16 results
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
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... liver blood tests ... derangement of liver ... symptoms/signs ... the pattern of liver
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Venous Gas on POCUS ... ominous prognostic sign ... result of recent diagnostic ... #Liver #Ultrasound ... #Clinical
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
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... wax and wane; diagnosis ... painless, no systemic signs ... Sporotrichiosis #Infection #clinical ... #photo #hand
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
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
- Differential Diagnosis ... Maculopapular rash ... • Common clinical ... Acute meningeal signs ... • Uveitis • Rash
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
fatigue Heat Rash ... Muscles, Kidneys, Liver ... Rhabdomyolysis - AKI - Liver ... → Syncope • Signs ... tissue damage (AKI, Liver
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
Pemberton’s Sign ... Pemberton’s sign ... Pemberton’s sign ... #clinical #photo ... #sign #radiology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... neurological lesion: Clinical ... • Symptoms and signs ... Pain reported at level ... differential #algorithm