A Medical Menu

A medical menu

IH Gewolb1*

1University of Maryland School of Medicine, Department of Pediatrics, Division of Neonatology, Baltimore, Maryland, USA

Soups Fish 1. Pea soup meconium 22. Salmon patch 2. Rice water stools 23. Fish mouth 3. Pea soup stool 24. Carp mouth 4. Chicken broth fluid 25. Fishmouth valve 26. F.I.S.H. 27. Herring bodies Appetizers 28. Anchovy Sauce abscess 29. Codfish vertebrae 5. Caviar lesions 30. Fishmouth mitral stenosis 6. Bone chips 31. Fishskin disease 7. Chip fractures 32. Salmon-ella! 8. Egg-shell calcifications 9. Egg-shaped heart (or egg-on-side configuration) 10. Huevos a doces (‘eggs at 12’) Meat and poultry 11. Egg-shell nails 33. Chickenpox 34. Drumstick leukocyte Sandwiches 35. Wing scapula 36. Gooseneck flask 12. Hot cross bun skull 37. Goose flesh 13. Bread and butter pericarditis 38. Hamstring muscles 14. Hot dog headache 39. Pigtail sign 15. Sandwich vertebrae 40. Cowpox 16. Double-antibody sandwich assay 41. Bird’s beak appearance 42. Sausage-shaped fingers 43. Bacon spleen Seafood 44. Beefy tongue 45. Bull’s eye lesions 17. Lobster claw deformity 46. Waddling goose gait 18. Crab louse 47. Chicken breast 19. Molluscum contagiosum 48. Goose breathing 20. Crab yaws 49. Sausage poisoning 21. Snail fever 50. Bacon’s anoscope 51. Birdshot retinochoroiditis 52. Bull’s eye maculopathy 53. Chickenfat clot 54. Cow face 55. Cow kidney *Correspondence: IH Gewolb, University of Maryland School of 56. Hen cluck stertor Medicine, Department of Pediatrics, Division of Neonatology-UMMS Rm N5W68, 22 South Greene Street, Baltimore, MD 21201, USA. 57. Pigtail catheter E-mail: [email protected] 58. Gooseneck deformity Received 16 February 2001 59. ‘Frank’ breech presentation A medical menu IH Gewolb 813 Game 112. Pear-shaped area 113. Date boil 60. Tapir’s mouth 114. Date fever 61. Buffalo hump 115. Grape mole 62. Staghorn calculus 116. Banana fracture 63. Pigeonbreast deformity 117. Watermelon lesion 64. Harelip 118. Pineapple test 65. Rabbit fever 119. Apple-core sign 66. Frog-leg posture 120. and, of course ...beri-beri 67. Rabbit test 68. Swan-Ganz catheter 69. Tree frog feet 70. Crocodile tongue (not for everyone) Vegetables 71. Alligator forceps 72. Blubber finger 121. Onionskin lesions=laminations 73. Crocodile tears syndrome 122. Cauliflower ear 74. Faun tail nevus 123. Potato nose 75. Hare’s eye 124. Hard corn 76. Ox heart 125. Soft corn 77. Seagull murmur 126. Beet (or beet-root) tongue 78. Frog belly 127. Pyloric olive 79. Alligator (or crocodile) skin 128. Onion bulbs 129. Celery stalking 130. Bean syndrome Fruits 131. Rice bodies 132. Spinach stools 80. Strawberry hemangioma=nevus 133. Tomato ketchup spleen 81. Cherry red spot 134. Superior and inferior olives 82. Strawberry gallbladder 135. Potato tumor of the neck 83. Mulberry molar 136. Guinea corn yaws 84. Berry aneurysm 137. Onionskin reaction 85. Raspberry patch 138. Potato nodes 86. Fig wart 139. Cardiac vegetations 87. Strawberry tongue 88. Red strawberry tongue 89. Raspberry tongue From the bakery 90. Peau d’orange skin 91. Adam’s apple 140. Blueberry muffin baby 92. Prunebelly syndrome 141. Doughnut lesions 93. MacIntosh blade 142. Caked breasts 94. Apple-peel atresia 143. Doughnut warts 95. Grape cell 144. Oat cell carcinoma 96. Berry cell 145. Sago spleen 97. Mulberry cell 146. Pancake sign 98. Lemon sign 147. Tart cell 99. Banana sign 148. Sago grain stool 100. Pear-shaped nose 149. Sugar-loaf deformation 101. Mulberry rash 150. Biscuit bite 102. Mulberry calculus 151. Cake kidney 103. Coconut sound 152. Pancake kidney 104. Strawberry nose 153. Pie-in-the-sky quadrantanopia 105. Framboesiform (strawberry like) yaws 106. Raspberry tumor 107. Raspberry angioma Condiments 108. Grape endings 109. Melon-seed bodies 154. Horseradish peroxidase 110. Blackcurrant rash 155. Nitrogen mustard 111. Carswell’s grapes 156. Nutmeg liver

