Khalil's fruits in usmle
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This document lists various medical conditions and their associated visual descriptions related to fruits, vegetables, foods and drinks. For example, strawberry tongue is seen in Kawasaki disease, blueberry muffin rash is seen in congenital toxoplasmosis, mulberry tumors are seen in tuberous sclerosis, and berry aneurysms can cause sudden severe headaches. Other entries include cherry-red spots in Niemann-Pick disease, banana-shaped ventricles in hypertrophic cardiomyopathy, maple syrup odor in a metabolic disorder, and salmon-colored saliva in pulmonary edema.
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Khalil's fruits in usmle
- 1. drkhalilezekiel@gmail.com 1 Fruit Pic Dis. & Notes Strawberry -Scarlet fever - Kawasaki disease (strawberry tongue) -Trichomonas vaginitis (strawberry vagina) - Strawberry on a stick or mushroom appearance of tubular adenoma that is precursor lesion for colonic cancer Blueberry -Rubella -CMV (congenital disease) -Blueberry muffin rash (congenital toxoplasmosis; a term used to describe the characteristic distributed purpura due to extramedullary hematopoiesis found in infants.It was originally considered characteristic of rubella, but is now considered to be potentially associated with many other conditions,such as cytomegalovirus and metastatic neuroblastoma.) Mulberry -Tuberous sclerosis (mulberry tumor) -syphilis(mulberry molar, neonatal finding) -Mulberry-shaped colonies on sterol-containing media in 10 days in M.Pneumoniae Berry -Berry aneurysm ("worst headache of life"; this aneurysm an outpoucing of intima and adventitia ruptures producing SUB ARACHNOID HEMORRHAGE)
- 2. drkhalilezekiel@gmail.com 2 cherry -cherry-red macular spot (Niemann-Pick and Tay- Sachs) -Cherry colour of skin (carbon monoxide poisoning which mask cyanosis) -cherry red epiglottis in children : H.influenza -Cherry hemangioma - cherry red spot = occlution of retinal artery - Strawberry & cherry hemangiomas (A benign lesion which is the most commonly seen in infancy. Grows in size n then resolves on its own , no treatment required. May be of cosmetic concerns among parents for their children who have it) Orange peau d'orange (inflammatory breast cancer) Banana -Banana shaped left ventricle of heart (Hypertrophic cardiomyopathy) -" banana-shaped" gametocyte : Plasmodium falciparum Fruit Fruity breath odor acetone breath ( Diabetic ketoacidosis) sausage -palpable sausage-shaped mass in children (intussusception) -sausage shaped fingers (psoriatic arthritis classically, systemic sclerosis-Reiter's disease-ankylosing spondylitis) maple syrup -Maple syrup urine disease in branched chain ketoacid dehydrogenase deficiency
- 3. drkhalilezekiel@gmail.com 3 almond bitter almond odor in cyanide poisoning garlic garlic odor in arsenic poisoning cauliflower cauliflower adenomas, Chocalate -Chocalate brown colour in post mortem lividity due to Potassium chlorate poisoning, -chocolate cysts in endometriosis - Chocolate Agar: H.influenza nut nutmeg congested liver Rice Rice water Diarrhea (Cholera) Apple -Apple bite (contrast media x-ray) colon cancer and I think in diffuse esophageal spasm as well. -apple peel atresia - duodenal , jeujunal or colonic atresia d/t vascular accidents in utero - Apple jelly nodules in Lupus Vulgaris, Lupoid Leicshmaniasis & Sarcoidosis -apple core appearance = colon cancer Watermelon Watermelon stomach = Gastric antral vascular ectasia
- 4. drkhalilezekiel@gmail.com 4 salmon -Salmon colored saliva in acute pulmonary edema. -Fishy like smell : B.vaginosis grapes -grapes like odour: pseudomonas infection -Grapfruit juice inhibitor of c450,fructose intolerance when baby denies juice -Fruity breath odor (acetone breath) = Diabetic ketoacidosis.. -Grapes-like vesicles= hydatiform mole-vesicular mole/molar pregnancy -Grape like mass protruding from the vagina / penis in children... ---> rhabdomyosarcoma (sarcoma botryoides) honey honey crusted lesion(impetigo) : group A streptococci Caf辿 cafe au lait spots (neurofibromatosis type I) Jelly -red current jelly stools intussuception -red currant-jelly sputum- klebsiella crocodile crocodile like skin-ICTHYOSIS VULGARIS (a/k/a sauroderma) Cranberry -Cranberry juice to acidify urine and increase elimination of weak bases (Amphetamines, PCP,..) egg fried egg apperance in : 1. oligodendroma , a cns tumour cells show "fried egg" appearance 2."fried-egg" colonies on mycoplasma or eaton's media (all mycoplasma, except mycoplasma pneumonia)
- 5. drkhalilezekiel@gmail.com 5 Bread and butter Bread and butter pericarditis: Fibrinous pericarditis Spaghetti & Meat Ball Spaghetti & Meat Ball appearance in Tiena Versicolor Blue Bleb nevus champagne -inverted champagne bottle appearance in venous ulcers Port wine -Port wine stain - Port wine urine in acute intermittent porphyria Anchovy sauce Anchovy sauce-Thick Chocolate brown secretion formed due to mixture of bile,dead tissue,blood in Amoebic liver abscess...... Tomato Tomato Splash Appearence( Ophthalmoscopic view) - Retinal vein occlusion.
- 6. drkhalilezekiel@gmail.com 6 Cottage Cheese Cottage Cheese appearance on gross examination- Retinoblastoma. Cola -Cola colored urine(Streptococcal Glomerulonephritis) - tea/cola coloured urine(unconjugated hyperbilirubinemia) signet-ring signet-ring trophozoite: P.vivax Coffee bean Coffee bean nuclei in Brenner Tumor Fava beans fava beans (avoid in G6PDD) Olive olive-shaped mass - pyloric stenosis MUSHROOM -MUSHROOMS >> RNA-Polymerase II inhibited by alpha amanitin -Strawberry on a stick or mushroom appearance of tubular adenoma that is precursor lesion for colonic cancer crew cut "crew cut" appearance of the skull x-ray= Erythroid hyperplasia-occurs in sickle cell anemia and thalassemia
- 7. drkhalilezekiel@gmail.com 7 swiss cheese swiss cheese appearance- taenia solium Onion -Onion appearance of lysosomes for Tay Sachs disease. (in addition to cherry red macula) -onion skin layering - ewing sarcoma Beef beef cardiolipin- RPR Rapid Plasma Reagin (syphilis)