16 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Sporotrichiosis Infection ... wax and wane; diagnosis ... trauma leads to skin ... systemic signs, labs normal ... #clinical #photo
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... Infective Endocarditis ... could have been diagnosed ... #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 ... cultures, including blood ... likelihood of negative clinical ... CBC #hematology #pathophysiology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga canimorsus normal ... possible Patient's clinical ... the key to the diagnosis ... #dermatology #clinical ... #photo
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... which can plug blood ... Cryofibrinogenemia Clinical ... Cryofibrinogenemia Diagnosis ... : • + Clinical
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... dacryocystitis — infection ... Cultures of urine, blood ... #NEJM #clinical ... #photo #peds #acute
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
Somalia, had similar skin ... capitis, a fungal infection ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
to a preceding infection ... transplantation CLINICAL ... CSF white blood ... the underlying pathophysiology ... specific therapy, the clinician
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... Headaches • Pale skin ... Idiopathic • Infections ... result from low blood ... oncology #hematology #diagnosis