European Journal of Clinical Nutrition A medical menu IH Gewolb 814 157. Salt & pepper chorioretinitis 197. Strawberry cream blood 158. Mustard procedure 198. Apple jelly nodules 159. Butter cyst 160. Butter stools 161. Mayo bunionectomy From the bar 162. Pepperpot (or salt and pepper) skull 163. Cayenne pepper spot 199. Cocktail purpura 200. Rum ﬁts 201. Burgundy red urine Dairy products 202. Brandy snifter sign 203. Beer heart 164. Milk leg 204. Liquor amnii 165. Milk tooth 205. Brandy nose 166. Milk crust 206. Rum nose 167. Milkman’s syndrome 207. Screwdriver tooth 168. Milkmaid sign 208. Port wine stain 169. Milk urine 209. Punch biopsy 170. Milk spots 210. Hock bottle femora 171. Milky ascites 211. Oasthouse urine 172. Swiss cheese endometrium 212. Ripple sign (tres declasse´) 173. Cottage cheese discharge And the specialties of the house: 213. Gin and tonic – clonic seizures Beverages 214. Vodka and lyme arthritis

174. Coca Cola urine Table settings, silverware and miscellany 175. Juices (gastric, pancreatic, etc) 176. Prune juice sputum 215. Cup-and-spill stomach 177. Wasserhelle (clear water) cells 216. Growth plates 217. Flat plates 218. Spoon nails Coffees 219. Silver fork deformity 220. Clasp-knife effect 178. Cafe au lait spots 221. Cupped disks 179. Coffee ground vomitus (with or without steroid 222. Ground glass appearance cream — ask your waiter) 223. Pot belly 224. Pott’s disease 225. Cracked pot sound For the sweet tooth 226. Napkin dermatitis 227. Corkscrew esophagus 180. Popsickle panniculitis 228. Bowl-shaped erythrocytes 181. Maple syrup urine disease 229. Cup-shaped ears 182. Chocolate cysts 230. Spooning 183. Wharton’s jelly 231. Goblet cells 184. Currant jelly stools 232. Chalice cells (for the very rich) 185. Honey urine 233. Jack-knife position 186. Sour ball sign 234. Dish face 187. Chocolate agar 235. Leather bottle stomach 188. Currant jelly sputum 236. Napkin-ring sign 189. Popcorn lesions 190. Sugar Baby Kwashiorkor And for those for whom knives are not good enough: 191. Floats (H-, plumb-bob, ball, non-rotating, skirted, 237. Scimitar sign etc) 238. Sickle cell 192. Honey crusted lesions 193. Honeycomb lung 194. Honeycomb choroiditis Deﬁnitions 195. Chocolate stools 196. ‘Zuckergussleber’ — Sugar-icing (or sugar-coated) 1. Thick meconium liver (also spleen) 2. In cholera

