meaux Posted August 6, 2009 Share Posted August 6, 2009 Hamptons hump: Pulmonary infarct, as in PE Hilar LAD elevated ACE: Sacrcoidosis (non-caseating granuloma) also can see septal panniculitis Increased systolic pressure, widened pulse pressure and brady: Cushings triad for ICP. as for the basal cell vs. squamous cell... I always confuse the two, and probably will continue to. A 66% never caused paroxsymal anything in me Mr. Andersen, but I appreciate the humor. I may have even gotten a 66% on this one. Quote Link to comment Share on other sites More sharing options...
dfwpa Posted August 7, 2009 Share Posted August 7, 2009 Hamptons hump: Pulmonary infarct, as in PEHilar LAD elevated ACE: Sacrcoidosis (non-caseating granuloma) also can see septal panniculitis Increased systolic pressure, widened pulse pressure and brady: Cushings triad for ICP. as for the basal cell vs. squamous cell... I always confuse the two, and probably will continue to. A 66% never caused paroxsymal anything in me Mr. Andersen, but I appreciate the humor. I may have even gotten a 66% on this one. 100% correct. Well done. Quote Link to comment Share on other sites More sharing options...
meaux Posted August 7, 2009 Share Posted August 7, 2009 100% correct. Well done. I prefer the large red font, if its all the same to you. Ok, Im in my ortho rotation currently, so let me think of a question... (insert final jeopardy theme song) 65 y/o female s/p fall presents to ER w/ externally rotated foot. most likely cause, and complication. Quote Link to comment Share on other sites More sharing options...
unewillow Posted August 7, 2009 Share Posted August 7, 2009 65 y/o female s/p fall presents to ER w/ externally rotated foot. most likely cause, and complication. --> Hip dislocation and avascular necrosis. 1. prominant epicanthal folds, sandal toe, and simian creases 2. strawberry tongue 3. football sign Quote Link to comment Share on other sites More sharing options...
sll908 Posted August 7, 2009 Share Posted August 7, 2009 currant jelly sputum Klebsiella Quote Link to comment Share on other sites More sharing options...
meaux Posted August 7, 2009 Share Posted August 7, 2009 65 y/o female s/p fall presents to ER w/ externally rotated foot.most likely cause, and complication. --> Hip dislocation and avascular necrosis. 1. prominant epicanthal folds, sandal toe, and simian creases 2. strawberry tongue 3. football sign Im pretty sure external rotation is indicative of a fx, vs dislocation. Internal rotation is dislocation, AVN correct. your buzz words are good, so good I dont know them. Quote Link to comment Share on other sites More sharing options...
FPRASHAR Posted August 7, 2009 Share Posted August 7, 2009 65 y/o female s/p fall presents to ER w/ externally rotated foot.most likely cause, and complication. --> Hip dislocation and avascular necrosis. 1. prominant epicanthal folds, sandal toe, and simian creases 2. strawberry tongue 3. football sign 1.) Down's Syndrome 2.) Strep 3.) ? Quote Link to comment Share on other sites More sharing options...
meaux Posted August 7, 2009 Share Posted August 7, 2009 small grayish vesicles and punched-out ulcers in the posterior pharynx. Quote Link to comment Share on other sites More sharing options...
Border Posted August 8, 2009 Share Posted August 8, 2009 Answer: to perihilar fluffyness on CXR - prominent vasculature due to fluid overload? Questions: pseudomembranous coating on tonsils with a sore throat that doesn't get better with ABX treatment for strep? Bullys eye rash on skin red sand paper feeling rash on an youngster Aprical lesion on CXR that is not solid Quote Link to comment Share on other sites More sharing options...
Guest eparvin Posted August 8, 2009 Share Posted August 8, 2009 Questions: pseudomembranous coating on tonsils with a sore throat that doesn't get better with ABX treatment for strep? diphtheria?? Bullys eye rash on skin - Lyme dz red sand paper feeling rash on an youngster - Scarlitina rash of strep/scarlet fever Aprical lesion on CXR that is not solid - pneumocystis carinii???? Strawberry tongue can be Kawasaki's, toxic shock syndrome, or strep Football sign - pneumoperitoneum from gastric perforation? Small grey vesicles and punched out ulcers on posterior pharynx - viral stomatitis could be coxsackievirus or herpetic?? Quote Link to comment Share on other sites More sharing options...
