7188 results
Baby Sneeze in Utero - Fetal Ultrasound

Vivienne Meljen, MD @StethoscopeOn

#Baby #Sneeze #Utero #POCUS #Fetal #Ultrasound #POCUS
Ultrasound Vivienne Meljen ... Obstetrics #Radiology #Clinical
Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,
acral lentinginous melenoma ... #PhysicalExam #Clinical
Tinea Versicolor - Physical examination revealed large, coalescing, hypopigmented patches and macules on her torso and
Melan-A staining ... #Clinical #Derm
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings

 - Infectious Agents - 50% have
Pathogenesis and Clinical ... (hematemesis, melena
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
restored to esophagus Clinical ... hematemesis and/or melena
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Acute Hematemesis/Melena ... stools - If Melena ... #Hematemesis #Melena
Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky
Bloody Stools - Melena ... and Hematochezia Melena ... In infants, melena ... #Melena #Hematochezia
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
hematemesis and/or melena ... Can present with melena
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
bleed Suspected: Melena
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Hematemesis and/or melena