European Journal of Clinical Nutrition A medical menu IH Gewolb 815 3. In typhoid fever 52. Edema=degeneration of the posterior pole of the 4. In pancreatitis retina causing alternating areas of light and dark 5. Sublingual varices 53. Postmortem clots of leukocytes and plasma 6. Small pieces of bone used to fill in bony defects 54. A description of the face in ocular hypertelorism 7. Small fractures 55. A kidney with an abnormally large number of minor 8. Used to describe hilar lymph nodes in sarcoidosis, calyces scleroderma, histoplasmosis (and other conditions) 56. Describing breath sounds heard with post-pharyngeal 9. In transposition of the great vessels abscess 10. Used to describe 5-a-reductase deficiency 57. Angiographic catheter with tightly curled end 11. Hapalonychia 58. Angiographic description of the cardiac outflow tract 12. In congenital syphilis in endocardial cushion defect 13. Fibrinous pericarditis 59. Complete breech 14. Nitrite sensitivity headache 60. A description of the mouth in fascioscapulo-humeral 15. In osteopetrosis syndromes 16. Assay involving two antibodies to the same antigen 61. In Cushing’s disease 17. Missing or fused medial digits of the hand or foot 62. Calculus of the renal pelvis extending into multiple 18. Tinea pubis calyces 19. A skin disease caused by a Poxviridae virus 63. Pectus carinatum 20. Foot yaw 64. Cleft lip 21. Schistosomiasis 65. Tularemia 22. A type of macular hemangioma=also used to describe 66. Posture of maximal abduction of the thigh a type of corneal keratitis 67. Pregnancy test 23. Describing the mouth in various genetic syndromes 68. A flexible flow-directed balloon catheter used to 24. Describing the mouth in various genetic syndromes measure pulmonary wedge pressure 25. A one-way valve used in anesthesiology 69. In Taybi syndrome (oto-palato-digital syndrome) 26. Fluorescence in situ hybridization 70. Fissured tongue seen in Melkerson – Rosenthal syn- 27. Hyaline masses scattered throughout the pars nervosa drome of the pituitary gland 71. Long forceps with a small hinged jaw 28. Description of amoebic liver abscess 72. Erysipeloid (self-limiting cellulitis of the hand) 29. Exaggeration of the concavity of upper and 73. Tears upon eating or in anticipation of eating sec- lower endplates of the vertebrae — as seen in ondary to regrowth of injured salivary gland nerve osteopenia into the lacrimal gland 30. Extreme mitral valve stenosis 74. Hairy nevus in lumbosacral region, associated with 31. Ichthyosis diastematomyelia 75. Lagophthalmia 32. Salmonella (sorry!) 76. Cardiomegaly secondary to aortic valve disease 33. Varicella 77. Murmur mimicking a seagull’s cry 34. Seen in 3% of XX genotypes 78. The slightly distended belly in rickets 35. Scapula alata; when the medial border of the scapula 79. Ichthyosis sauroderma protrudes away from the thorax 80. A birthmark resembling a strawberry 36. Describing a flask with a long, curved neck 81. Seen in Tay – Sach’s disease 37. Cutis anserina 82. With cholesterol gallstones 38. Tendons of muscles around the popliteal space 83. In congenital syphilis 39. X-ray finding in Hirschsprung’s disease 84. Congenital aneurysm of a cerebral artery 40. Vaccinia 85. Pedunculated mass in external auditory cana 41. Smooth tapered appearance of the esophagus in 86. Condylomata accuminata achalasia 87. Seen early in scarlet fever 42. In Coffin – Lowry syndrome 88. In Kawasaki disease 43. Areas of amyloid degeneration in the spleen 89. Seen later in scarlet fever 44. Erythematous or atrophic glossitis 90. Sign of breast cancer 45. Metastases in the gastrointestinal tract 91. Prominentia laryngea 46. In arthritis 92. Congenital absence of the abdominal musculature 47. Pectus carinatum 93. Type of laryngoscopic blade (after Dr McIntosh) 48. Hissing respirations 94. X-ray sign of congenital small bowel atresia second- 49. Allantiasis, usually secondary to botulism ary to agenesis of the dorsal mesentery 50. A rectal speculum with a long slit on the side and a 95. Plasma cell whose cytoplasm contains blue vesicular light opposite (named after Dr Bacon) inclusions (seen in hypergammaglobulinemic condi- 51. Bilateral diffuse retinal vasculitis and depigmentation tions)

