Fruit Strawberry

Pic

Dis. & Notes -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 -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.) -Tuberous sclerosis (mulberry tumor) -syphilis(mulberry molar, neonatal finding) -Mulberry-shaped colonies on sterol-containing media in 10 days in M.Pneumoniae

Blueberry

Mulberry

Berry

-Berry aneurysm ("worst headache of life"; this aneurysm an outpoucing of intima and adventitia ruptures producing SUB ARACHNOID HEMORRHAGE)

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cherry

Orange

-cherry-red macular spot (Niemann-Pick and TaySachs) -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) peau d'orange (inflammatory breast cancer)

Banana

-Banana shaped left ventricle of heart (Hypertrophic cardiomyopathy) -" banana-shaped" gametocyte : Plasmodium falciparum Fruity breath odor acetone breath ( Diabetic ketoacidosis) -palpable sausage-shaped mass in children (intussusception) -sausage shaped fingers (psoriatic arthritis classically, systemic sclerosis-Reiter's disease-ankylosing spondylitis) -Maple syrup urine disease in branched chain ketoacid dehydrogenase deficiency

Fruit sausage

maple syrup

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almond

bitter almond odor in cyanide poisoning

garlic

garlic odor in arsenic poisoning

cauliflower

cauliflower adenomas,

Chocalate

nut

-Chocalate brown colour in post mortem lividity due to Potassium chlorate poisoning, -chocolate cysts in endometriosis - Chocolate Agar: H.influenza nutmeg congested liver

Rice

Rice water Diarrhea (Cholera)

Apple

Watermelon

-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 stomach = Gastric antral vascular ectasia

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salmon grapes

-Salmon colored saliva in acute pulmonary edema. -Fishy like smell : B.vaginosis -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 crusted lesion(impetigo) : group A streptococci

honey

Caf

cafe au lait spots (neurofibromatosis type I)

Jelly

-red current jelly stools intussuception -red currant-jelly sputum- klebsiella crocodile like skin-ICTHYOSIS VULGARIS (a/k/a sauroderma)

crocodile

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)
4

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Bread and butter Spaghetti & Meat Ball

Bread and butter pericarditis: Fibrinous pericarditis

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.

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Cottage Cheese Cola

Cottage Cheese appearance on gross examinationRetinoblastoma. -Cola colored urine(Streptococcal Glomerulonephritis) - tea/cola coloured urine(unconjugated hyperbilirubinemia)

signet-ring signet-ring trophozoite: P.vivax

Coffee bean Fava beans

Coffee bean nuclei in Brenner Tumor

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" appearance of the skull x-ray= Erythroid hyperplasia-occurs in sickle cell anemia and thalassemia

crew cut

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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)

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