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SYNDROMES
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Organized by Category:
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ENVIRONMENTAL CAUSES
- ACUTE RADIATION SYNDROME: Radiation exposure.
- 12 hours post-exposure: Vomiting
- 24 hours post-exposure: Prostration (extreme exhaustion), fever, diarrhea
- Later: Petechial hemorrhage, hypotension, tachycardia, profuse bloody diarrhea, maybe death.
- CHINESE RESTAURANT SYNDROME: MSG reaction ------> Chest Pain, burning sensation over parts
of body.
- BROWN-SEQUARD SYNDROME: Damage (injury) to half of spinal cord ------> symptoms:
- Loss of pain and temperature sensation on contralateral side of body.
- Loss of proprioception and discriminatory touch on ipsilateral side of body.
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CARDIOVASCULAR
- ADAMS-STOKES SYNDROME: Heart block, with slow or absent pulse, often accompanied by convulsions.
- BARLOW SYNDROME: Floppy Mitral Valve Syndrome; Massive Mitral Valve Prolapse ------> Late apical
systolic murmur, systolic click, or both.
- EISENMENGER'S SYNDROME: Ventricular-Septal Defect ------> Pulmonary hypertension and cyanosis.
- FLOPPY-VALVE SYNDROME: Mitral Incompetence due to myxomatous degeneration of the leaflets.
- LERICHE'S SYNDROME: Occlusion of distal aorta ------>
- Hip, thigh, and calf fatigue.
- Impotence
- BEHCET'S SYNDROME: Vasculitis ------> secondary symptoms:
- Oral and genital ulcers
- Uveitis
- Optic atrophy
- SHOULDER-HAND SYNDROME: Pain in shoulder and swelling in hand, sometimes occurring after
Myocardial Infarction.
- SICK SINUS SYNDROME: Chaotic atrial activity; continual changes in P-Waves. Bradycardia, alternating
with recurrent ectopic beats and runs of tachycardia.
- SUPERIOR VENA CAVA SYNDROME: Caused by a tumor. Obstruction of SVC ------>
- Edema
- Engorgement of the vessels of face, neck, and arms.
- Nonproductive cough
- Dyspnea
- TAKAYASU'S SYNDROME: Arteritis of the Aortic Arch, resulting in no pulse. Seen in young women.
- WOLF-PARKINSON WHITE SYNDROME: ECG pattern of Paroxysmal Tachycardia.
- Short PR interval
- Delta wave = early QRS complex.
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IATROGENIC (or Secondary to Medical Treatment)
- AFFERENT LOOP SYNDROME: Gastrojejunal loop obstruction, proximal to a gastrojejunostomy.
- Ingestion of food produces nausea, pain, and duodenal distension.
- ASHERMAN'S SYNDROME: Adhesions within the endometrial cavity, causing amenorrhea and infertility.
- Adhesions probably were caused by surgery.
- ULYSSES SYNDROME: Ill effects from follow-up diagnostic tests following a false-positive screening test.
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NEOPLASTIC (Malignant or Benign)
- CARCINOID SYNDROME: Carcinoid tumor producing Bradykinin + Serotonin ------> secondary symptoms:
- Cyanotic flushing
- Diarrhea
- Bronchial spasm
- Edema, ascites.
- CRONKHITE-CANADA SYNDROME: GI-Polyps with diffuse alopecia (hair-loss) and nail dystrophy.
- May see protein-losing enteropathy and malabsorption.
- GARDNER'S SYNDROME: Multiple inherited tumors, hereditary dominant trait.
- Skull osteomas, Fibromas, Epidermoid cysts
- Colonic polyposis (APC gene) ------> predisposition to colonic adenocarcinoma.
- LAMBERT-EATON SYNDROME: Progressive proximal muscle weakness secondary to a carcinoma.
