22 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
Iododerma from Contrast Material - Several hours later, generalized pustular eruptions developed, with multiple coalescing vesicles
and pus-filled bullae ... #Clinical #Derm ... Iododerma #Contrast #NEJM
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 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
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
#clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
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
Gray-Turner Sign after Liver Biopsy
50 y/o woman with new cirrhosis now s/p liver biopsy.
Gray-Turner sign classically
Gray-Turner Sign ... after Liver Biopsy ... Gray-Turner sign ... #Flank #clinical ... #photo
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
#clinical #photo ... #derm #NEJM #cutaneous