11 results
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... be present or signs ... , specifically CT ... may narrow per culture ... data • Early treatment
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
after 1 week of treatment ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
the first day of treatment ... Culture of a specimen ... #NEJM #clinical ... #photo #peds #acute
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
Treatment with broad-spectrum ... were obtained for culture ... (Panel B), and signs ... #Clinical #Derm ... Meningococcemia #NEJM
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
Blastomycosis- A fungal culture ... #clinical #photo ... #derm #NEJM #cutaneous
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
and she received treatment ... within 1 week after treatment ... and has no long-term ... #NEJM #photo #clinical
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... radiograph or CT ... Gram stain and culture ... procalcitonin level Treatment ... Diagnosis #Management #treatment
Skin Mottling - Skin mottling, a common clinical sign in patients in shock, is a violaceous
common clinical sign ... 24 hours after treatment ... B) #Clinical #Derm ... Hypoperfusion #Shock #NEJM
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gram stain and culture ... double contour sign ... • Dual-energy CT ... • Acute gout treatment ... +Radiographic signs
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
Pemberton’s Sign ... Pemberton’s sign ... #clinical #photo ... #NEJM #Pembertons ... #CT #goiter