17 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Presented with sudden left ... Blood cultures growing ... sister shared these photos ... could have been diagnosed ... #photo #dermatology
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Echocardiogram (A4C ... presents with acute ... shows dilated left ... seen from LV to LA ... #clinical #cardiology
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
canthus of the left ... He received a diagnosis ... Cultures of urine, blood ... #NEJM #clinical ... #photo #peds #acute
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Diagnosis/differential ... amount of clotted blood ... Don't assume that acute ... Patient had ruptured left ... Pelvis #Ultrasound #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Microbiology: Blood ... Culture (+): Acute ... Influenza Prosthetic ... • Blood cultures ... • Left sided > Right
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Impairment: • Acute ... ) • Synaptic Cleft ... Infections: - Viral - Influenza ... Anti-Ro/SSA, anti-La
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... of high parity blood ... At least 3 of (Acute ... BNP, high CVP, left ... Reactions #hematology #diagnosis
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Syndrome (GBS) Acute ... : vaccination (Influenza ... transplantation CLINICAL ... normal CSF white blood ... specific therapy, the clinician
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... shunt (Type 2) Clinical ... Microbubbles appear in left ... passage • Arterial blood ... gas (ABC) analysis
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
the Journal of Clinical ... should certainly influence ... reasoning during clinical ... loss or acute anemia ... #differential #diagnosis