32 results
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
on the abdomen, back ... #Clinical #Derm ... Microscopy #Rash #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
diameter, on her back ... rhodesiense) (Panel B) #Clinical ... #Derm #Pathology ... TrypanosomaBrucei #NEJM
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
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
Black Hairy Tongue ... Black discoloration ... in her mouth...Black ... and has no long-term ... #NEJM #photo #clinical
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
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
Echinococcal Cysts in the Liver ... right lobe of the liver ... hydatid membranes (black ... #clinical #NEJM ... echinoccocal #cyst #liver
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... significant portal HTN Signs ... obstruction) • Lack ... of signs of increased ... sarcoidosis) • Liver
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
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
skin lesion lower back ... Lives in an old ... #dermatology #clinical ... #photo