27 results
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... fulminans) and critical ... Vibrio, aeromonas, Capnocytophaga ... BIDMC_IDFellows #Capnocytophaga ... #clinical #photo
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... possible Patient's clinical ... #dermatology #clinical ... #photo
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... marine microbiota & causes ... Early abx are critical ... dermatology #legs #clinical ... #photo
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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infarct, and other rarer ... causes of right-sided ... #physicalexam #clinical ... #video #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... evaluate her JVP (video ... Causes = RV failure ... #PhysicalExam #Video ... #Clinical #Neck
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... ▪ “Rash” (75% ... resembling rashes caused ... #Diagnosis #Clinical ... #Photo #Dermatology
Spherocytes - The arrow points to one of many spherocytes in this photo. The cells have
spherocytes in this photo ... Note small size, darker ...

Causes of spherocyte ... #Clinical #Path

Posterior Drawer Test for Posterior Cruciate Ligament (PCL) Injury on Knee Examination 

The Posterior Drawer Test
Posterior Drawer ... on the table, push ... Video via @open_michigan ... #PhysicalExam #clinical ... #video #msk #orthopedics
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
This is a case of ... 1) heliotrope rash ... Gottrons #Papules #Clinical ... #Photo
Capnocytophaga
GNR with long fusiform shape.  Fastidious facultative anaerobe that grows slowly and needs enriched agar
C.
Capnocytophaga GNR ... = most common cause ... cats) Classic clinical ... shock with fever, rash ... InfectiousDiseases #Capnocytophaga