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clinical photo honc im microscopy pathology arm black blastomycosis blood brucei capitis colitis cutaneous discoloration em extramammary extramammarypaget gangrenosum hairy
Plasmacytomas and Plasma-Cell Leukemia - Physical examination revealed multiple exophytic subcutaneous lesions involving the arms and
peripheral-blood smear ... revealed 25% plasma cells ... Clinical #HONC #Derm ... PlasmaCell #Leukemia #Smear ... #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
peripheral-blood smear ... B) #Clinical #Derm ... #Pathology #Smear ... TrypanosomaBrucei #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
used on a long-term ... convoluted tubule cells ... , principal cells ... and intercalated cells ... NephronRemodeling #NEJM
Grouped Pustules on an Erythematous Base - On physical examination, grouped, coalescing pustules that had scalloped
stain (Tzanck smear ... multinucleated giant cells ... #Clinical #Derm ... Pustules #Tzsanck #Smear ... #Microscopy #NEJM
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
#clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
#clinical #photo ... #derm #NEJM #cutaneous
Skin Mottling - Skin mottling, a common clinical sign in patients in shock, is a violaceous
common clinical sign ... B) #Clinical #Derm ... Hypoperfusion #Shock #NEJM
Extramammary Paget’s Disease - The physical examination revealed an erythematous velvety plaque with superficial white scale
large atypical cells ... consistent with Paget cells ... B) #Clinical #Derm ... ExtramammaryPaget #NEJM
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
(Panel B), and signs ... #Clinical #Derm ... Meningococcemia #NEJM
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