730 results
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
Microscopic examination ... CrustedScabies #Scabies #Microscopy ... #NEJM
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
thiazide-sensitive sodium chloride ... channel, and the chloride–bicarbonate ... NephronRemodeling #NEJM
Mechanisms of Loop Diuretic Action and Resistance. Panel A, loop diuretics circulate bound to protein. As
diuretics compete with chloride ... sodium–potassium–chloride ... MechanismOfAction #Resistance #NEJM
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Algorithm Urine chloride ... < 20 mmol/l - Chloride ... responsive (Chloride ... diuretic use Urine chloride ... > 20 mmol/l - Chloride
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
mite under light microscopy ... Pathology #Scabies #Microscopy ... #Rash #NEJM
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
Recurrentis #Smear #Microscopy ... #NEJM
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Alkalosis - Urinary Chloride ... suction, Congenital chloride ... use The urine chloride ... , a high urine chloride ... Urine chloride is
Auer Rods - Bone marrow aspiration revealed 5% blasts and 65% promyelocytes; many promyelocytes had prominent
AcutePromyelocyticLeukemia #Smear #Microscopy ... #NEJM
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
Calcium gluconate or chloride
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
Pathology #Smear #Microscopy ... TrypanosomaBrucei #NEJM