15 results
Henoch Schonlein Leg Rash - Palpable Purpura
Purpura: Low Platelets or Vasculitis?
45 years old, seen in our
Henoch Schonlein Leg ... in our ED with lower ... leg purpura. ... Tip: To differentiate ... #Rash #clinical
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
Pathogenesis and Clinical ... must be absent: lower ... Negative Straight Leg ... pathophysiology #differential
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
progressive skin lesion lower ... involvement, Ag neg ... heaped up borders); differential ... #dermatology #clinical
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... glucocorticoid treatment ... signs or symptoms (eg ... Eosinophil #Disorders #Algorithm ... #Differential #
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
to the Leaning Tower ... neurodegenerative disorders (eg ... Treatment: anticholinergics ... #PhysicalExam #clinical
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Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Reversible course Differential ... • EEG: With persistent ... epilepticus Treatment ... underlying cause • Treatment ... BP lowering - Lower
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
• Cell wall component ... Mucormycosis • Neg ... formulations (eg ... >90% (In most clinical ... in BAL does not differentiate
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Autoimmune The clinical ... sclerosis • Clinical ... Weakness - Lower ... multiradicular pain - Leg ... syndromes #lesions #differential
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... HM or HSCT; sn lower ... this morphology Treatment ... Diagnosis #Management #treatment
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
from a patient’s leg ... heart Tx: painless leg ... lesions in left leg ... Treatment: Itraconazole ... recommended Mayo Clinic