21 results
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
confluent tense bullae ... including chronic liver ... #clinical #photo ... #NEJM #vibrio # ... vulnificus #bullae
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... #PhysicalExam #Clinical ... #Photo #Sign
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Bulbar- 15%: Dysphagia ... /Cranial nerve pathology ... test - Cogan sign ... - Peek sign ... Crises - Severe bulbar
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
combination of the clinical ... amyotrophy with the pathologic ... cellular function Clinical ... of UMN and LMN signs ... Exam: clinical evidence
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
to hemorrhagic bullae ... sepsis: chronic liver ... Early abx are critical ... dermatology #legs #clinical ... #photo
Cryptococcus neoformans Meningoencephalitis- The opening pressure on lumbar puncture was 29 cm of water (reference range,
(2.6 mmol per liter ... to 3.8 mmol per liter ... was 0.80 g per liter ... #clinical #NEJM ... stain #indiaInk #pathology
Caterpillar Sign in Infantile Hypertrophic Pyloric Stenosis - An upper gastrointestinal radiographic series was obtained (ultrasonography
Caterpillar Sign ... in Infantile Hypertrophic ... “caterpillar” sign ... #Clinical #Peds ... #AXR #KUB #NEJM
Milk of Urate Bulla - A new blister overlying the radial aspect of the second interphalangeal
Milk of Urate Bulla ... urate (Panel B) #Clinical ... #Pathology #Gout ... #Urate #Bulla # ... Birefringent #Microscopy #NEJM