DISEASE
Fever + murmur + splinter hemorrhages: Diagnosis?
Infective endocarditis
Syncope + harsh systolic murmur + LVH:Diagnosis?
Aortic stenosis
Aphasia + right face/arm weakness: Affected artery?
Left MCA stroke
Anemia + renal failure + M-spike?
Multiple myeloma
MCP synovitis + anti-CCP positive?
Rheumatoid arthritis
AIDS + multiple ring-enhancing brain lesions:Diagnosis?
Toxoplasmosis
Inferior STEMI + hypotension + clear lungs + JVD:Diagnosis?
RV infarction
Ptosis + diplopia worsening throughout the day:Diagnosis?
Myasthenia gravis
Thrombocytopenia + schistocytes + normal PT/PTT?
TTP
Asthma + eosinophilia + neuropathy?
EGPA
S. aureus bacteremia + focal back pain + weakness:Diagnosis?
Spinal epidural abscess
MI + pulmonary edema + new apical systolic murmur:Diagnosis?
Papillary muscle rupture
Vertigo + hoarseness + crossed sensory loss: Diagnosis?
Wallenberg syndrome
Leukocytosis + basophilia + splenomegaly + t(9;22)?
CML
Hemoptysis + RPGN + PR3-ANCA?
GPA
Culture-negative endocarditis + farm-animal exposure:organism?
Coxiella burnetii
Syncope + short PR + delta wave:Diagnosis?
Wolff-Parkinson-White
Hyponatremia + faciobrachial dystonic seizures:Diagnosis?
LGI1 encephalitis
Thrombosis + erythrocytosis + low EPO?
Polycythemia vera
Proximal weakness + Gottron papules + ↑CK?
Dermatomyositis
Pneumonia + diarrhea + hyponatremia + relative bradycardia:organism?
Legionella
Wide-complex tachycardia + capture/fusion beats:Diagnosis?
Ventricular tachycardia
Rapid dementia + myoclonus + periodic sharp waves:Diagnosis?
CJD
DIC + abnormal promyelocytes + t(15;17)?
APL
Recurrent oral ulcers + genital ulcers + uveitis + pathergy?
Behçet disease
Bacteremia+ colon mass association: organism?
Streptococcus gallolyticus and Clostridium septicum
Post-MI shock + harsh holosystolic LSB murmur + step-up in RV O₂: Diagnosis?
Ventricular septal rupture
Ophthalmoplegia + areflexia + ataxia:antibody?
Anti-GQ1b
Hemolysis + thrombosis + pancytopenia + CD55/CD59 deficiency?
PNH
Pulmonary hemorrhage + GN + anti-GBM negative + MPO-ANCA positive?
Microscopic polyangiitis