European Journal of Clinical Nutrition A medical menu IH Gewolb 816 96. Another name for grape cells 141. Rounded or oval radiolucent defects with a sclerotic 97. Another name for grape cells margin seen in skull X-rays as an incidental finding; 98. Scalloping of frontal bones on fetal ultrasound — also seen in sickle-cell disease seen in meningomyelocoele 142. Secondary to galactocoeles 99. Anterior curvature of cerebellar hemispheres on fetal 143. Annular warts ultrasound — seen in meningomyelocoele 144. Anaplastic small cell bronchogenic carcinoma 100. In Tricho-rhino-palatal syndrome 145. Amyloid infiltration of the spleen in amyloidosis 101. In typhus 146. Flattening of the heart on ultrasound 102. Calcium oxalate urinary calculus 147. A macrophagic or monocytoid reticuloendothelial 103. ‘Cracked pot’ sound heard in Paget’s disease of the cell containing a phagocytized nucleus and well- skull preserved nuclear structures 104. Rhinophyma 148. Flecks of blood stained mucus seen in amebiasis 105. Used to describe secondary yaws 149. Dislocation of the acromioclavicular joint 106. Enteroteratoma 150. Maxillomandibular record 107. Of the retinal vessels 151. Bizarre, irregular shaped midline kidney, caused by 108. Of axons fusion of renal anlagen 109. Seen in X-rays of TB arthritis=also small fibrous 152. Disk shaped midline kidney, caused by fusion of loose bodies in joints or tendon sheaths both poles of renal anlagen 110. In xeroderma pigmentosum 153. Temporal lobe lesion causing short-term memory 111. Masses of tubercules clustered around finer bronch- difficulties and personality disturbances ioles in TB pneumonia 154. Enzyme used to label antigen – antibody complexes 112. Retromolar pad 155. Mechlorethamine hydrochloride, used to treat lym- 113. Lesion occurring in cutaneous leishmaniasis phoid tissue cancers 114. A synonym for Dengue fever 156. In right-sided congestive heart failure 115. Hydatidiform mole 157. In congenital rubella syndrome 116. Transverse fracture in Paget’s disease 158. Operative procedure to correct transposition of the 117. Endoscopic appearance of angiodysplasia (Am. J. great arteries (after Dr Mustard) Radiol. 1982; 139: 115.) 159. Necrotic mass in a lipoma 118. Test for butyric acid in the stomach; adding 160. Steatorrhea sulfuric acid and alcohol to gastric juice yields 161. Excision of the head of the first metatarsal (after Dr ethyl butyrate (pineapple odor) if butyric acid Mayo) present 162. X-ray pattern seen in hyperparathyroidism 119. Annular defect seen in barium enema studies of 163. Minute, punctate telangiectases (cherry angiomas) colonic carcinoma lying within individual dermal papillae in lesions 120. Polyneuritis secondary to thiamine deficiency of angioma serpiginosum 121. Of the splenic arteries in lupus 164. Phlegmasia alba dolens of pregnancy 122. Boxer’s ear with thickening and induration 165. Deciduous tooth 123. Rhinophyma 166. ‘Cradle cap’ 124. A small conical callosity caused by pressure over a 167. Mild form of osteomalacia with pseudofractures toe joint 168. Diagnostic test (grabbing of fingers) used to check 125. Macerated corn caused by pressure between two toes steadiness of grip in chorea 126. In pellagra 169. Chyluria 127. Seen in pyloric stenosis 170. Aggregations of macrophages in the omentum 128. Nerve endings in Dejerine – Sotas disease 171. Chylous ascites 129. Of the long bones in TORCH syndromes 172. Cystic hyperplasia of the endometrium 130. Blue rubber bleb nevus syndrome 173. In vaginal moniliasis 131. In the tendons and joints and in hygroma fluid 174. In hepatitis 132. Seen in infants secondary to the use of calomel 175. Various secretions 133. Non-specific splenitis=inflammation 176. In pneumococcal pneumonia 134. Nucleus dorsalis corporis trapezoidei and nucleus 177. Large clear cells found in the parathyroid gland olivaris 178. Seen in neurofibromatosis 135. Chemodectoma (carotid body tumor) 179. Vomitus containing old blood 136. Yaws resembling grains of Indian corn 180. Panniculitis of the inner buccal mucosa secondary to 137. A type of periosteal new bone formation sucking cold objects 138. Large mediastinal nodes in sarcoidosis 181. Branched chain ketonaciduria 139. Clots of platelets, fibrin, and bacteria or fungi adher- 182. Ovarian cyst with intracavitary hemorrhage ent to cardiac valves 183. Mucous connective tissue of the umbilical cord 140. In congenital rubella syndrome 184. In intussusception

