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Friday 23 March 2012

NAMED DISEASES

Addison’s Disease
· primary adrenocortical deficiency
Addisonian Anemia
· pernicious anemia  (antibodies to intrinsic factor or parietal cells ® ¯IF ® ¯Vit B12 ® megaloblastic anemia)
Albright’s Syndrome
· polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls
Alport’s Syndrome
· hereditary nephritis with nerve deafness
Alzheimer’s
· progressive dementia
Argyll-Robertson Pupil
 ·           loss of light reflex constriction  (contralateral or bilateral)
·           “Prostitute’s Eye” - accommodates but does not react
·           Pathognomonic for 3°Syphilis
Arnold-Chiari Malformation
· cerebellar tonsil herniation
Barrett’s
· columnar metaplasia of lower esophagus ( ­ risk of adenocarcinoma)
Bartter’s Syndrome
· hyperreninemia
Becker’s Muscular Dystrophy
· similar to Duchenne, but less severe (deficiency in dystrophin protein)
Bell’s Palsy
· CNVII palsy   (entire face; recall that UMN lesion only affects lower face)
Berger’s Disease
· IgA nephropathy
Bernard-Soulier Disease
· defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein)
Berry Aneurysm
· circle of Willis (subarachnoid bleed)
·           often associated with ADPKD
Bowen’s Disease
· carcinoma in situ on shaft of penis ( ­ risk of visceral ca)
Briquet’s Syndrome
· somatization disorder
·           psychological: multiple physical complaints without physical pathology
Broca’s Aphasia
· Motor Aphasia intact comprehension
Brown-Sequard
· hemisection of cord  (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN)
Bruton’s Disease
· X-linked agammaglobinemia
Budd-Chiari
· post-hepatic venous thrombosis
Buerger’s Disease
· acute inflammation of small, medium arteries ® painful ischemia ® gangrene
Burkitt’s Lymphoma
· small noncleaved cell lymphoma   EBV
·           8:14 translocation
Caisson Disease
· gas emboli
Chagas’ Disease
· Trypansoma infection  sleeping disease, cardiomegaly with apical atrophy, achlasia
Chediak-Higashi Disease
· Phagocyte Deficiency: neutropenia, albinism, cranial & peripheral neuropathy
·           repeated infections
Conn’s Syndrome
· primary aldosteronism
Cori’s Disease
· glycogen storage disease  (debranching enzyme deficiency)
Creutzfeldt-Jakob
· prion infection ® cerebellar & cerebral degeneration
Crigler-Najjar Syndrome
· congenital hyperbilirubinemia (unconjugated)
·           glucuronyl transferase deficiency
Crohn’s
· IBD; ileocecum, transmural, skip lesions, lymphocytic infiltrate, granulomas
(contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps, ­ colon cancer risk)
Curling’s Ulcer
· acute gastric ulcer associated with severe burns
Cushing’s
· Disease: hypercorticism 2 ° to ­ ACTH from pituitary (basophilic adenoma)
·           Syndrome: hypercorticism of all other causes (1 ° adrenal or ectopic)
Cushing’s Ulcer
· acute gastric ulcer associated with CNS trauma
de Quervain’s Thyroiditis
· self-limiting focal destruction (subacute thyroiditis)
DiGeorge’s Syndrome
· thymic hypoplasia ® T-cell deficiency
·           hypoparathyroidism
Down’s Syndrome
· trisomy 21 or translocation
Dressler’s Syndrome
· Post-MI Fibrinous Pericarditis  autoimmune
Dubin-Johnson Syndrome
· congenital hyperbilirubinemia (conjugated)
·           striking brown-to-black discoloration of the liver (centilobular portion)
Duchenne Muscular Dystrophy
· deficiency of dystrophin protein ® MD    X-linked recessive
Edwards’ Syndrome
· trisomy 18
·           rocker-bottom feet, low ears, heart disease
Ehler’s-Danlos
· defective collagen
Eisenmenger’s Complex
· late cyanotic shunt (R®L) pulmonary HTN & RVH 2° to long-standing VSD, ASD, or PDA
Erb-Duchenne Palsy
· trauma to superior trunk of brachial plexus  Waiter’s Tip
Ewing Sarcoma
· undifferentiated round cell tumor of bone
Eyrthroplasia of Queyrat
· carcinoma in situ on glans penis
Fanconi’s Syndrome
· impaired proximal tubular reabsorption 2 ° to lead poisoning or Tetracycline  (glycosuria, hyperphosphaturia, aminoaciduria, systemic acidosis)
Felty’s Syndrome
· rheumatoid arthritis, neutropenia, splenomegaly