Guest dukensissy Posted August 9, 2009 Share Posted August 9, 2009 Oh, and flushing with diarrhea (Carcinoid syndrome?) ...or pheochromocytoma Quote Link to comment Share on other sites More sharing options...
meaux Posted August 9, 2009 Share Posted August 9, 2009 Apical lesion on CXR that is not solid. Is it a cavity? TB? Small grey vesicles and punched out ulcers on posterior pharynx - viral stomatitis could be coxsackievirus or herpetic?? Coxsackie yes, which one though? Quote Link to comment Share on other sites More sharing options...
Moderator ventana Posted August 9, 2009 Moderator Share Posted August 9, 2009 Apical lesion on CXR that is not solid. Is it a cavity? TB? TB was my thought - yup Questions: pseudomembranous coating on tonsils with a sore throat that doesn't get getter with ABX treatment for strep? Gonnococcal pharyngitis?? didn't think that left a coating though.... but then I looked up diptheria and it fits.... Quote Link to comment Share on other sites More sharing options...
Guest MTHippie Posted August 15, 2009 Share Posted August 15, 2009 These are so helpful! Thank you everyone! Here are a few more: 1. Flexion of the neck causing flexion of the hips (name sign & assoc. pathology) 2. Bitot Spots 3. Fissure of the earlobe may be assoc. w/ CAD, DM, & HTN (name the sign) 4. Gibbus 5. Hill sign 6. Ortolani Test/Sign Quote Link to comment Share on other sites More sharing options...
lightbearer06 Posted August 16, 2009 Share Posted August 16, 2009 1. Brudzinski's sign checking for meningeal irritation due to to meningitis 2-5. No clue 6. Apply pressure posteriorly on the hips of a newborn causes a "clunk"- dysplastic hips Quote Link to comment Share on other sites More sharing options...
Guest MTHippie Posted August 17, 2009 Share Posted August 17, 2009 Nice job! 2-5 are definately a bit more obscure! 1. Flexion of the neck causing flexion of the hips (name sign & assoc. pathology) yes! Brudzinski's sign assoc c meningitis 2. Bitot Spots: Small white patches on the sclera suggestive of vitamin A deficiency 3. Fissure of the earlobe may be assoc. w/ CAD, DM, & HTN: Frank sign 4. Gibbus: angular convexity of the spine caused by vertebral collapse- associated most often with osteoporosis or metastasis 5. Hill sign: Femoral artery pressure 20mmHg greater than brachial pressure- seen in severe aortic regurgitation 6. Ortolani Test/Sign: Yes! downward pressure on 90 degree flexed hips and knees on a supine infant c a positive denoted by hip click suggesting congenital hip displasia Thank you Scut Monkey!! I seriously couldn't have made it through clinical year without it! (ISBN-10: 0-07-145428-4) Quote Link to comment Share on other sites More sharing options...
Guest MTHippie Posted August 17, 2009 Share Posted August 17, 2009 Question: Couldn't a non-solid lung lesion, or cavitation, on chest film also suggest Klebsiella pneumo or even sarcoidosis? Maybe sarcoidoisis is simply non-caseating, but has a solid appearance? Would love some feedback from people in the know. Quote Link to comment Share on other sites More sharing options...
Guest tgmac Posted August 21, 2009 Share Posted August 21, 2009 yo yo wat up dog, lay down sum mo dees, they a are like happnin. peace Quote Link to comment Share on other sites More sharing options...
Guest DeltaDiva Posted August 21, 2009 Share Posted August 21, 2009 yo yo wat up dog, lay down sum mo dees, they a are like happnin. peace That must be some sort of private joke....:confused: Quote Link to comment Share on other sites More sharing options...
rsqdvr Posted August 22, 2009 Share Posted August 22, 2009 So there are a few that I haven't seen anyone answer yet. If they have been, my apologies. Dew drops on a rose petal - chicken pox "curtain coming down" over vision - retinal detachment Triple layered sputum - ?? maltese crosses - ?? bamboo spine - ankylosing spondy "onion skin" on xray - ?? "Butterfly rash" on face - Lupus rash Scottie dog on xray - ?? egg on a string - ?? is the same as string of pearls? snowman in a snowstorm - ?? boot shaped heart - ?? facial flushing w/ diarrhea - ?? fever, vag d/c and cervical motion tenderness - PID acute testicle pain relieved by lifting - epididymitis or torsion And a couple of new ones, some I got from my Board Review class today. distended neck veins, decreased BP, muffled heart sounds air-fluid levels on xray double bubble abd xray cherry red spot on eye exam S1,Q3, flipped T3 on EKG snuffbox tenderness ulna fx with radial dislocation radial fx with ulna dislocation ankle fx with proximal fibula fx Quote Link to comment Share on other sites More sharing options...