- MEIGS' SYNDROME: Fibroma of ovary with ascites and hydrothorax
- PANCOAST SYNDROME: Tumor near pulmonary apex ------>
- Neuritic pain of chest and arm
- Muscle atrophy of the arm
- Horner's Syndrome (impaired cervical sympathetics)
- PEUTZ-JEGHERS SYNDROME: Polyposis (hamartomas) of small intestine
- Also see melanin pigmentation of buccal mucosa and skin around mouth and lips
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CONGENITAL
- CEREBELLAR SYNDROME: Congenital Cerebellar Ataxia
- CERVICAL SYNDROME: Supernumerary C7 rib ------> Pressure on brachial plexus ------> pain radiating
over shoulder, arm, and forearm over C7 distribution.
- DANDY-WALKER SYNDROME: Obstruction of Foramina of Magendie and Luschka in infants ------>
Hydrocephalus.
- DIGEORGE SYNDROME: Congenital absence of 3rd and 4th Branchial Arches (Thymus and Parathyroid Glands)
------> secondary symptoms:
- No cell-mediated immunity ------> Frequent viral and fungal infections
- Characteristic facial deformities
- DOWN SYNDROME: Trisomy 21. Mental retardation, characteristic facial features, Simeon crease in hand.
- FANCONI'S SYNDROME Type I: Bone-marrow hypoplasia ------> refractory anemia, pancytopenia.
- EHLERS-DANLOS SYNDROME: Congenital defect in collagen.
- Hyper-elasticity and friability of the skin.
- Hyperextensibility of the joints.
- FETAL ALCOHOL SYNDROME: Fetal malformations, growth deficiencies, craniofacial anomalies, limb
defects.
- GOODPASTURE'S SYNDROME: Autoantibodies against basement membranes ------> Glomerulonephritis
(kidney) and hemoptysis (lungs).
- Often, death by renal failure
- KLINEFELTER'S SYNDROME: Trisomy XXY ------> testicular atrophy, increase in gonadotropins in urine.
- KLIPPEL-FEIL SYNDROME:
- Cervical vertebrate fused
- Congenital short neck, limited neck rotation
- Abnormalities of the brainstem and cerebellum
- Low hairline.
- LESCH-NYHAN SYNDROME: Deficiency of HGPRT (Hypoxanthine-Guanine Phospho-ribosyltransferase
------>
- Hyperuricemia, uric acid kidney stones
- Choreoathetosis
- Mental retardation, autism, spastic cerebral palsy
- X-Linked recessive
- MARFAN SYNDROME: Connective Tissue disorder ------>
- Arachnodactyly: Abnormally long digits and extremities
- Subluxation of lens
- Dissecting aortic aneurism
- POSTRUBELLA SYNDROME: Infantile defects resulting from maternal Rubella infection during first trimester.
- Microphthalmos, cataracts
- Deafness
- Mental retardation
- Patent ductus arteriosis, Pulmonary arterial stenosis
- PRADER-WILLI SYNDROME: Short stature, mental retardation, polyphagia with marked obesity, sexual
infantilism.
- RENDU-OSLER-WEBER SYNDROME: Hereditary hemorrhagic telangiectasia.
- SUDDEN INFANT DEATH SYNDROME: Unexplained death in sleeping infants.
- TURNER'S SYNDROME: XO monosomy.
- Dwarfism
- Webbed neck
- Valgus of elbow.
- Amenorrhea
- WILSON SYNDROME: Congenital defect in Ceruloplasmin, leading to buildup of copper ------> mental
retardation, cirrhosis, hepatolenticular degeneration.
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ENDOCRINE, REPRODUCTIVE
- AMENNORRHEA-GALACTORRHEA SYNDROME: Non-physiologic lactation, resulting from
endocrinologic causes or from a pituitary disorder.
- CONN'S SYNDROME: Primary Hyperaldosteronism ------> muscular weakness, hypertension, hypokalemia,
alkalosis.
- CUSHING'S SYNDROME: Hypersecretion of cortisol ------> secondary symptoms and characteristics:
- Fatness of face and trunk with wasting of extremities
- Buffalo hump
- Bone decalacification
- Corticoid diabetes
- Hypertension
- PREMENSTRUAL SYNDROME: Abnormal sensation in breasts, abdominal pain, thirst, headache, pelvic
congestion, nervous irritability.
