| Physical findings | Disease / Entity |
| mid-abdominal pulsatile mass, lower back pain, abdominal bruit | Abdominal Aortic Aneurysm |
| erythematous pustules and scales resembling psoriasis around mouth genitalia anus feet elbows knees | Acrodermatitis enteropathica; zinc deficiency |
| fever, n/v, diffuse periumbilical pain R lower quadrant | Acute appendicitis |
| R lower quadrant pain | Acute Appendicitis; Ectopic pregnancy; PID; ovarian cyst; mittelschmerz; Meckel's; Intussusception. |
| acute onset constant dull aching RUQ pain, 30 min after eating, pain radiates to R shoulder | Acute Cholecystitis |
| dysuria, frequency, urgency, discomfort over the bladder | Acute cystitis |
| high fever, drooling, inspiratory stridor, severe dyspnea in a child. Thumbprint sign on x-ray of head/neck. | Acute epiglottitis; H. influenza type B |
| fever, steady boring midepigastric pain that penetrates straight thru to the back, hemorrhage in the flank's (Gray Turner's sign) | Acute Pancreatitis |
| knife-like midepigastric pain radiating through to the back | Acute pancreatitis |
| sudden onset spiking fever, flank pain, chills, n/v, dysuria, frequency | Acute Pylenoephritis |
| fever, HA, facial pain, postnasal d/c, chronic cough | Acute sinusitis |
| hyperpigmentation, weakness/fatigability, weight loss, hypotension, Na K | Addison's disease; adrenal insuff. |
| pharyngitis, pneumonia, conjuctivitis, gastroenteritis, hemorrhagic cystitis | Adenovirus |
| colicky abdominal pain, abdominal distentio, obstipation, radiograph (distended loops of bowel w step-ladder appearance) | Adhesions; GI obstruction |
| high fever, dehydration, n/v, hypotension | adrenal crisis |
| HTN, abdominal pain, hematuria, berry aneurysm, mitral valve prolaps | Adult Polycystic Kidney Disease |
| café au lait spots, polyostotic fibrous dysplasia, precocious puberty, short stature, young girls | Albright syndrome |
| pale boggy nasal mucosa | Allergic rhinitis |
| hereditary nephritis with nerve deafness | Alport’s Syndrome |
| progressive dementia | Alzheimer’s |
| substernal chest pain radiating to L arm or jaw, pain lasts longer than 30 min, pain relieved by nitroglycerin, sweating | AMI |
| awkwardness of finger movements, weakness of hands arm, spasticity of legs, hyperreflexia, no loss of sensory function | Amyotrophic lateral sclerosis |
| bent over posture, decreased ant flexion of lumbar spine, limited chest expantion | Ankylosing spondilitis |
| increase in fine hair of the body (hypertrichosis) | Anorexia |
| high pitched blowing diastolic murmur | Aortic insufficiency |
| crescendo-decrescendo systolic at second R intercostal space | Aortic stenosis |
| dyspnea on exertion, syncope, angina pectoralis | Aortic stenosis |
| pupil reacts to accomodation, but not to direct light | Argyll Robertson pupil; neurosyphilis |
| abdominal pain, fever, chills, jaundice | Ascending cholangitis |
| bulging of flanks, shifting dullness to percussion in the abdomin | Ascites; portal HTN, hypoalbuminemia |
| Murmur; fixed spliting of S2 | ASD |
| fever, HA, n/v, confusion, nuchal rigidity | Aseptic Meningitis, Lymphocytic Choriomeningitis virus |
| inspiratory / expiratory wheezing, dyspnea, cough worse at night | Asthma |
| feet are widely spaced, foot lifted too high, walks w slapping feet | Ataxic gait |
| sudden onset fever, dyspnea, cyanosis, inspiratory lag, increased A-a | Atelectasis |
| Murmur; Diastolic; high pitched blowing murmur directly following S2 | AV/PV reguritation |
| Murmur; Systolic; crescendo decrescendo murmur | AV/PV stenosis |
| dorsiflexion of big toe, and fanning of other toes on plantar reflect | Babinski's sign; UMN lesion |