Guest umamallikarjuna Posted August 22, 2009 Share Posted August 22, 2009 Janeway lesions....Infectious Endocarditis (NOdular lesions on palms) tapioca vesicles...Dishidrosis triple layered sputum.... thumbprint sign on lateral neck xray...Epiglottitis Auspitz sign....pin point bleed on peeling of scab (psoriasis) Roth spots....Bacterial Endocarditis (Hemorrge in eyes) skip lesions...Crons disease. battle sign.... bird's beak on barium swallow....Zenckers diverticulum maltese crosses.... WBC casts.... dinnerfork deformity....Colle's Fx Thanks, this is great help y'all Quote Link to comment Share on other sites More sharing options...
Guest mitman Posted August 24, 2009 Share Posted August 24, 2009 distended neck veins, decreased BP, muffled heart sounds- Beck's Triad, cardiac tamponade double bubble abd xray- duodenal atresia in an infant cherry red spot on eye exam-gangliosidosis in Tay Sachs S1,Q3, flipped T3 on EKG-PE snuffbox tenderness-scaphoid fx ( out stretched hand) ulna fx with radial dislocation-Monteggia Deformity Fx radial fx with ulna dislocation- Galeazzi Fx here are some more: Cotton wool spots delta wave kerley B lines Bence Proteins barking cough Quote Link to comment Share on other sites More sharing options...
badtriangle Posted August 24, 2009 Share Posted August 24, 2009 air-fluid levels on xray--Bowel obstruction cherry red spot on eye exam-Central occlusion of retinal artery ankle fx with proximal fibula fx--Maisonneuve Fx, the syndesmosis is wrecked as well Cotton wool spots--ischemic exudate on fundu exam d/t hypertensive retinopathy delta wave--Wolff-Parkinson-White Syndrome kerley B lines--CHF Bence Proteins--Serum protein in Multiple Myeloma barking cough--Croup Egg on a string--Transpositon of the Great Arteries Boot Shaped heart--Tetralogy of Fallot Scotty Dog Fx--Pars articularis fracture Now some new ones: Chandelier sign Chadwick's Sign Blue Dot Sign Distal Radius/Ulna Fx with volar displacement (apex dorsal) Schirmer Test Scotch Tape Test Apple Core Sign Quote Link to comment Share on other sites More sharing options...
dpc511 Posted August 24, 2009 Share Posted August 24, 2009 (edited) air-fluid levels on xray--Bowel obstructioncherry red spot on eye exam-Central occlusion of retinal artery ankle fx with proximal fibula fx--Maisonneuve Fx, the syndesmosis is wrecked as well Cotton wool spots--ischemic exudate on fundu exam d/t hypertensive retinopathy delta wave--Wolff-Parkinson-White Syndrome kerley B lines--CHF Bence Proteins--Serum protein in Multiple Myeloma barking cough--Croup Egg on a string--Transpositon of the Great Arteries Boot Shaped heart--Tetralogy of Fallot Scotty Dog Fx--Pars articularis fracture Now some new ones: Chandelier sign Chadwick's Sign Blue Dot Sign Distal Radius/Ulna Fx with volar displacement (apex dorsal) Schirmer Test Scotch Tape Test Apple Core Sign Chandelier sign=PID Chadwick's sign=blue, engorged cervix, early sign of pregnancy Blue Dot sign=????? Distal Radius/Ulna Fx with volar displacement=Smith's Fracture? Schirmer Test=measures tear production Scotch Tape Test=Pinworms Apple Core Sign=???????? How about: Steeple Sign Thumb Print Sign Auer Rods Edited August 24, 2009 by dpc511 Quote Link to comment Share on other sites More sharing options...
meaux Posted August 25, 2009 Share Posted August 25, 2009 blue dot sign= testicular torsion steeple sign= laryngotracheal bronchitis, or croup thumb print sign= epiglotitis Auer ruds= usually seen in AML apple core... never heard of it. Quote Link to comment Share on other sites More sharing options...
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