11 results
Petechiae are small, red lesions caused when capillaries leak blood into the skin. Petechiae larger than
larger than 0.5 cm ... #Clinical #EM #IM ... #Derm #Petechiae
Ecthyma Gangrenosum - A physical examination revealed a 2-cm hemorrhagic patch with an erythematous border (Panel
examination revealed a 2-cm ... #Clinical #Derm ... #Neutropenic #NEJM
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
used on a long-term ... Pathophysiology #Nephro #IM ... NephronRemodeling #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
measuring 3 to 4 cm ... B) #Clinical #Derm ... TrypanosomaBrucei #NEJM
A 27-year-old man with a 2-year history of recurrent, painful skin lesions. A diagnosis of hidradenitis
#Clinical #Derm ... #IM #Hidradenitis ... HidradenitisSuppurativa #NEJM
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
infections (Candida, CMV ... most common long term ... Hospital of Baltimore IM
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• P/E - GI and derm ... level (< 200 pg/mL ... , can consider IM
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
#Clinical #Derm ... #EM #IM #PurpuraFulminans ... Meningococcemia #NEJM
Radiation-Induced Angiosarcoma after Breast-Cancer Treatment - Physical examination revealed an area of skin 10 cm in
area of skin 10 cm ... larger than 10 cm ... #Clinical #Derm ... Radiation #Microscopy #NEJM
Melanoma of the Foot - The physical examination revealed a well-defined, fleshy, reddish plaque measuring 2
plaque measuring 2 cm ... #Clinical #Derm ... Melanoma #Foot #NEJM