| petechiae on palms [Janeway's], painful erythematous nodules on fingers [Osler's], subconjunctival hemorrhage, splinter hemorrhage | Bacterial endocarditis |
| fever, HA, nuchal rigidity; CSF - PMN, glucose, protein | Bacterial meningitis newborn - Group B strep, E. coli child - H. influenza young adults - N. menigitis older adults - S. pneumonia |
| slow growing waxy nevi w vascular pattern | Basal cell carcinoma |
| Upper lip tumor | Basal cell carcinoma |
| resting tremor | Basal ganglia lesion |
| slow, writhing movements | Basal ganglia lesion |
| sudden jerky, purposeless movements; choreaform | Basal ganglia lesion |
| unilateral dropping of mouth & facial m, inability to close eye | Bells' aplsy |
| coffe ground emesis | Bleeding peptic ulcer |
| paralysis of striated mm, dry mouth, dry eyes | Botulism |
| Adenopathy - axillary | Breast CA; Cat scratch disease |
| subdural hematoma | Bridging veins; sup cerebral v. |
| pt understands written & spoken, but can't articulate | Broca's aphasia |
| broken speech; motor expressive aphasia | Broca's area lesion |
| fever, cough w foul smelling sputum that layers on standing, hemopytsis, recurrent respiratory infections | Bronchiectasis |
| hemisection of cord (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN) | Brown-Sequard |
| raised bright red lobulated vascular tumor | Capillary hemangioma |
| cutaneous flushing, diarrhea, valvular disease | Carcinoid |
| numbness tingling and pain along thumb long and ring fingers, worse at night, atrophy of thumb | Carpal tunnel syndrome, Median n. injury |
| Intention tremor | cerebellar lesion |
| Trypansoma infection sleeping disease, cardiomegaly with apical atrophy, achlasia, megacolon | Chagas’ Disease |
| painful genetial ulcers | Chancroid; Hemophilus ducreyi |
| rhythmic alternating pattern of apnea and hyperpnea | Cheyne-Stokes breathing; hypoxia of medulla oblongata |
| dyspnea, JVD, pitting edema | CHF |
| notching of ribs, weak femoral pulse, well developed upper body underdeveloped lower body, claudication | Coarctation of aorta |
| fever, HA, myalgia, retro-orbital pain | Colorado tick fever virus |
| fever, HA, coughing, sneezing, sore throat | Common cold; #1=Rhinovirus |
| patent ductus, deafness, retardation, cataracts | Congenital Rubella Syndrome |
| palpable upper right quadrant mass, projectile vomiting | Congential pyloric stenosis |
| HTN, suppresed renin, Na+ K+ , muscle weakness. | Conn's syndrome |
| fever, sore throat, vessicles in oropharynx | Coxsackie virus |
| calcinosis of fingertips, Raynaud's phenomenon, esophageal motility problems, sclerodactly, telangiectasia | CREST syndrome |
| dwarfism, mental retardation, puffy face, protruding tongue | Cretinism, Hypothyroid |
| IBD; ileocecum, transmural, skip lesions, lymphocytic infiltrate, granulomas (contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps, colon cancer risk) | Crohn’s |
| moon facies, buffalo hump, truncal obesity, abdominal striae, diastolic HTN, hyperglycemia, thin hair, protein depletion, depression | Cushing's |
| progressive muscle weakness, hyperkeratotic cuticles, periungual telangiectasaia, flat topped violacious papulesover the knuckles | Dermatomyositis |
| acute onset severe retrosternal chest pain, tearing pain w radiation to back | Dissecting Aneurysm |
| maroon colored stool | Diverticular hemorrhage |
| fever, rebound tenderness, constant pian, L lower quadrant | Diverticulitis |
| epicanthal folds, broad nose, square ears, protruding tongue, endocardial cushion defects, duodenal atresia, megacolon | Downs' syndrome |
| post gastrectomy: post-prandial; dizziness, tachycardia, palpitations | Dumping syndrome |
| fever, pain in calf on compression or dorsiflexion, ankle edema | DVT |