- Ocassionally nausea and vomiting.
- SHEEHAN'S SYNDROME: Post-partum pituitary necrosis ------> hypopituitarism.
- STEIN-LEVENTHAL SYNDROME: Polycystic ovary ------> infertility, amenorrhea, hirsutism. Seen in
obese women.
- TESTICULAR FEMINIZATION SYNDROME: Insensitivity to Testosterone. Male Psuedohermaphroditism
- Complete female external genatalia, incompletely developed vagina, rudimentary uterus.
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PULMONARY
- KARTAGENER'S SYNDROME: Situs Inversus (lateral transposition of lungs) resulting from chronic sinusitis
and bronchiectasis.
- HAMMAN-RICH SYNDROME: Interstitial fibrosis of the lung.
- MIDDLE-LOBE SYNDROME: Chronic pneumonitis and atalectasis of middle lobe of right lung.
- CHURG-STRAUSS SYNDROME: Allergic Granulomatous Angiitis: Asthma, fever, eosinophilia.
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INFECTIOUS
- FITZ-HUGH-CURTIS SYNDROME: Gonococcal Periphepatitis in woman, as a complication of Gonorrhea.
- GUILLAN-BARRE SYNDROME: Infectious Polyneuritis of unknown cause.
- HUNT'S SYNDROME: Herpe's Zoster infection of Facial Nerve (CN VII) and Geniculate Ganglion ------>
facial palsy.
- REYE'S SYNDROME: Loss of consciousness and seizures in kids, after a viral infection treated by aspirin.
- REITER'S SYNDROME: Symptom cluster. Etiology is thought to be Chlamydial or post-chlamydial.
- Urethritis
- Iridocyclitis (Conjunctivitis)
- Arthritis
- Skin lesions like karatoderma blenorrhagicum
- Also can see fatty liver or liver necrosis.
- SCALDED SKIN SYNDROME: S. Aureus toxic epidermal necrolysis.
- STEVENS-JOHNSON SYNDROME: Erythema Multiforme complication.
- Large areas of skin slough, including mouth and anogenital membranes.
- Mucous membranes: stomatitis, urethritis, conjunctivitis.
- Headache, fever, malaise.
- TOXIC SHOCK SYNDROME: Caused by superabsorbent tampons. Infection with Staph Aureus and subsequent
toxicity of exotoxin TSST ------> systemic anaphylaxis.
- Fever, vomiting, diarrhea
- Red rash followed by desquamation
- WATERHOUSE-FRIEDRICHSON SYNDROME: Meningeococcal Meningitis ------> DIC, hemorrhagic
infarct of adrenal glands ------> fulminant adrenal failure.
- Vomiting, diarrhea.
- Shock
- Extensive purpura, cyanosis, circulatory collapse.
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RENAL
- KEMMELSTIEL-WILSON SYNDROME: Diabetic Glomerulosclerosis.
- BARTTER'S SYNDROME: Juxtaglomerular Cell Hyperplasia ------> secondary symptoms:
- Hyperaldosteronism, Hypokalemic Alkalosis, elevated renin and angiotensin
- No hypertension.
- Compare to Conn's Syndrome
- FANCONI'S SYNDROME Type II: Renal aminoaciduria, glycosuria, hypophosphaturia, cysteine deposition,
rickets.
- THORN'S SYNDROME: Salt-losing nephritis.
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NEUROLOGICAL
- CARPAL-TUNNEL SYNDROME: Compression of Median Nerve through the Carpal Tunnel ------> pain
and parasthesia over distribution of Median N.
- FROIN'S SYNDROME: Block in CSF flow ------> xanthochromia (yellow discoloration) of CSF.
- ACUTE-BRAIN SYNDROME: Delirium, confusion, disorientation, developing suddenly in a person that was
previously psychologically normal.
