13 results
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... the respective fungal ... thin smear • Signs ... duplex or CTA • Liver ... Liver biopsy •
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 ... or symptoms. ... blood vessels, liver ... Tertiary #syphilis #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 ... or symptoms. ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... or TEE unless clinical ... workup dictated by symptoms ... Consider: Spine, CNS, liver ... candidiasis #treatment #fungal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... stain of clinical ... Increased protein level ... normal glucose level ... #Diagnosis #Management
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... Diagnosis: HLH signs ... and symptoms can ... lymph node, or liver ... Lymphohistiocytosis #diagnosis #management
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... and signs below ... Pain reported at level ... hematogenous spread - Fungal ... differential #algorithm
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... renal failure Clinical ... heart (2-5%), liver ... Sarcoidosis #Diagnosis #Management ... #Signs #Symptoms
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
plasma thyrotropin level ... was 0.2 mIU per liter ... and the serum level ... #clinical #photo ... #NEJM #Pembertons