9 results
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... membrane into the CNS ... Waddling gait - Difficulty ... Phosphatase: • Other causes ... Hyophosphatasia #hepatology
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Christmas Tree Rash ... palms/soles - Differential ... Pityriasis #rosea #clinical ... #dermatology #photo ... #PhysicalExam
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... All oysters at Chesapeake ... #cellulitis #dermatology ... #legs #clinical ... #photo
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... contagious of all ... resembling rashes caused ... #Diagnosis #Clinical ... #Photo #Dermatology
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 ... #dermatology #clinical ... #photo
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
Secondary Syphilis - Rash ... present in 80% of cases ... Secondary #Syphilis #Rash ... #clinical #photo ... #physicalexam
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
with heliotrope rash ... describes progressive difficulty ... out this is a case ... 1) heliotrope rash ... #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... , mucositis • Rash ... tract, and often causes ... , Elevated AST ALT ... #Diagnosis #Rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Symptoms: • Gottron rash ... Polymyositis or ALS ... statins - probably caused ... #differential #