32 results
Nikolsky’s Sign - Febrile & Positive Nikolsky’s Sign: Patients in this group have the potential to
Nikolsky’s Sign ... Positive Nikolsky’s Sign ... potential to be sick (Fever ... Clinical #EM #IM #Derm ... #Nikolsky #Sign
Ecthyma Gangrenosum - A physical examination revealed a 2-cm hemorrhagic patch with an erythematous border (Panel
(Panel B), and fever ... #Clinical #Derm ... #Neutropenic #NEJM
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... PhysicalExam #Clinical #Photo ... #Sign
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
elevated lactate level ... #Clinical #Derm ... Pneumatosis #CT #NEJM
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
Scarlet fever • ... folds #Scarlet #fever ... diagnosis #clinical #photo ... #signs #symptoms
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... blood vessels, liver ... syphilis #clinical #photo
Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
: - Catch-all term ... Ill-appearing, vital sign ... instability - New-onset fever
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
though there are no signs ... blood vessels, liver ... syphilis #clinical #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
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