Gardner’s Syndrome
· adenomatous polyps of colon plus osteomas & soft tissue tumors
Gaucher’s Disease
· Lysosomal Storage Disease  glucocerebrosidase deficiency
· hepatosplenomegaly, femoral head & long bone erosion, anemia
Gilbert’s Syndrome
· benign congenital hyperbilirubinemia (unconjugated)
Glanzmann's Thrombasthenia
· defective glycoproteins on platelets
Goodpasture’s
· autoimmune: ab’s to glomerular & alveolar basement membranes
Grave’s Disease
· autoimmune hyperthyroidism (TSI)
Guillain-Barre
· idiopathic polyneuritis   (ascending muscle weakness & paralysis; usually self-limiting)
Hamman-Rich Syndrome
· idiopathic pulmonary fibrosis
Hand-Schuller-Christian
· chronic progressive histiocytosis
Hashimoto’s Thyroiditis
· autoimmune hypothyroidism
Hashitoxicosis
· initial hyperthyroidism in Hashimoto’s Thyroiditis that precedes hypothyroidism
Henoch-Schonlein purpura
· hypersensivity vasculitis
·           hemmorhagic urticaria (with fever, arthralgias, GI & renal involvement)
·           associated with upper respiratory infections
Hirschprung’s Disease
· aganglionic megacolon
Horner’s Syndrome
· ptosis, miosis, anhidrosis (lesion of cervical sympathetic nerves often 2 to a pancoaset tumour)
Huntington’s
· progressive degeneration of caudate nucleus, putamen & frontal cortex; AD
Jacksonian Seizures
· epileptic events originating in the primary motor cortex (area 4)
Job’s Syndrome
· immune deficiency: neutrophils fail to respond to chemotactic stimuli
Kaposi Sarcoma
· malignant vascular tumor  (HHV8 in homosexual men)
Kartagener’s Syndrome
· immotile cilia 2° to defective dynein arms  infection, situs inversus, sterility
Kawasaki Disease
· mucocutaneous lymph node syndrome (lips, oral mucosa)
Klinefelter’s Syndrome
· 47, XXY
Kluver-Bucy
· bilateral lesions of amygdala (hypersexuality; oral behavior)
Krukenberg Tumor
· adenocarcinoma with signet-ring cells (typically originating from the stomach) metastases to the ovaries
Laennec’s Cirrhosis
· alcoholic cirrhosis
Lesch-Nyhan
· HGPRT deficiency
·           gout, retardation, self-mutilation
Letterer-Siwe
· acute disseminated Langerhans’ cell histiocytosis
Libman-Sacks
· endocarditis with small vegetations on valve leaflets
·           associated with SLE
Lou Gehrig’s
· Amyotrophic Lateral Sclerosis  degeneration of upper & lower motor neurons
Mallory-Weis Syndrome
· bleeding from esophagogastric lacerations 2 ° to wretching (alcoholics)
Marfan’s
· connective tissue defect
McArdle’s Disease
· glycogen storage disease (muscle phosphorylase deficiency)
Meckel’s Diverticulum
· rule of 2’s: 2 inches long, 2 feet from the ileocecum, in 2% of the population
·           embryonic duct origin; may contain ectopic tissue (gastric, pancreatic, etc.)
Meig’s Syndrome
· Triad: ovarian fibroma, ascites, hydrothorax
Menetrier’s Disease
· giant hypertrophic gastritis (enlarged rugae; plasma protein loss)
Monckeberg’s Arteriosclerosis
· calcification of the media (usually radial & ulnar aa.)
Munchausen Syndrome
· factitious disorder (consciously creates symptoms, but doesn’t know why)
Nelson’s Syndrome
· 1 ° Adrenal Cushings ® surgical removal of adrenals ® loss of negative feedback to pituitary ® Pituitary Adenoma
Niemann-Pick
· Lysosomal Storage Disease  sphingomyelinase deficiency
·           “foamy histiocytes”
Osler-Weber-Rendu Syndrome
· Hereditary Hemorrhagic Telangiectasia
Paget’s Disease
· abnormal bone architecture (thickened, numerous fractures ® pain)
Pancoast Tumor
· bronchogenic tumor with superior sulcus involvement ® Horner’s Syndrome
Parkinson’s
· dopamine depletion in nigrostriatal tracts
Peutz-Jegher’s Syndrome
· melanin pigmentation of lips, mouth, hand, genitalia plus hamartomatous polyps of small intestine
Peyronie’s Disease
· subcutaneous fibrosis of dorsum of penis
Pick’s Disease
· progressive dementia similar to Alzheimer’s
Plummer’s Syndrome
· hyperthyroidism, nodular goiter, absence of eye signs  (Plummer’s = Grave’s - eye signs)
Plummer-Vinson
· esophageal webs & iron-deficiency anemia, ­ SCCA of esophagus
Pompe’s Disease
· glycogen storage disease ® cardiomegaly