| hypogastric pain, abnormal uterine bleeding, adnexal mass, missed menstrual period, hypovolemic shock | Ectopic Pregnancy |
| micrognathia, prominent occipet, low-set ears, cleft palate, flexion deformities of fingers | Edward's syndrome |
| increased elasticity of skin and of connective tissue (contortionist) | Ehlers-Danlos |
| fever, HA, nuchal rigidity, n/v seizures coma death | Encephalitis |
| vaginal bleeding, pain, ascites, weight loss, palpable pelvic mass, post menopausal female | Endometrial Adenocarcinoma |
| chronic pelvic pain, painful intercourse, painful defecation, lower back pain | Endometriosis |
| purple lesion w central clearing, arthritis, endocarditis, meat/fish handler | Erisipeloid |
| tendon xanthoma | Familial Hypercholesterolemia |
| acute respiratory distress, petechiae following musculoskeletal trauma | Fat embolism syndrome |
| peg-leg gait; knee fully extended throughout | Femoral n. damage |
| absent patellar reflex | Femoral n. damage [L2-L4] |
| ASD | Fetal alcohol syndrome |
| Auscultation; scratchy sounds over pericardium | Fibrinous pericarditis |
| sore, beefy red tongue w papillary necrosis | Folate deficiency; iron deficiency; scurvy; pellagra |
| personality change, deficits in concentration, judgement | Frontal [lobe] release signs |
| right upper quadrant pain, abdominal distention 30 min post prandial | Gall stones |
| colonic polyposis, soft tissue tumors, bone tumor | Gardner's syndrome |
| hyperpigmentation of the axilla | Gastric CA |
| n/v, diarrhea, | Gastroenteritis; Rotavirus |
| fever, malaise, posterior auricular lymphadenopathy | German measels; Rubella |
| Adenopathy - left supraclavicular | GI CA |
| enlarged supraclavicular lymph node | GI malignancy |
| fever, unilateral HA, temporal swelling tenderness, jaw claudication, ESR | Giant cell (temporal) arteritis |
| urethritis w creamy purulent penile discharge; cervicitis, Bartholin gland cyst | Gonorrhea |
| male presenting first w hemoptysis, then acute glomerulonephritis | Goodpasture's; anti-basement membrane antibodies |
| creeping raised genital sores that heal by scaring | Granuloma inguinale |
| exophthalmos, proptosis, periorbital edema, thyroid bruit, tachycardia, afib, systolic HTN, nervousness, heat intolerance, weight loss | Graves disease |
| large hands, prominent brow & jaw, | Growth hormone |
| idiopathic polyneuritis (ascending muscle weakness & paralysis; usually self-limiting) | Guillain-Barre |
| dyspnea, cough, swelling of the feet, wheezing | Heart failure |
| sudden wild flailing of one arm | Hemiballismus |
| cool clammy skin, delayed capillary refill, later … pallor, tachycardia | Hemorrhagic shock |
| nails are white at proximal and middle portions, nails are pink distally | Hepatic cirrhosis |
| jaundice, fever, anorexia, n/v | Hepatitis A |
| jaundice, fever, n/v, anorexia | Hepatitis B virus |
| fever, abdominal pain, weight loss, abdominal mass, hypoglycemia, | Hepatocellular CA |
| weakness of quadriceps, knee jerk | Herniated disk at L3-L4 |
| weakness of dorsiflexion, ankle jerk | Herniated disk at L5-S1 |
| encephailitis in the temporal lobes | Herpes simplex I |
| keratoconjuctivitis | Herpes simplex I |
| painful vessicles that ulcerate in the genital area | Herpes simplex II |
| dilation & hypertrophy of colon w fecal retention | Hirschsprung's disease; Megalcolon |
| fever, lethargy, sore throat, lymphadenopathy, splenomegaly, rash, leukopenia | HIV initial presentation |
| constricted pupil, dropping eyelid, loss of sweating | Horner's syndrome |
| AV nicking, retinal hemorrhage / exudates, S4 | HTN |
| morning HA, dizziness, blurry vision, sweating, chest pain, dyspnea | HTN |
