17 results
Practical Pediatric Viral Rash Algorithm

Child presenting with rash and current/ recent symptoms of viral illness but
Algorithm Child ... but is well with fever ... five days and no signs ... #Viral #Algorithm ... #Pediatrics #Peds
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Returning Traveler’ algorithm ... thin smear • Signs ... duplex or CTA • Liver ... Liver biopsy • ... node biopsy • Clinical
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
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... response to abnormal liver ... derangement of liver ... symptoms/signs ... the pattern of liver
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
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... disease and ILD • Liver ... Liver biopsies show
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 ... cirrhosis now s/p liver ... Gray-Turner sign ... #GrayTurner #Sign
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... sepsis: chronic liver ... immunosuppressive meds ... dermatology #legs #clinical ... #photo
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
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... The signs and symptoms ... ) ▪ Malaise, fever ... #Diagnosis #Clinical ... #Photo #Dermatology