28 results
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
Dacrocytes (tear ... poikilocytes resemble a pear ... each of the above photos ... metaplasia, pernicious anemia ... some hemolytic anemias
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... retro-orbital pain, near-complete ... Orbital #Apex #Syndrome ... #PhysicalExam #NEJM
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... Features: alveolitis, ear ... Abnormalities: macrocytic anemia ... myelodysplastic syndrome ... myeloid cells NEJM
Spur-Cell Anemia- A 31-year-old man with a history of cirrhosis, recurrent hepatic encephalopathy, and anemia presented
Spur-Cell Anemia ... - A 31-year-old ... with spur-cell anemia ... Spur-cell anemia ... #NEJM #clinical
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded Skin Syndrome ... (SSSS) A 5-year-old ... Scalded #Skin #Syndrome ... SSSS #Clinical #Photo
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Iron Deficiency Anemia ... Gastrectomy, WHDA syndrome ... diet, Alcoholism, Tea-toast ... Iron #Deficiency #Anemia
Schistocytes - The arrows point to schistocytes which are fragmented red blood cells. Also called schizocytes,
In the right photo ... seen in hemolytic anemias ... microangiopathic hemolytic anemia ... hemolytic- uremic syndromes
Some of the techniques used for Antenatal Diagnosis

Amniocentesis 
 - Chromosome/micro-array and DNA analysis 
 -
haemoglobin for anaemia ... surgery, e.g. laser photo-coagulation ... transfusion syndrome
Marfan’s Syndrome with Ectopia Lentis - Slit-lamp examination revealed ectopia lentis in both eyes, including near-complete
Marfan’s Syndrome ... eyes, including near-complete ... LensDislocation #SlitLamp #NEJM
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Iron-Deficiency Anemia ... - A 54-year-old ... fatigue and a 7-year ... #NEJM #clinical ... #photo #koilonychia