8 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
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... (<10%): fever, rash ... sterile pyuria, WBC casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
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
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 ... #Nephrology #Differential
Papulosquamous Skin Rash - Differential Diagnosis Algorithm
Erythrematous or violaceous papules & plaques with overlying scale
 •
Papulosquamous Skin Rash ... central clearing • Secondary ... Syphilis - Red ... plaques on palms and soles ... #causes
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... maculopapular rash ... vesicular rash, ... loss, causing secondary ... nephrotic #syndrome #nephrology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Maculopapular rash ... • Common clinical ... • In tertiary syphilis ... • Uveitis • Rash ... differential #diagnosis #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Apex Syndrome secondary ... improvement in the rash ... other potential causes ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
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