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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)

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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

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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

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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

Café

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)

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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.

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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

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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)