22 results
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Low Alkaline Phosphatase ... Of Clinical Importance ... membrane into the CNS ... Waddling gait - Difficulty ... : • Other causes
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... fast - Too slow ... - Water - Pus ... Transverse myelitis • Hematology ... #dyspnea #sob #differential
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
palms/soles - Differential ... Pityriasis #rosea #clinical ... #dermatology #photo ... #PhysicalExam
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm
Relative - Normal RBC Mass / Decreased Plasma Volume
Causes of Polycythemia ... Erythrocytosis) - Differential ... JAK-2 Positive - Low ... Splenomegaly, Increased PMNs ... #Hematology
Erythema Annulare Centrifugum (EAC),
This is erythema annulare centrifugum (EAC), one of the “figurate erythemas.” These lesions
patient eats a lot ... Most cases are idiopathic ... Centrifugum #EAC #clinical ... #photo #dermatology
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... an underlying cause ... Better call hematology ... levels: realllly low ... Algorithm #workup #hematology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Prolonged PT/PTT • Low ... organ damage Clinical ... Treat primary cause ... Coagulation #diagnosis #causes ... treatment #management #hematology
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
present in 80% of cases ... Syphilis #Rash #clinical ... #photo #dermatology ... #Palms #Soles #dermatology ... #physicalexam
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... the organism is difficult ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
originate from a low-grade ... Viral Infection Clinical ... disease (younger pts ... ) Differential ... hemolytic #anemia #hematology