15 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
His sister shared ... these photos today ... could have been diagnosed ... #photo #dermatology ... #soles #skin
Cryoglobulinemia Summary

Cryoglobulins:
 • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
• They can activate ... - Purpura - Skin ... : • Clinical triad ... infection, HIV infection ... Labs/Diagnosis:
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Thrombocytopenia (HIT ... likelihood of HIT ... management of HIT ... #HIT #Heparin ... #Management #Treatment
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... Headaches • Pale skin ... - HIV • Immune ... immunodeficiency virus (HIV ... #diagnosis #management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
TB: • HIV • Recent ... are pulmonary • HIV ... • Tuberculin skin ... TST or IGRA HIV ... : • HIV-infected
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
TB: • HIV • Recent ... are pulmonary • HIV ... • Tuberculin skin ... TST or IGRA HIV ... : • HIV-infected
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
with wife, bit by his ... possible Patient's clinical ... the key to the diagnosis ... #Rash #dermatology ... #clinical #photo
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
tibia/fibula) and hip ... • Diagnosis: ... over the involved skin ... area of erythema, skin ... function and reflex activity
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of HIV/AIDS patients ... • 10-20% of HIV-infected ... a decrease in HIV ... cavitating pneumonia, skin ... • Persistently active
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... Can cause TYPE IV ... salivary ducts Clinical ... Adenocarcinoma Treatment ... muscarinic agonists • Active