8 results
Uremic Frost in End-Stage Renal Disease- A 39-year-old man with end-stage renal disease presented to the
End-Stage Renal ... skin had diffuse ... of urea on the skin ... #NEJM #clinical ... #photo #renal #urology
Cutaneous larva migrans skin Rash
25 F recent Caribbean vacation, walked barefoot on sand and now with
Adult hookworms live ... Diagnosis is clinical ... larva #migrans #skinRash ... #dermatology #clinical ... #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
on the palm of his ... vulnificus can cause skin ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Uremic frost on the forehead.

Full blown uremic syndrome of chronic kidney disease (CKD) is seldom seen
initiation of renal ... present all over his ... crystals on the skin ... head #Uremia #clinical ... #Photo
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... ) • Cutaneous vasculitis ... : 10%-16% Liver ... Distal (Type I) renal ... Rheumatology #Diagnosis #Management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
organ damage Clinical ... Bleeding (64%) • Renal ... involvement (2%) Cutaneous ... DIC • Severe Liver ... causes #treatment #management
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Eschar 30 M HIV ... drug injections, renal ... steroid use Dx: skin ... #dermatology #skin ... #clinical #photo
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
studied) with liver ... spider angiomas and skin ... patients with renal ... #PhysicalExam #Clinical ... #Photo