European Journal of Clinical Nutrition A medical menu IH Gewolb 817 185. Old term for glucosuria in diabetes mellitus 214. Sorry! 186. In Sjogren’s syndrome 215. ‘Cascade’ stomach, a normal variant, not to be 187. Blood agar heated until the blood becomes brown confused with a stomach volvulus 188. In klebsiella pneumonia 216. The cartilaginous zone between the epiphysis and the 189. In osteogenesis imperfecta calcified cartilage; the physis 190. Skin depigmentation in kwashiorkor 217. Survey radiograph of the abdomen 191. Floating indicators used in anesthesia equipment 218. In iron deficiency 192. In impetigo 219. Colle’s fracture 193. Multiple small radiolucencies=cysts on chest X-rays 220. Description of a form of spasticity 194. Doyle’s familial choroiditis; light colored patches 221. Depression of the optic disk near optic disk and macula 222. Chest X-ray feature of hyaline membrane disease 195. Seen in amoebic dysentery 223. A descriptive term of the abdomen of many middle- 196. Hyaloserositis of the liver; non-specific splenitis aged physicians 197. In advanced lipemia 224. Tuberculosis of the spine 198. Papular lesions of lupus vulgaris, as seen using 225. The sound heard in Paget’s disease of the skull diascopy 226. Dermatitis of the diaper region (Brit.) 199. Allergic reaction to quninie water 227. Normal variant seen in barium swallow X-rays 200. Alcohol abstinence symptoms 228. Seen in newborns 201. In porphyria 229. Seen in CHARGE syndrome 202. X-ray finding in encopresis 230. Dystonic posturing (holding hands straight out and 203. Cardiac hypertrophy getting a spoon shape) 204. Amniotic fluid 231. Mucus cells in the respiratory and intestinal tracts 205. Rhinophyma 232. Another name for goblet cells 206. Phinophyma 233. A position used in back surgery 207. In congenital syphilis 234. Scaphoid facies 208. Capillary hemangioma seen in Sturge – Weber syn- 235. Thickening and rigidity usually secondary to infil- drome trating carcinoma 209. A biopsy in which a cylindrical piece of tissue is 236. Annular lesion of the colon seen in barium enema removed studies (usually secondary to carcinoma) 210. In Gaucher’s disease 237. In partial anomalous pulmonary venous return below 211. Characteristic odor of malt hops found in methionine the diaphragm malabsorption 238. In sickle cell anemia 212. Another term for the ‘wave sign’ describing slight indentations on the thymus in newborn chest X-rays 213. Sorry!

European Journal of Clinical Nutrition