| choreiform movement, hypotonia, progressive dementia | Huntington's |
| progressive dementia, urinary incontinence, ataxic gait | Hydrocephalus; normal-pressure |
| hirsutism, truncal obesity, poor wound healing | hyperadrenocorticalism |
| gray band of corneal opacity | Hyperlipidemia |
| Ca, phosphate, osteitis fibrosa, polyuria, kidney stones, alk phos | Hyperparathyroidism |
| stones, bones, abdominal groans, psychic moans | Hyperparathyroidism |
| heat intolerence, tachycardia, fine oily hair, tremor weight loss | Hyperthyroidism |
| cold intolerence, bradycardia, lethargy, cholesterol, dry brittle hair | Hypothyroidism |
| insulin, C-peptide, glucose, ketoacidosis | IDDM; type I diabetes |
| sudden death in young athletes | Idiopathic Hypertrophic Subaortic Stenosis; outflow obstruction |
| rash on face w discrete vessilcles that rupture and form yellow/honey colored crust | Impetigo |
| Adenopathy - Ant cervical | Infection, ie pharyngitis |
| Roth spots, splinter hemprrhages, Osler's nodes (painful nodules), Janeway's lesions (painless nodules), glomerulonephritis | Infective endocarditis |
| weakness in climbing stairs; pt throws torso back during heel strike while walking | Inferior gluteal n. [L5-S2} gluteus maximus |
| fever, HA, cough, myalgia | Influenza virus |
| insulin, C-peptide, glucose | Insulinoma |
| dyspnea on exertion, nonproductive cough, hemoptysis, and chest pain | Interstitial (restrictive) lung disease |
| post prandial pain, anorexia, weight loss | Intestinal ischemia |
| abdominal pain, distention, vomiting, constipation | Intestinal obstruction |
| alternating diarrhea / constipation, cramping abdominal pain, pain relieved by bowel movement | Irritable bowel syndrome |
| sudden onset severe abdominal pain, n/v, abdominal distention, bloody diarrhea, hypotension, absent bowel sounds | Ischemic bowel - infarct |
| post-prandial pain of splenic flexure, 30 min | Ischemic bowel - warning sign |
| yellow skin, yellow sclera, dark yellow urine, light colored stool | Jaundice |
| AIDS pts; progressive multifocal leukoencephalopathy | JC virus |
| multiple red-purple lesions that progress macule papule nodule | Kaposi's sarcoma |
| situs inversus, recurrent pulmonary infections, sterility infection | Kartagener’s Syndrome; immotile cilia 2 to defective dynein arms. |
| band of golden-brown pigment on the posterior corneal surface | Kayser-Fleischer ring; Wilson's diseas |
| intense pain radiating to left shoulder | Kehr's sign; ruptured spleen |
| hematuria, proteinuria, oligouria | Kidney problem |
| male genetalia, female fat distribution | Klinefelter's |
| tall stature, eunuchoid appearance, gynecomastia, testicular atrophy | Klinefelter's |
| hyperoral, hypersexual, disinhibition, visual agnosia | Kluver-Bucy; Amygdala lesion |
| slow deep respirations with increased tidal volume | Kussmaul's breathing; ketoacidosis |
| Adenopathy - cervical | Laryngeal CA; Thyroid CA |
| low grade fever, mild inspiratory stridor, Steeple sign on lateral x-rays of neck. | Laryngotracheobronchitis; croup; parainfluenza virus. |
| black pigmentation of bowel | Laxative abuse |
| gout, HTN, renal insufficiency | Lead poisoning |
| gout, retardation, self-mutilation | Lesch-Nyhan; HGPRT deficiency |
| white patch on the buccal mucosa which does not wipe off | Leukoplakia |
| pruritic flat-topped violet papules of forearm neck thigh buccal mucosa and glans penis | Lichen planis |
| Winged scapula | Long thoracic n. damage; paralysis of serratus ant m. |
| dysuria, frequency, hematuria | Lower urinary tract |
| clubbing of nails | Lung CA if acute Chronic lung infection if chronic Congenital heart defect if child |
| Cough, weight loss, chest pain, hemoptysis, hoarseness | Lung CA; bronchogenic |
