or Scarlet Fever)
Turner's Syndrome, XO, risk of coarctation of aorta, horseshoe kidneys, etc.)
candidal infection (Thrush, HIV)
dilated cardiomyopathy
gonorrhea
klinefelter's
osteomyelitis
Rib notching (red), coarctation (blue), pos-stenotic dilation of aorta (green): Turner's XO
Calcium Oxalate crystals (Bipyramidal, rhubarb, ethylene Glycol)
Triple Phosphate crystals (Coffin lids)
Urate Crystals (dissolve in alkaline)
Renal Tubule Epithelium (rounded, exccentric nuclei, chronic glomerulonephritis)
Squamous Epithelium in urine
Basal Cell skin cancer
Decubitus ulcer
Pseudogout
Esophageal atresia
Giardia species (fat in stool)
Hutchinson's teeth (congential syphilis)
Iron deficiency anemia
Koilocytosis (HPV, CMV)
Lytic Bone Lesion
Multiple Myeloma punch out lesions
Saddle nose (congenital syphilis)
Secondary Syphilis rash
Sigmoid volvulus with barium (and arrows)
Turner's Syndrome Karyotype
Xanthelasma
Heart hypertrophy
Pleural Effusions
Cystine crystals (hexagonal, clear, acidic urine, take two)
Birbeck Granules (tennis racket shaped, Histiocytosis, CD1+)
Paget's Disease of the Nipple
Cervical Cancer at Transitional Zone HPV 16, 18
Codman's Triangle (Osteosarcoma, Distal Femur, Proximal Tibia; Possible sequelae to Retinoblastoma)
Sarcoma Botryoides (ë°·unch of grapes?coming out the vagina)
Basophilic Stippling (Pb poising, burns, granules are ribosomal and mitochondrial detritus)
Echinocytes (Burr cells, many blunted spicules; think Uremia)
Acanthocytes (Spur cells. Fewer of them, and less evenly distributed than in Burr cells, which would be associated with...Uremia. These SPUR cells are associated with...abetalipoproteinemia or chronic liver disease.)
Dermatitis Herpetiformis (assoc with Celiac Disease)
Rouleaux Formation (Multiple Myelom, increased serum proteins make rbcs sticky.)
Koplik's spots [Measles (Rubeola): Prodrome: Koplik's, cough, coryza, conjunctivitis] Cepahlocaudal spread of rash after.
Roseola Infantum: high fever, then return to normal fast. HHV-6. Cephalocaudal spread.
RMSF: East Coast tick bite, centripetal spread, Doxycycline or Chloramphenicol.
Thumb Sign, Epiglottitis: #1 H. flu, #2 Staph au. Rx: Airway and 3rd Gen ceph.
Steeple Sign: Croup (layrgotracheal inflammation). #1 paraflu, #2 Influenza. Rx: Mist and racemic Epi.
Rubella: congenital. Cephalocaudal spread. Rx: Supportive.
Uveitis (presenting Sx for juvenile RA)
Bamboo spine Ankylosing spondylitis, ossification fo annulus fibrosis
Keratoderma blennorrhagica (Reiter's: Can't see, pee, or climb a tree. Chlamydia) Rx: Azithro, Doxy, NSAIDS, sulfasalazine
Floppy Baby: Werdnig-Hoffman, LMN, palliation
Primary Biliary Cirrhosis: anti-mitochondrial Ab. Rx for Sx: Cholestyramine.
Huntington's Disease: Caudate Nucleus atrophy (less bulge, inferiorly, into the ventricles) >70 CAG repeats on Ch4.
Ragged Red muscle fibers: Mitochondrial myopathy (e.g. Lever's Hereditary optic atrophy)
Duchenne's Muscular Dystrophy: Dystrophin, fatty, fibrous muscle biopsy
BItot's spots (Vit A Deficiency):
Multiple sclerosis
snow storm ultrasound (hydatidiform mole). 46XX = complete, all male, no fetal tissue. 69XXY = incomplete, M/F, + fetal tissue.
Left nasal polyp. Aspirin could precipitate asthma exacerbation.
thyroglossal duct cyst
N. gonorrhea (gn diplococci) in conjunctivitis...day 2-5. Rx: erythro ointment + IV/IM 2 or 3GC
Chlamydial conjunctivitis (Day 5-14)Rx: erythromycin PO
0.5 to 0.9 cup-to-disk ratio. increase seen with opena angle glaucoma. Rx: b-block, prostaglandin (latanoprost), acetazolamide, pilocarpine.
macular drusen. Dry (90%) Rx: A, C, E, Zn. Wet (10%) pegaptanib (antiangiogenic), laser +/- verteporfin.
Kerpes Simplex Keratitis stained with fluorescein. Rx: famciclovir, valcyclovi, acyclovir,
Chalazion (away from lid margin) [Hordeolon would be in the lid margin] Warm compress, I&D
Cherry Red Spot. Baby: Tay-Sachs. Adult: Central retinal vein occlusion (sudden painless unilateral vision loss) HTN, DM, Leukemia.
