18 results
Pyoderma Gangrenosum: Autoimmune disorder resulting in a vasculitis which causes slowly progressive 
ulceration of the skin.
vasculitis which causes ... ulceration of the skin ... Catalog of Clinical ... Images #Clinical ... #Photo #Dermatology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... O2 delivery • MI ... #Classification ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... O2 delivery • MI ... #Classification ... #criticalcare #differential ... #causes #classification
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Purpura Fulminans Skin ... rigors, diarrhea, nausea ... BIDMC Infectious Diseases ... #Rash #clinical ... #photo
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Obstruction (HOCM, critical ... neuraxial anesthesia), Liver ... surgical, GIB), Skin ... #diagnosis #differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... of lactate as a clinical ... presentations and disease ... Acidosis #Elevation #Differential ... #typea #typeb #classification
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... marine microbiota & causes ... sepsis: chronic liver ... disease, iron overload ... #photo
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Lives in an old ... heaped up borders); differential ... University Infectious Diseases ... #dermatology #clinical ... #photo
Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease 
precluded operative repair in
Advanced liver disease ... repair in this case ... Catalog of Clinical ... Images #Clinical ... #Photo #Umbilical
Gynecomastia: Breast development in men, often related to relative increase in estrogen levels. In this case,
In this case, ... with advanced liver ... disease. ... #Photo #Gynecomastia ... #UCSDH