| Adenopathy - right supraclavicular | Lung CA; Esophageal CA. |
| Adenopathy - abdominal, retroperitoneal | Malignant Lymphoma; Testicular CA; Prostate CA |
| arachnodactyly (spider fingers), dolichocephaly (long skull), dislocated lens, dissecting aortic aneurysm, mitral valve prolapse, thumb sign (thumb protrudes across clenched fist) | Marfan syndrome fibrillin defect |
| Adenopathy - postauricular | Measles |
| fever, HA, malaise, myalgia, photophobia, burning eye pain, white spots on buccal mucosa [Koplic's | Measles |
| fever, malaise, Koplik's spots | Measles; Rubeola virus |
| diverticulum 2 inches long, 2 feet from the ileocecal valve | Meckel's diverticulum |
| newborn that is unable to pass meconium, absence of stool in ampulla of rectum | Megacolon; Hirschsprung's, Down's, Chaga's |
| ovarian fibroma, ascites, R pleural effusion | Meigs' syndrome |
| amenorrhea, hot flashes, night sweats, female 52 yo | Menopause |
| chest pain, diaphoresis, dyspnea, n/v | MI |
| epidural hematoma | Middle Meningeal a. |
| holosystolic murmur at apex | Mitral regurgitation |
| diastolic rumbling low-pitch crescendo-decrescendo murmur at apex | Mitral stenosis |
| warts | Molluscum contagiosum virus |
| fever, lethargy, atypical lymphs, neg heterophil Ab | Mononucleosis; Cytomegalovirus |
| fever, lethargy, sore throat, lymphadenopathy, splenomegaly, atypical lymphs, Monospot test | Mononucleosis; Epstein-Barr virus |
| lytic lesions of the skull | multiple myeloma |
| nystagmus, intention tremor, scanning speech | multiple sclerosis |
| fever, malaise, swelling of parotids | Mumps virus |
| child with difficulty walking, tendency to fall | Muscular dystrophy |
| Murmur; Systolic; holosystolic murmur | MV/TV regurgitation |
| Murmur; Diastolic; early, mid-diastolic rumble following opening snap | MV/TV stenosis |
| bilateral ptosis | Myasthenia gravis |
| difficulty talking, diplopia, muscular weakness upon exertion | Myasthenia gravis |
| puffiness of hands, face, feet; yellow skin | Myxedema; Hypothyroid |
| abrupt onset oligouria, HTN, periorbital edema, hematuria | Nephritic syndrome |
| abrupt onset severe, colicky, flank pain radiating into the groin | Nephrolithiasis |
| periorbital edema | Nephrotic syndrome |
| insulin, C-peptide, glucose, ketoacidosis | NIDDM, type II diabetes |
| nml biceps DTR | nml C5 |
| nml triceps DTR | nml C7 |
| nml pupil light reflex | nml CN II CN III |
| nml gag reflex | nml CN IX CN X |
| nml corneal reflex | nml CN V-1 CN VII |
| nml jaw jerk | nml CN V-3 |
| nml cough | nml CN X recurrent laryngeal n. phrenic .n spinal motor n. |
| nml hip adduction | nml L1-L2 |
| nml knee extension | nml L3-L4 |
| nml patellar DTR | nml L4 |
| nml great toe extension | nml L5 |
| nml knee flexion | nml L5-S1 |
| nml achilles DTR | nml S1 |
| nml great toe flexion | nml S1 |
| diarrhea, n/v for 1 day | Norwalk virus |
| pain of weight bearing joints, worsens by end of day, DIP, Heberden's nodes | Osteoarthritis |
| multiple bone fractures, blue sclera, deafness | Osteogenesis imperfecta brittle bone disease |
| hip pain that worsens at night and is dramatically relieved by aspirin | Osteoid osteoma |
| Migratory thromboplebitis | Pancreatic CA |
| warts | Papillomavirus |
| condyloma accuminata | Papillomavirus - types 6, 11 |
| absent bowel sounds | Paralytic Ileus |
| stooped posture, resting tremor, festinating (shuffling) gait, cogwheel rigidity, pill-rolling tremor | Parkinson's |
| machine like murmur, widened pulse pressure, bounding pulses | PDA |
| Murmur; machinery murmur, differential cyanosis (upper body pink, lower body blue) | PDA |
| sudden pleuritic chest pain, tachypnea, dyspnea, tachycardia | PE |