- GERSTMANN'S SYNDROME: Lesion between occipital area and angular gyrus ------> symptoms:
- Finger agnosia, Agraphia, acalculia
- Right-left disorientation
- HORNER'S SYNDROME: Loss or lesion of cervical sympathetic ganglion ------>
- Ptosis, miosis, anhydrosis
- Enophthalmos (caved in eyes)
- KORSAKOFF SYNDROME: Loss of short-term memory in chronic alcoholism, caused by degeneration of
mamillary bodies.
- RILEY-DAY SYNDROME: Familial dysautonomia.
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GASTROINTESTINAL
- MALLORY-WEISS SYNDROME: Laceration of lower end of esophagus from vomiting ------> hematemesis.
Often seen in alcoholics.
- MALABSORPTION SYNDROME: Impaired absorption of dietary substance ------> diarrhea, weakness,
weight loss, or symptoms from specific deficiencies.
- BARRET SYNDROME: Chronic peptic ulcer of the lower esophagus, resulting in metaplasia of esophageal
columnar epithelium ------> squamous epithelium.
- ZOLLINGER-ELLISOHN SYNDROME: Gastrin-secreting tumor in pancreas ------> Severe peptic ulcers,
gastric hyperacidity.
- PLUMMER-VINSON SYNDROME: Esophageal Webs, leading to dysphagis and atrophy of papillae of tongue.
- Also see hypochromic anemia, splenomegaly.
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RETICULOENDOTHELIAL, HEMATOLOGIC
- BANTI'S SYNDROME: Chronic Congestive Splenomegaly with anemia, caused by either Portal Hypertension
or Splenic Vein Thrombosis.
- BUD-CHIARI SYNDROME:
- ACUTE: Hepatic Vein Thrombosis ------> Massive ascites and dramatic death.
- CHRONIC: Gradual hepatomegaly, portal hypertension, nausea, vomiting, edema, ulimately death.
- DUBIN-JOHNSON SYNDROME: Defect in excretion of conjugated bilirubin ------> recurrent mild jaundice.
Buildup of direct builirubin in blood.
- CHIDIAK-HIGASHI SYNDROME: Abnormalities in leukocytes with large inclusions.
- CRUVEILHIER-BAUMGARTEN SYNDROME: Symptoms cluster:
- Liver cirrhosis
- Caput Medussae
- Venous hum and thrill
- FELTY'S SYNDROME: Rheumatoid Arthritis with splenomegaly, leukopenia, anemia, and thrombocytopenia.
- LOFFLER'S SYNDROME: Eosinophilia with transient infiltrates in lungs.
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UNCATEGORIZED
- YELLOW-NAIL SYNDROME: Stop growth of nails ------> increased convexity, thickening, and yellowing
of nails.
- Found in Lymphedema, bronchitis, chronic bronchiectasis.
- COSTOCHONDRAL SYNDROME: Pain in chest with tenderness over one or more costochondral junctions.
- Similar to Tietze's Syndrome but no specific inflammation.
- TIETZE'S SYNDROME: Costochondritis. Swelling and tenderness of the costal cartilege.
- MIKULICZ'S SYNDROME: Salivary and lacrimal enlargement as seen in several diseases:
- Sarcoidosis
- Tuberculosis
- Leukemia
- MUNCHAUSEN SYNDROME: Malingering -- fabrication of a clinically convincing disease by an itinerant
malingerer.
- PICKWICKIAN SYNDROME: Symptom cluster
- Obesity
- Hypoventilation
- Somnolence
- Erythrocytosis
- RESTLESS LEGS SYNDROME: Need to stretch legs at night before going to sleep; twitch in legs causing
insomnia.
- STRAIGHT BACK SYNDROME: Loss of normal kyphosis of thoracic spine ------>
- Straight spine
- Ejection murmur
- Widened cardiac silouhette on x-ray
- SJÖGREN'S SYNDROME: Autoimmune complex
- Keratoconjuctivitis Sicca (dry eyes and mouth)
- Dryness of Mucous membranes
- Telangiectasias in face
- Parotid enlargement