9 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
trauma leads to skin ... systemic signs, labs normal ... biopsy preferred Differential ... #clinical #photo ... #hand
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... dorsum of the hand ... vulnificus can cause skin ... #clinical #photo ... #NEJM #vibrio #
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... Infective Endocarditis ... #Endocarditis #PhysicalExam ... #clinical #photo ... dermatology #soles #skin
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
: < 1% Clinically ... of peripheral blood ... to right with bands ... ) Differential ... cultures, including blood
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... deficiency - Abnormal ... : • Complete blood ... cryoglobulins • Skin ... #dermatology #physicalexam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... pulses, bruits, or blood ... fluid (CSF) is abnormal ... occasional oligoclonal bands
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
the Fingers Clinically ... with increased blood ... Nail #Diseases #Abnormal ... Pathology #Diagnosis #Clinical ... #Signs #PhysicalExam
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... very remarkable w/differential ... vasculitis vs infection ... variably: On one hand ... required due to skip
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
explained by an abnormal ... spider angiomas and skin ... #Fingernails #Hands ... #PhysicalExam # ... Clinical #Photo