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clinical honc black blood extramammary extramammarypaget hairy herpes hypoperfusion im leukemia loopdiuretic microscopy mottling nephro nephronremodeling oral paget path pathology
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 ... #NEJM
Schistocytes - The arrows point to schistocytes which are fragmented red blood cells. Also called schizocytes,
shapes of red cells ... a more generic term ... In the right photo ... Clinical #Path #BloodSmear ... #Blood #Smear #
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
Skin Mottling - Skin mottling, a common clinical sign in patients in shock, is a violaceous
common clinical sign ... is a violaceous discoloration ... B) #Clinical #Derm ... Hypoperfusion #Shock #NEJM
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
Black discoloration ... brownish-black discoloration ... and has no long-term ... #NEJM #photo #clinical ... hairy #tongue #discoloration
Grouped Pustules on an Erythematous Base - On physical examination, grouped, coalescing pustules that had scalloped
seen on the left arm ... stain (Tzanck smear ... multinucleated giant cells ... #Clinical #Derm ... #Microscopy #NEJM
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
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