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is. This. ______. Your. With. Host. Dr. Vivo. Glomerulo-pathies. Bloody mess. Dirty pipes. Fruit medley. JEOPARDY. Glomerulo-pathies. Bloody mess. Fruit medley. Dirty pipes. 100. 100. 100. 100. 200. 200. 200. 200. 300. 300. 300. 300. 400. 400. 400. 400. 500. 500. - PowerPoint PPT PresentationTRANSCRIPT
This
is
With
Host...
Your
Glomerulo-pathies
Bloody mess
Dirty pipes
Fruit medley
100
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300
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500
Glomerulo-pathies
Dirty pipes Fruit medleyBloody mess
100
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400
500
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If you meet a patient with rapidly progressive GN and alveolar
hemorrhage, suspect this condition marked by antibodies
against type IV collagen
What is Goodpasture’s
syndrome?
Patients with this diagnosis have a higher risk of malignancy,
especially solid tumors; it is also the most common cause of
nephrotic syndrome in adults
What is membranous nephropathy?
This cause of nephrotic syndrome is frequently
associated with HIV and heroin use; the “collapsing” variant is most common among African
Americans
What is focal segmental glomerulosclerosis?
Majority with this disease, marked by hematuria, proteinuria and low
complement, are Hepatitis C (+). Don’t forget to look for
palpable purpura and skin necrosis.
What is mixed cryoglobulinemia?
Often heralded by hematuria 1-3 days post-URI, this is the most common cause of GN
worldwide most prevalent in Asians and rare in blacks
What is IgA nephropathy?
What is a hypersegmented neutrophil?
(Megaloblastic anemia)
What are sickle cells?(Sickle cell anemia)
What is a Reed-Sternberg cell?
(Hodgkin’s lymphoma)
What are Howell-Jolly bodies?
(Asplenia; hemolytic, megaloblastic anemia)
What are hairy cells? (Hairy cell leukemia)
A long latency of about 30-40 years occurs from exposure to this mineral and mesothelioma
What is Asbestos?
Miners and sandblasters exposed to this crystalline mineral are at high risk for tuberculosis and
should have their PPD checked
What is Silica?
Coal worker’s pneumoconiosis+
Rheumatoid arthritis+
Multiple pulmonary nodules
What is Caplan’s syndrome?
First described in fluorescent lamp workers, this disease may present with skin and
lung nodules showing noncaseating granuloma
What is Berylliosis?
A reactive airway disease in textile mill workers exposed to
cotton dust, it presents with wheezing and causes “Monday
chest tightness” that improves at the end of the work week
What is Byssinosis?
Strawberry cervix
What is Trichomonas vaginalis infection?
Apple-core lesion
What is colon cancer?
Strawberry tongue
What is Kawasaki disease?
(also Scarlet fever)
Cherry red spot on macula
What is Tay-Sachs disease? (also Central Retinal Artery
occlusion)
Watermelon stomach
What is Gastric Antral Vascular Ectasia
(GAVE)?
Rash hour
Travel ID
Toxicology
Pick your node
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Rash hour Toxicology Pick your node
Travel ID
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What is erythema migrans?
(Lyme disease)
What is pytiriasis versicolor?
What is
dermatitis herpetiformis?
What is erythema multiforme?
What is lichen planus?
From pulmonary to disseminated such as in AIDS, this mycosis can be picked up from bird and bat droppings in the Ohio and Mississippi River
valleys
What is Histoplasmosis?
The most common rickettsial infection in the US, it is
mainly transmitted by the Dermacentor tick and is
prevalent in the Southeast such as North Carolina
What is Rocky Mountain Spotted Fever?
Attention: this fungal infection that causes Valley Fever is
endemic in Arizona, California, New Mexico and
yes, West Texas!
What is Coccidioidomycosis?
Humans handling infected animals, like rabbits and deer, are accidental hosts of this zoonosis
caused by a gram-negative bacterium common in the South
Central states, primarily Arkansas
What is Tularemia?
Let’s travel this time to the tropics…this potentially fatal spirochetal
infection causes Weil’s syndrome and is acquired by exposure to the
urine of infected carrier animals such as rats
What is Leptospirosis?
Tinnitus, vertigo, respiratory alkalosis and high gap
metabolic acidosis…and in kids, Reye’s syndrome
What is aspirin toxicity?
Xanthopsia, or impaired yellow-green color perception, is a rare but characteristic adverse effect
of toxicity from this oldest cardiac drug
What is Digoxin?
Chronic intake of this psych drug can cause kidney toxicity and
nephrogenic DI
What is lithium?
Myelosuppression is a well-known hematologic adverse effect of this MRSA-fighting drug, especially when used longer than 2 weeks
What is linezolid?
Toxicity from this can cause high gap acidosis, high serum osmolality and oxalate crystals in the urine; it is
common in antifreeze
What is ethylene glycol?
Osteoarthritic growth of the proximal
interphalangeal joint
What is Bouchard’s node?
Left supraclavicularlymph node usually
suggestive of agastrointestinal neoplasm
What is Virchow’s or Troisier’s node?
Tender, red, raised lesions on the hands or feet
indicative of subacute bacterial endocarditis
What are Osler’s nodes?
First lymph nodereached by metastasizing
cancer cells
What is sentinel node?
Palpable metastatic node in the umbilicus
What is Sister Mary Joseph node?
Medical Milestones
This Scottish Nobel Prize winner accidentally discovered the world’s
first antibiotic named after the fungus from where it was isolated
Who is Sir Alexander Fleming?
Thank you for playing