17 results
Plasmacytomas and Plasma-Cell Leukemia - Physical examination revealed multiple exophytic subcutaneous lesions involving the arms and
involving the arms ... shows the right arm ... revealed 25% plasma cells ... Clinical #HONC #Derm ... Leukemia #Smear #NEJM
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
on the abdomen, back ... (Panel A), arms ... #Clinical #Derm ... Microscopy #Rash #NEJM
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
loop diuretics are ... used on a long-term ... , principal cells ... and intercalated cells ... NephronRemodeling #NEJM
Features of a Sickle Cell Crisis 
Sickle-cell disease - an autosomal recessive blood disorder.
Characterized by red
go on to block blood ... of factors and are ... exclusively affects black ... Crisis #Features #Signs ... #Symptoms
Schistocytes - The arrows point to schistocytes which are fragmented red blood cells. Also called schizocytes,
fragmented red blood cells ... schizocytes, these cells ... shapes of red cells ... a more generic term ... In the right photo
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
Black Hairy Tongue ... Black discoloration ... in her mouth...Black ... and has no long-term ... #NEJM #photo #clinical
Strongyloides Stercoralis on sputum microscopy
As many suggested this was strongyloides stercoralis hyperinfection syndrome.
Infection is initiated by
Larvae are then ... mucosa and travel back ... asymptomatic or minimal symptoms ... borborygmi - Derm ... exacerbation of GI/pulm symptoms
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
melena - Other GI symptoms ... circumferential black ... unless patients are ... retrosternal or back ... most common long term
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings

 - Infectious Agents - 50% have
various inflammatory cells ... histopathologic term ... Pathophysiology #Diagnosis #Signs ... #Symptoms
Extramammary Paget’s Disease - The physical examination revealed an erythematous velvety plaque with superficial white scale
large atypical cells ... findings that are ... consistent with Paget cells ... B) #Clinical #Derm ... ExtramammaryPaget #NEJM