| dermatitis, diarrhea, dementia | Pellagra; niacin deficiency |
| air under the diaphragm | Perforated Ulcer |
| rebound pain, abdominal gaurding | Perforated ulcer |
| friction rub | pericarditis |
| abdominal guarding, rebound tenderness, pts sits perfectly still | Peritonitis |
| pigmentation around mouth, colonic hamartomatous polyps | Peutz-Jeghers syndrome |
| HTN, HA, perspiration, palpitation, feelings of dread, abdominal pain, hyperglycemia | Pheochromocytoma |
| fever, lower abdominal pain, adnexal tenderness to cervical motion | PID; chlamydia, gonorrhea |
| bitemporal hemianopsia | Pituitary adenoma |
| bitemporal hemianopsia, diabetes insipidus, cranial nerva palsy | Pituitary adenoma |
| acute solitary oval annular lesion of 2-6 cm on the trunk, followed weeks later by eruption of small of christmas tree pattern w wrinkled center and scaly border w hyperpigmentation | Pityriasis rosea |
| dysphagia for solids, glossitis, leukoplakia, achlorhydria, iron deficiency | Plummer-Vinson syndrome |
| upper lobe centrilobular emphysema, cor pulmonale, lungs are blackw nodular masses w antracotic pigment | Pneumoconiosis, Coal miner's |
| insidious onset low grade fever, pleuritic chest pain, chills, myalgia, non productive cough | Pneumonia, Atypical; Mycoplasma, Tb, Legionella, Chlamydia… |
| sudden onset spiking fever, pleuritic chest pain, chills, cough w rusty sputum | Pneumonia, Typical; Strep pneumo |
| sudden onset sharp stabbing chest pain w dyspnea, deviation of trachea, hyperresonance | Pneumothorax |
| esophageal varicies | Portal HTN; alcoholic cirrhosis |
| hyperpigmentation of the skin | Primary adrenocortical insufficiency |
| Adenopathy - hilar | Primary lung CA; Tb; Sarcoid |
| Murmur; Systolic clicks | prolapse |
| mental retardation, short stature, missing metacarpals at birth | Pseudohypoparathyroidism; PTH insensitivity |
| pitting and yellow discoloration of nails, silvery cutaneos plaques which pinpoint bleed when lifted | Psoriasis |
| cva tenderness, fever, chills, pain w urination | Pyelonephritis |
| fever, HA, sore throat, fatigue, nausea, anorexia, painfully sensitive nerves around bite wound hyperactivity, agitation confusion, lethargy, seizures, madness, salivation hydrophobia, seizures, coma, death | Rabies virus |
| Wrist drop | Radial n. damage; fall on shoulder, birth injury |
| bilateral cyanosis of the digits; white blue red | Raynaud's disease |
| post [neck] surgical hoarseness | recurrent laryngeal n damage |
| Can't see, can't pee, can't climb a tree | Reiter's |
| gross hematuria, flank pain, palpable abdominal mass | Renal cell CA |
| Nails are white proximally and brown distally | Renal disease |
| White reflex | retinoblastoma |
| fever, drowsiness, convulsions, vomiting coma; post influenze / varicella | Reye syndrome |
| fever, malaise, endocarditis, polyarthritis, ESR | Rheumatic fever |
| chronic peripheral symmetric polyarthritis, morning stiffness, radial deviation of wrist, ulnar deviation of digits, MCP, PIP | Rheumatoid arthritis |
| swan neck deformity of digits, boutonniere deformity, symmetric involvement of PIP | Rheumatoid arthritis |
| severe pruritis worse at night, excoriated papules in interdigit area, other family members also affected | Scabies |
| Mouth CA | SCC |
| Adenopathy - submental | SCC of floor of mouth |
| Tightened skin with disappearance of creases over knuckles | Scleroderma |
| pain itching tingling along dermatome, eruption of vessicles and pustular eruptions over an erythematous base | Shingles; Herpes zoster |
| ulcers and sores on legs that are slow to heal; bone pain; young African American | Sickle cell anemia |
| dry eyes, dry mouth, rheumatoid arthritis | Sjogren's syndrome |