Pott’s Disease
· tuberculous osteomyelitis of the vertebrae
Potter’s Complex
· renal agenesis ® oligohydramnios ® hypoplastic lungs, defects in extremities
Raynaud’s
· Disease: recurrent vasospasm in extremities
·           Phenomenon: 2 ° to underlying disease (SLE or scleroderma)
Reiter’s Syndrome
· urethritis, conjunctivitis, arthritis  non-infectious (but often follows infections), HLA-B27, polyarticular
Reye’s Syndrome
· microvesicular fatty liver change & encephalopathy
·           2 ° to aspirin ingestion in children following viral illness
Riedel’s Thyroiditis
· idiopathic fibrous replacement of thyroid
Rotor Syndrome
· congenital hyperbilirubinemia (conjugated)
·           similar to Dubin-Johnson, but no discoloration of the liver
Sezary Syndrome
· leukemic form of cutaneous T-cell lymphoma (mycosis fungoides)
Shaver’s Disease
· aluminum inhalation ® lung fibrosis
Sheehan’s Syndrome
· postpartum pituitary necrosis
Shy-Drager
· parkinsonism with autonomic dysfunction & orthostatic hypotension
Simmond’s Disease
· pituitary cachexia
Sipple’s Syndrome
· MEN type IIa (pheochromocytoma, thyroid medulla, parathyroid)
Sjogren’s Syndrome
· triad: dry eyes, dry mouth, arthritis  ­ risk of B-cell lymphoma
Spitz Nevus
· juvenile melanoma (always benign)
Stein-Leventhal
· polycystic ovary
Stevens-Johnson Syndrome
· erythema multiforme, fever, malaise, mucosal ulceration  (often 2° to infection or sulfa drugs)
Still’s Disease
· juvenile rheumatoid arthritis (absence of rheumatoid factor)
Takayasu’s arteritis
· aortic arch syndrome
·           loss of carotid, radial or ulnar pulses
Tay-Sachs
· gangliosidosis  (hexosaminidase A deficiency ® GM2 ganglioside)
Tetralogy of Fallot
· VSD, overriding aorta, pulmonary artery stenosis, right ventricular hypertrophy
Tourette’s Syndrome
· involuntary actions, both motor and vocal
Turcot’s Syndrome
· adenomatous polyps of colon plus CNS tumors
Turner’s Syndrome
· 45, XO
Vincent’s Infection
· “trench mouth” - acute necrotizing ulcerative gingivitis
von Gierke’s Disease
· glycogen storage disease (G6Pase deficiency)
von Hippel-Lindau
· hemangioma (or hemangioblastoma)
·           adenomas of the viscera, especially renal cell carcinoma
von Recklinghausen’s
· neurofibromatosis & café au lait spots
von Recklinghausen’s Disease of Bone
· osteitis fibrosa cystica (“brown tumor”) 2 ° to hyperparathyroidism
von Willebrand’s Disease
· defect in platelet adhesion 2 ° to deficiency in vWF
Waldenstrom’s macroglobinemia
· proliferation of IgM-producing lymphoid cells
Wallenberg’s Syndrome
· Posterior Inferior Cerebellar Artery (PICA) thrombosis    “Medullary Syndrome”
·           Ipsilateral: ataxia, facial pain & temp; Contralateral: body pain & temp
Waterhouse-Friderichsen
· catastrophic adrenal insufficiency 2 ° to hemorrhagic necrosis (eg, DIC)
·           often 2 ° to meningiococcemia
Weber’s Syndrome
· Paramedian Infarct of Midbrain
·           Ipsilateral: mydriasis; Contralateral: UMN paralysis (lower face & body)
Wegener’s Granulomatosis
· necrotizing granulomatous vasculitis of paranasal sinuses, lungs, kidneys, etc.
Weil’s Disease
· leptospirosis
Wermer’s Syndrome
· MEN type I (thyroid, parathyroid, adrenal cortex, pancreatic islets, pituitary)
Wernicke’s Aphasia
· Sensory Aphasia  impaired comprehension
Wernicke-Korsakoff Syndrome
· thiamine deficiency in alcoholics; bilateral mamillary bodies   (confusion, ataxia, ophthalmoplegia)
Whipple’s Disease
· malabsorption syndrome (with bacteria-laden macrophages) & polyarthritis
Wilson’s Disease
· hepatolenticular degeneration  (copper accumulation & decrease in ceruloplasmin)
Wiskott-Aldrich Syndrome
· immunodeficiency: combined B- &T-cell deficiency (thrombocytopenia & eczema)
Wolff-Chaikoff Effect
· high iodine level ( - )’s thyroid hormone synthesis
Zenker’s Diverticulum
· esophageal; cricopharyngeal muscles above UES
Zollinger-Ellison
· gastrin-secreting tumor of pancreas (or intestine) ® ­ acid ® intractable ulcers, Increased gastrin + Increased Acid Output.

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