9 results
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 #
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Sporotrichiosis Infection ... trauma leads to skin ... systemic signs, labs normal ... #clinical #photo ... #hand
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
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
the patient’s blood ... (normal value, ... definitive host; the infection ... #clinical #NEJM ... liver #hepatic #radiology
Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in
right eye and hand ... examination showed normal ... segmented retinal blood ... #NEJM #clinical ... #radiology #fluorescein
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
of the hand, usually ... manicuring, or frequent hand ... the Fingers Clinically ... with increased blood ... #Signs #PhysicalExam
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... vasculitis vs infection ... variably: On one hand ... in literature (NEJM ... required due to skip
Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
breakdown → decreased blood ... dehiscence or skin ... indicated against skin ... Pocket #Hematoma #clinical ... #Pacemaker #photo
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