9 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
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of treatment of HIV ... • 10-20% of HIV-infected ... a decrease in HIV ... pancreatitis • HBV ... , HCV - Hepatic
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Leg Pain: • Infection ... Epidural abscess - Herpes ... zoster - HIV ... extremity #msk #physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
aphthous ulcers, cutaneous ... to exclude are infections ... strong sign of cutaneous ... Cryoglobulins • HIV ... • HBV HCV •
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Eschar 30 M HIV ... Diagnosis? ... malnutrition, HIV ... Indiana University Infectious ... #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... Strong sign of cutaneous ... muscle weakness • Nerves ... HTN • Check: HBV
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
include: fever, cutaneous ... with skin flora ... Extremely rare - HIV ... 2,000,000,000, HBV ... in 100,000,000, HCV
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
include: fever, cutaneous ... with skin flora ... Extremely rare - HIV ... 2,000,000,000, HBV ... in 100,000,000, HCV
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
confirming the diagnosis ... association with HCV ... association between HCV ... #NEJM #clinical ... #photo #lichen #