12 results
Spider Angioma: Dialated superficial arterioles, most commonly associated with advanced liver disease.

Charlie Goldberg, M.D. - UCSD
with advanced liver ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... #Dermatology #Rash ... Spider #Angioma #UCSDH
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... - Hemolysis, NASH ... #Patterns #Liver ... #Injury #hepatology ... transaminitis #differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... - If both are normal ... disease: > 2 • NASH ... injury #hepatitis #differential ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
- If both are normal ... of ALP • Near normal ... disease: > 2 • NASH ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... vulnificus part of normal ... sepsis: chronic liver ... #cellulitis #dermatology ... legs #clinical #photo
Dermatologic Manifestations of Granulomatosis with Polyangiitis (GPA)

Skin involvement in granulomatosis with polyangiitis (GPA) is common and
Maculopapular rash ... Palpable purpura • Vesicles ... reticularis Differential ... #rash #diagnosis ... #rheumatology
Common Dermatological Conditions - Distribution and Morphology
 • Acne vulgaris - Face, upper back, chest -
and toes - Deep vesicles ... earlobes-nickel; dorsal ... breasts, vagina, oral ... ; pruritis #dermatology ... #rash #differential
Cutaneous larva migrans skin Rash
25 F recent Caribbean vacation, walked barefoot on sand and now with
larva migrans skin Rash ... now with creepy rash ... Adult hookworms live ... migrans #skinRash #dermatology ... #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... strength & enzymes normal ... , mucositis • Rash ... legs), cutaneous vesicles ... #Diagnosis #Rheumatology
Monkeypox

What?
Monkeypox virus belongs to the family Poxviridae, subfamily Chordopoxvirinae, and genus orthopoxvirus
Viral zoonotic disease that is
Characteristic Rash ... • Fomites • Live ... macules, papules, vesicles ... Umbilification - Rash ... and soles • Oral