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Gold Collection Hallmark findings

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Page 1: Gold Hallmark

Gold Collection

Hallmark findings

Page 2: Gold Hallmark

•Autosplenectomy

Page 3: Gold Hallmark

– Sickle cell anemia: switch a glu val in chain

– Low O2 increased sickling– Aplastic crisis w/ B19 (Parvovirus

ssDNA) infection– Salmonella osteomyelitis– Vaso-occlusive painful crisises– Hydroxyurea as Txt (increased HbF)

& Bone marrow transplant

Page 4: Gold Hallmark

•Brushfield Spots

Page 5: Gold Hallmark

•Down’s

Page 6: Gold Hallmark

•Call-Exner Bodies

Page 7: Gold Hallmark

– Granulosa cell tumor: associated w/ endometrial hyperplasia & carcinoma– Granuloma-Theca cell

tumor

Page 8: Gold Hallmark

•Charcot Triad

Page 9: Gold Hallmark

•Multiple sclerosis = nystagmus, intention

tremor, scanning speech

Page 10: Gold Hallmark

•Cold Agglutinins

Page 11: Gold Hallmark

–Mycoplasma pneumoniae– Infectious

mononucleosis

Page 12: Gold Hallmark

•Cotton Wool Spots

Page 13: Gold Hallmark

– HTN– Aka, cytoid bodies seen w/ SLE (yellowish cotton

wool fundal lesions)

Page 14: Gold Hallmark

•Curschmann’s Spirals

Page 15: Gold Hallmark

•Bronchial asthma

Page 16: Gold Hallmark

•Donovan Bodies

Page 17: Gold Hallmark

–Granuloma inguinale (STD)

Page 18: Gold Hallmark

•Glitter Cells

Page 19: Gold Hallmark

–Acute Pyelonephritis

Page 20: Gold Hallmark

•Michealis-Gutmann Bodies

Page 21: Gold Hallmark

–Malakoplakia lesion on bladder due to macros &

calcospherites (M-G Bodies): usually due to

E. Coli

Page 22: Gold Hallmark

•Non-pitting Edema

Page 23: Gold Hallmark

–Myxedema–Anthrax Toxin

Page 24: Gold Hallmark

•Owls Eye Cells

Page 25: Gold Hallmark

– CMV– Reed Sternburg Cells

(Hodkins Lymphoma)– Aschoff cells seen w/

Rheumatic Fever

Page 26: Gold Hallmark

•Pautrier’s Microabscesses

Page 27: Gold Hallmark

–Mycosis fungoides (cutaneous T-cell

lymphoma), Sezary

Page 28: Gold Hallmark

•Psammoma Bodies

Page 29: Gold Hallmark

– Papillary adenocarcinoma of the thyroid

– Serous papillary cystadenocarcinoma of the ovary

– Meningioma– Mesothelioma

Page 30: Gold Hallmark

•Rash on Palms & Soles

Page 31: Gold Hallmark

– 2°Syphilis– RMSF

–Coxsackie virus infection: Hand-Foot-Mouth Disease

Page 32: Gold Hallmark

•Reinke Crystals

Page 33: Gold Hallmark

–Leydig cell tumor

Page 34: Gold Hallmark

•S3 Heart Sound

Page 35: Gold Hallmark

–LR Shunt (VSD, PDA, ASD)

–Mitral Regurg–LV Failure

Page 36: Gold Hallmark

•S4 Heart Sound

Page 37: Gold Hallmark

–Pulmonary Stenosis– Pulmonary HTN

Page 38: Gold Hallmark

•Schwartzman Reaction

Page 39: Gold Hallmark

•Neisseria meningitidis impressive rash with

bugs

Page 40: Gold Hallmark

•Smith Antigen

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– SLE (also anti-dsDNA)– Malar Rash, Wire loop kidney

lesions, Joint pain, False (+) syphilis test (VDRL)

– 90% 14-45 yo females– also seen w/ use of INH;

Procainamide; Hydralazine = SLE-like syndrome

Page 42: Gold Hallmark

•Thyroidization of Kidney

Page 43: Gold Hallmark

•Chronic pyelonephritis

Page 44: Gold Hallmark

•Warthin-Finkeldey Giant Cells

Page 45: Gold Hallmark

–Measles

Page 46: Gold Hallmark

•Whipple’s Triad

Page 47: Gold Hallmark

–CNS dysfunction – Hypoglycemic

episodes - glu injection reverses CNS Sympt’s

Page 48: Gold Hallmark

•“Ground Glass” on chest x-ray (Hyaline)

Page 49: Gold Hallmark

–Due to Pneumocystis carinii

– Seen w/ Atelectasia

Page 50: Gold Hallmark

•Honey Combing of the lung

Page 51: Gold Hallmark

–Seen w/ Asbestosis (a restrictive lung

disease)

Page 52: Gold Hallmark

•PAS(+) Dutcher Bodies

Page 53: Gold Hallmark

•Waldenstrom’s Macroglobulinemia =

increased IgM = Hyperviscosity

Page 54: Gold Hallmark

•“Ground Glass” in Abdomen(Hyaline)

Page 55: Gold Hallmark

•Seen in the hepatocytes of healthy carriers of HBsAg in

liver biopsies

Page 56: Gold Hallmark

•Ground Glass Appearance (Hyaline)

Page 57: Gold Hallmark

– Seen w/ Progressive Multifocal

Leukoencephalopathy oligodendrocytes

– Nuclei seen in Papillary CA of the thyroid (malignant)

Page 58: Gold Hallmark

•Devic’s Syndrome

Page 59: Gold Hallmark

–“Neuromyelitis Optica”– A variant of multiple

sclerosis: rapid demyelination of the optic nerve & spinal cord w/ paraplegia

Page 60: Gold Hallmark

•c-erb B2 –

Page 61: Gold Hallmark

•Breast Cancer association

Page 62: Gold Hallmark

•Foster-Kennedy Syndrome

Page 63: Gold Hallmark

–A tumor causing blindness & loss of

smell w/ papilloedema

Page 64: Gold Hallmark

•Red Nucleus Destruction

Page 65: Gold Hallmark

•Intention tremors of the arm

Page 66: Gold Hallmark

•Ventral Spinocerebellar tr.

Page 67: Gold Hallmark

•Unconscious proprioception of lower extremities

Page 68: Gold Hallmark

•Dorsal Spinocerebellar tr.

Page 69: Gold Hallmark

•Unconscious prorpioception & fine

motor movements

Page 70: Gold Hallmark

•Cuneocerebellar tr.

Page 71: Gold Hallmark

•Unconscious proprioception & fine motor movements of

upper extremities

Page 72: Gold Hallmark

•Ventral Spinothalamic tr.

Page 73: Gold Hallmark

•Light touch perception

Page 74: Gold Hallmark

•LMN Lesion

Page 75: Gold Hallmark

–Werndig Hoffman (progressive infantile

muscular atrophy)– Poliomyelitis

Page 76: Gold Hallmark

•Sensory Pathway Lesion

Page 77: Gold Hallmark

– Subacute Combined Degeneration =

Friedrich’s Ataxia = B12 deficiency

– Tabes Dorsalis (Neurosyphilis)

Page 78: Gold Hallmark

•Suprachiasmatic Nucleus

Page 79: Gold Hallmark

•Controls circadian rhythm

Page 80: Gold Hallmark

•Ventromedial Nucleus

Page 81: Gold Hallmark

•Satiety center. Savage behavior & obesity

when lesioned

Page 82: Gold Hallmark

•Lateral Nucleus

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•Induces eating. Starvation when

lesioned

Page 84: Gold Hallmark

•Arcuate Nucleus

Page 85: Gold Hallmark

•Releases PIF (dopaminergic

neurons)

Page 86: Gold Hallmark

•Acanthocytes

Page 87: Gold Hallmark

•RBSc w/ spiny projections. Seen in

Abetalipoproteinemia.