63 results
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
Microscopic examination ... mites (Panel C) #Clinical ... CrustedScabies #Scabies #Microscopy ... #NEJM
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Thyroid Goiter in ... Hashimoto’s, lost ... to care and thyroid ... #Thyroid #Mass # ... #PhysicalExam #clinical
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Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
mite under light microscopy ... #Clinical #Derm ... Pathology #Scabies #Microscopy ... #Rash #NEJM
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
relapsing fever #Clinical ... Recurrentis #Smear #Microscopy ... #NEJM
Hobnail variant of PTC: micropapillary architecture, dense eosinophilic cytoplasm, hobnail cells with apical nuclei, and marked
Lisa Rooper @LisaRooperMD ... PTC #Papillary #Thyroid ... Carcinoma #Pathology #Clinical ... #Microscopy
Auer Rods - Bone marrow aspiration revealed 5% blasts and 65% promyelocytes; many promyelocytes had prominent
#Clinical #Path ... AcutePromyelocyticLeukemia #Smear #Microscopy ... #NEJM
Abnormal Serum TSH - Differential Diagnosis Algorithm
Increased TSH
 • Hypothyroidism
 • Sub-clinical Hypothyroidism
 • Recovery from
Differential Diagnosis Algorithm ... Hypothyroidism • Sub-clinical ... Recovery from Non-Thyroid ... Thyrotoxicosis • Non-Thyroid ... Illness • Sub-Clinical
SMARCB1-deficient sinonasal carcinoma: high grade tumors with varying proportions of basaloid and plasmacytoid/rhabdoid cells; CK+, SMARCB1
synapto; aggressive clinical ... Lisa Rooper @LisaRooperMD ... Carcinoma #Pathology #Microscopy ... #Clinical
Thyroid Ophthalmopathy, Dermopathy, and Acropachy - Proptosis (Panel A) and pretibial myxedema (Panel B). His physical
Thyroid Ophthalmopathy ... shape (Panel D) #Clinical ... Myxedema #Acropachy #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
rhodesiense) (Panel B) #Clinical ... Pathology #Smear #Microscopy ... TrypanosomaBrucei #NEJM