6 results
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
Secondary Syphilis ... - Rash on Palms ... in 80% of cases ... #Syphilis #Rash ... #clinical #photo
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Secondary Syphilis ... - Rash, pink ... Involves palms/soles ... in 50% of cases ... have positive serology
Papulosquamous Skin Rash - Differential Diagnosis Algorithm
Erythrematous or violaceous papules & plaques with overlying scale
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Papulosquamous Skin Rash ... central clearing • Secondary ... Syphilis - Red ... plaques on palms and soles ... #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... based on repeat clinic ... • Bilateral RAS ... • Unilateral RAS
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
secondary to Herpes ... improvement in the rash ... Syndrome secondary ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
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Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... maculopapular rash ... vesicular rash, ... Nephrocalcinosis causes ... loss, causing secondary