37 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
lysosomal acid lipase deficiency ... triglycerides, a deficiency ... and gut, which causes ... #clincial #peds ... calcifications #infant #NEJM
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
well-recognized cause ... diagnosis and treatment ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... Most cases diagnosed ... • Vitamin C deficiency ... ) - Waddling gait ... Phosphatase: • Other causes
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... there is time to wait ... thoracotomy is a better treatment ... strategy. ❼ If clinically ... a dramatic clinical
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
changes and may cause ... severe clinical ... Hypo-Mg2+ • Vitamin deficiency ... • Vitamin D deficiency ... hyperparathyroidism Treatment
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... Without treatment ... Tertiary #syphilis #clinical ... #photo
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... perfusion - shock->treatments ... malignancy, or thiamine deficiency ... before beginning treatment ... effect - Thiamine deficiency
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... intrinsic factor, IF) Clinical ... parasthesias, gait ... Check for IF ab Treatment
Krabbe Disease 

Check out this interesting case of Krabbe disease, a rare genetic leukodystrophy. Diagnosis was
this interesting case ... testing and expedite treatment ... with clinical trials ... leukodystrophy w/ deficiency ... Diagnosis #MRI #Clinical
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
vulnificus can cause ... #clinical #photo ... #NEJM #vibrio #