11 results
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
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 #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... osteomyelitis or skin ... fungal stain of clinical ... often in soil, plants ... Mouth, throat, skin
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
nodular rash of arm ... wax and wane; diagnosis ... trauma leads to skin ... #clinical #photo ... #hand
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
surface of the hands ... confirming the diagnosis ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
Somalia, had similar skin ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Necrotizing Fasciitis: Severe infection which travels in the suprafacial plane. In this instance, the infection
started in
the suprafacial plane ... several fistulae are ... apparent in the skin ... Images #Clinical ... #Photo #Necrotizing
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... treatment, the infection ... the palms of the hands ... Syphilis #Rash #Diagnosis ... #Clinical #Photo
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
traumatic injury of arm ... Diagnosis? ... ulcer or indurated plaque ... Indiana University Infectious ... #clinical #photo
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Pulmonary exam - Skin ... exam for infection ... event, follow ACC algorithm ... Change in clinical ... - Cataract Plan