25 results
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... Ddx? ... Ddx is very broad ... Final dx: Septic ... Rash #clinical #photo
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP ... Finger deformity caused ... distal to the DIP ... Swollen and tender DIP ... Mallet #Finger #Radiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
DDx includes constriction ... and other rarer causes ... clinical #video #jvp #cardiology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
spironolactone did ... cardiovascular causes ... #HFpEF #dCHF #Cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
could pinpoint the cause ... New onset HFpEF case ... Did have tap next ... Constrictive pericarditis-dx ... Echocardiogram #clinical #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... Causes = RV failure ... pericarditis (this case ... Pericarditis #Cardiology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Dx? ... dogs & latter can cause ... gram-negative bacillus cause ... inflammation persist → DIC ... dermatology #clinical #photo
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
could pinpoint the cause ... New onset HFpEF case ... Dx-constrictive ... Echocardiogram #clinical #cardiology
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
multiple ill-defined masses ... non-productive cough, that did ... #Clinical #Radiology
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
dermatophytes cause ... most often seen DDX ... type #clinical #photo