Saturday, July 4, 2009

What the Hell is?!

  • Wiskott-Aldrich Syndrome - an X-linked recessive disease characterized by thrombocytopenia, eczema and vulnerability to recurrent infection.
  • Sjogren's Syndrome - characterized by keratoconjunctivitis and xerostomia secondary to immunologically-mediated destruction of lacrimal and salivary glands; also known as Sicca Syndrome.
  • Erythroblastosis Fetalis - a hemolytic disease secondary to blood group incompatibility between the mother and child.
  • Takayasu's Arteritis - syndrome consists of weakening of pulses in UE secondary to thickening of aortic arch; a.k.a "pulseless disease".
  • Kawasaki Syndrome - an arteritis of large, medium, and small arteries with mucocutaneous lymph node syndrome; characterized by fever, conjunctival and oral erythema, edema of hand and feet as well as enlargement of cervical lymph nodes; self-limiting.
Sources: Cotran, Kumar, and Robbins

Also known as....; some terminologies

  • Hydroperitoneum - ascites
  • Factor XII - Hageman Factor
  • Phlebothrombosis - Venous Thrombosis
  • Mucoplysaccharidosis II - Hunter Syndrome
  • Glycogen Storage Diseases:
Type I - Gierke Disease - hepatorenal
Type II - Pompe Disease - Generalized
Type V - McArdle Syndrome - myopathic type

  • Neurofibromatosis I - von Recklinghausen Disease
  • Neurofibromatosis II - Acoustic neurofibromatosis
  • Sicca Syndrome - Sjogren's Syndrome
  • Takayasu's Arteritis - pulseless disease
  • Kawasaki Syndrome - Mucocutaneous lymph node syndrome
  • Thromboangitis Obliterans (TAO) - Buerger's Disease

Terminologies:
  • Anasarca - severe and generalized edema
  • keratoconjunctivitis sicca - dry eyes; characteristic of Sjogren's Synrome.
  • Xerostomia - dry mouth; also a characteristic of Sjogren's Syndrome.
  • Xerophthalmia - conjunctival keratinization
  • Keratomalacia - corneal softening and ulceration.
  • Shoshin Beri Beri - form of heart failure secondary to deficiency of Thiamine.

Fat soluble vitamins vs Water soluble vitamins

The following are fat soluble vitamins: (Code: ADEK)
  • Vitamin A - helps resist infection; part of the visual pigment; deficiency can lead to blindness and xerophthalmia. What is Xerophthalmia? - eyes unable to produce tears; dry eyes.
  • Vitamin D - helps in intestinal absorption of Ca+ and PO4; also hepls in bone mineralization; lack of this vitamin may lead to Rickets (pedia) and osteomalacia in adults.
  • Vitamin E - an antioxidant ( a free radical scavenger); lack of this vitamin may cause spinocerebellar degeneration.
  • Vitamin K - helps in hepatic carboxylation of procoagulants such as Factor II or prothrombin and factors VII, IX, and X; lack of such may delay coagulation which will cause bleeding.
Water soluble vitamins:
  • Vitamin B1 (Thiamine) - helps in conduction of nerve impulses in peripheral nerve; deficiency may lead to dry or wet beri-beri and Wernicke-Korsakoff's Syndrome (characterized by vision changes, ataxia, and impaired memory; often secondary to alcohol abuse).
  • Vitamin B2 (Riboflavin) - becomes coenzymes Flavin mononucleotide (FMN) and Flavin-adenine dinucleotide (FAD) - both are important in aiding other enzymes to facilitate metabolism.
  • Niacin - together with nicotinamide-adenine dinucleotide (NAD) and NAD phosphate (NADP) they are involved in oxidation-reduction (redox) reactions; deficiency may lead tp Pellagra (dementia, dermatitis, and diarrhea).
  • Vitamin B6 (Pyridoxine) - serves as coenzymes; deficiency may lead to cheilosis (dry mouth), dermatitis, and peripheral neuropathy.
  • Vitamin B12 (Cyanocobalamin) - important for normal folate metabolism and DNA synthesis; maintains myelinazation of SC tracts; deficiency may lead to megaloblastic pernicious anemia and degeneration of posterolateral SC tracts.
  • Vitamin C (Ascorbic Acid) - redox reactions and hydroxylation of collagen; deficeincy leads to scurvy.
  • Folate - important in DNA synthesis; deficiency may lead to megaloblastic anemia.
  • Pantothenic Acid - binds with coenzyme A; Deficiency: None that was recognized.
  • Biotin - abundant in foods; helps in carboxylation reactions; deficiency: none that was recognized.
Source: Pathologic Basis of Diseases by Cotran, Kumar, and Robbins.

Chromosomal Anomalies

  • Marfan Syndrome - mutation in the fibrillin gene on chromosome 15 specific locus: 15q21.1
  • Tay-Sachs Disease - secondary to mutations that affects the alpha subunit locus on Chromosome 15.
  • Gaucher Disease - Autosomal Recessive; secondary to mutation at Chromosome 1 (specific locus 1q21.
  • Neurofibromatosis 1 or NF 1 - Chromosome 17 (specific locus 17q11.2)
  • Neurofibromatosis 2 or NF 2 - Chromosome 22
  • Down Syndrome - extra chromosome on 21st; ergo they have 47 chromosome count; a.k.a Trisomy 21
  • Edward Syndrome - Trisomy 18
  • Patau Syndrome - Trisomy 13
  • Cri du Chat Syndrome - deletion of the short arm of Chromosome 5 (5p-)
  • Klinefelter Syndrome - two or more X chromosomes plus one or more Y chromosomes; classic pattern is 47, XXY karyoptype.
  • Turner's Syndrome - partial or complete monosomy of X chromosome; single most important cause of primary amenorrhea; XO pattern.
  • Prader-Willi Syndrome - deletion of long arm of chromosome 15 (specific locus: 15q12)
  • Angelman Syndrome - disomy of paternal chromosome 15.
Note: Karyotyping is a study of chromosomes.
Normal karyotype: XX for female and XY for male

Source: Pathologic Basis of Diseases by Cotran, Kumar, and Robbins