| photosensativity, oral ulcers, arthritis, | SLE |
| tinkles and rushes - bowel sounds | Small bowel obstruction |
| agnosia of the contralateral side of the world; | Spatial neglect syndrome; Right parietal lobe lesion |
| Shoulder drop | Spinal accessory n. damage |
| painless papules/granulomas at puncture wound from roses, chain of erythematous nodules along dorsum of hand | Sporotrichosis |
| Murmur; Opening snap | stenosis |
| gait with swinging leg out to side and slapping ground with foot; toe strike instead of heel strike | Steppage gait: Common peroneal n. [L4-S2] weakness of dorsiflexion |
| fever, malaise, bullous lesions mucosal ulceration (often secondary to mycoplasma infection or sulfa drugs) | Stevens-Johnson Syndrome; erythema multiforme |
| tonsilitis, exudative pharyngitis | Strep pyogenes; Adenovirus; EBV; Coxsackie |
| worst headache of my life | Subarachnoid hemorrhage |
| puffiness and blue discoloration of face, dizziness, visual disturbances, JVD | Superior vena caval syndrome |
| painless indurated genital ulcer | Syphilis; Treponema pallidum |
| absent pulses, claudication of upper extremity, BP in upper but in lower, Raynaud's phenomenon, dizziness, visual disturbances | Takayasu arteritis |
| pain while combing hair, HA, fever, temporal tenderness, limb girdle pain | Temporal arteritis |
| overriding aorta, pulmonary valve stenosis, VSD, RVH | Tetralogy of Fallot |
| nystagmus, ataxia, confusion | Thiamine deficiency; mamillary body |
| white patchy lesions of the oral mucosa | Thrush OR Leukoplakia, not same. |
| carotid bruit, reversible unilateral loss of vision | TIA |
| jock itch | Tinea cruris |
| athlete's foot | Tinea pedis |
| splenomegaly | Trauma; Infectious mononucleosis; Kala azar; Malaria; Sub acute bacterial endocarditis; Autoimmune; Gaucher's; Niemann Pick; Neoplasm - hemangioma; Hypersplenism; Portal HTN; Sickle cell; |
| when pt stands on one foot, hips drops on ther side; pt throws torso toward weakened side during walk | Trendelenburg gait: Superior gluteal n.[L4-S1] paralysis of gluteus medius & minimus |
| c-v wave | Tricuspid regurgitation |
| distended neck veins, hepatomegaly, edema | Tricuspid regurgitation |
| Pulsating liver | Tricuspid regurgitation |
| a wave | Tricuspid stenosis |
| short stature, webbed neck, little secondary sex characteristics, coarctation of aorta | Turner's |
| abdominal pain, bloody diarrhea, fever, weight loss | Ulcerative colitis |
| hyperextesion of the metacorpophalangeal joints, flexion of the interphalangeal joints; clawhand | Ulnar nerve damage |
| arm is extended, adducted, internally rotated | Upper trunk injury (C5, C6); Waiter's tip |
| dyspnea due to severe panting | Uremia |
| Adenopathy - preauricular | Viral conjuctivitis |
| low grade fever, HA, myalgia, abdominal discomfort, loss of taste for coffee / cigarettes pruritis dark urine, light colored stool | Viral Hepatitis |
| fever, HA, nuchal rigidity; aseptic | Viral menigitis |
| nystagmus, slurred speech, ataxia, retinal detachment, renal cell carcinoma | von Hippel-Lindau disease |
| acute necrotizing granulomatous inflammation of respiratory tract, necrotizing vasculitis, necrotizing glomerulonephritis | Wegener's granulomatosis |
| saddle nose deformity | Wegener's granulomatosis |
| confabulation, anterograde amnesia | Wernicke-Korsakoff; mamillary body |
| wordy nonsensical speech; sensory fluent aphasia | Wernicke's area lesion |
| fever, abdominal pain, hematuria, unilateral flank mass | Wilm's tumor; Nephroblastoma |
| jaundice, fever, HA, myalgia, photophobia | Yellow fever virus |
| peptic ulcer, gastric hyperacidity, pancreatic islet cell tumor, | Zollinger-Ellison syndrome |
