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Physiologic Livedo Reticularis (Cutis Marmorata) on Physical Exam

Dr. Bruno Farnetano @bruno.farnetano

#Physiologic #Livedo #Reticularis #Cutis #Marmorata #PhysicalExam
Livedo Reticularis (Cutis ... Marmorata) on Physical ... #Reticularis #Cutis ... #Marmorata #PhysicalExam ... clinical #video #dermatology
Cutaneous Manifestations of Monoclonal Gammopathy
 • Extravascular lg Deposits: Systemic amyloidosis, Nodular amyloidosis, Macroglobulinoderma, Follicular hyperkeratotic
secretion: POEMS syndrome ... , Syndrome Schnitzler ... Scleromyxoedema, Acquired cutis ... laxa, TEMPI syndrome ... manifestations #dermatology
Causes of Erythema Nodosum - Mnemonic

NO cause found in 60% of cases
Drugs (antibiotics e.g., sulfonamides, amoxicillin)
Oral
Causes of Erythema ... Mnemonic NO cause ... Sarcoidosis or Lofgren's syndrome ... Nodosum #Mnemonic #Causes ... Differential #Diagnosis #Dermatology
Fever and Rash - Differential Diagnosis Framework
 • Viral: Measles, Infectious Mono (EBV, CMV), Acute HIV,
diseases, Toxic shock syndrome ... , TB cutis miliaris ... , DRESS, Sweet syndrome ... Differential #Diagnosis #dermatology
Approach to the Rash in a an oncology patient - MINT-C Mnemonic
M - Malignancy: Leukemia cutis,
Malignancy: Leukemia cutis ... Dermatoses: Sweet Syndrome ... MINTC #Mnemonic #dermatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Chlamydia (*Fitz-Hugh-Curtis ... syndrome), HIV-related ... Differential #Diagnosis #hepatology
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Causes: - Idiopathic ... , breast CA - Hematologic ... Panniculitis - Leukemia cutis ... Lupus - Leukemia cutis ... #diagnosis #dermatology
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
• Secondary Causes ... Kasabach-Merritt syndrome ... Gardner-Diamond syndrome ... Differential #Diagnosis #hematology ... #rheumatology #
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Cardiovascular Causes ... Tamponade Pulmonary Causes ... Hepatopulmonary syndrome ... Other Causes ... Transverse myelitis • Hematology
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
• Gilbert's Syndrome ... Crigler-Najjar Syndromes ... Diagnosis #Algorithm #Causes ... #Hepatology #bilirubinemia