12 results
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Differential Diagnosis Algorithm ... Primary Causes ... • Cholestatic liver ... renal failure/uremia ... #causes
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Iron deficiency anemia ... discoloration) • Liver ... #Secondary #dermatology ... Differential #Diagnosis #Algorithm ... #causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic ... , - regional ischemia ... Elevation Type ... of Circulatory System ... 30mmHg) - Severe anemia
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
portal venous system ... i.e. mesenteric ischemia ... variety of other causes ... #liver #pocus # ... clinical #air
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
sepsis: chronic liver ... hemochromatosis, hemolytic anemia ... immunosuppressive meds ... rash #cellulitis #dermatology ... #legs #clinical
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm

Blood Glucose:
 • Diabetes Mellitus
Liver Function Tests/Enzymes:
• Cholestatic liver ... renal failure/uremia ... Pruritus #secondary #systemic ... #generalized #dermatology ... #causes
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... synthesized in: liver ... • Pernicious anemia ... Phosphatase: • Other causes ... eliminated • Elevation
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
if evidence of systemic ... if they have no clinical ... Albumin ≤3.0 g/dL, anemia ... for age, elevation ... #Diagnosis #Peds
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Liver ... autoimmune hemolytic anemia ... ) • Systemic granulomatous ... DDX - Other causes
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
the Fingers Clinically ... Systemic causes ... include diabetes, anemia ... hyperthyroidism, peripheral ischemia ... Seen in liver disease