16 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
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
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
Falciform Ligament Sign - An abdominal radiograph that was obtained with the patient in a supine
Falciform Ligament Sign ... ligament connects the liver ... Panel B, arrow) #Clinical ... Pneumoperitoneum #CT #KUB ... #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
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
Swirl Sign - Intestinal Volvulus after Roux-en-Y Gastric Bypass - Radiography (Panel A) and computed tomography
Swirl Sign - Intestinal ... #Clinical #Radiology ... #Surgery #KUB # ... CT #Swirl #Sign ... IntestinalVolvulus #NEJM
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
Pemberton’s Sign ... Pemberton’s sign ... was 0.2 mIU per liter ... #clinical #photo ... #NEJM #Pembertons