24 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
These cells can ... go on to block blood ... of factors and are ... exclusively affects black ... Crisis #Features #Signs
Pemberton's sign- Suggests SVC syndrome, Neck Mass

The Pemberton maneuver is a physical examination tool used to
Pemberton's sign ... patient elevate both arms ... #Pembertons #sign ... #PhysicalExam # ... Clinical #Photo
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Sens: 44% if 2+ are ... Non-specific Kernig Sign ... extension → pain in back ... 95% Brudzinski Sign ... diagnosis #testing #physicalexam
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
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
Scarf Sign (Normal ... Exam The scarf sign ... The infant's arm ... midline; in a term ... #Scarf #Sign #PhysicalExam
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
Nail Pitting
Non-specific sign for psoriasis (additional signs include onycholysis, thickening, and 'oilspot' lesions which are yellow
Non-specific sign ... lesions which are ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign