19 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... • Peptic Ulcer Disease ... idiopathic, liver, CTD ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... chronic liver disease ... hemolytic anemia, CKD ... Diseases Fellowship ... legs #clinical #photo
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Arthralgia/arthritis, Skin ... fraction < 20% Differential ... Diaqnoses: • Infectious ... Muscular: normal CK ... #diagnosis #management
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Sporotrichiosis Infection ... trauma leads to skin ... biopsy preferred Differential ... Diseases Fellowship ... #clinical #photo
Vasculitis Involving the Skin - Differential Diagnosis Framework

Primary: 50% Cutaneous Vasculitis: Leukocytoclastic Vasculitis
Secondary: CTD: SLE, RA
- Differential ... Vasculitis Secondary: CTD ... related vasculitis, infections ... Vasculitis: • Behcet Disease ... #rheumatology #differential
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
in those with CLD ... underlying liver disease ... Coagulation Failure Infections ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... purple, hemorrhagic skin ... SLE) - Viral infections ... APLS • Acute Infectious ... Vasculopathy #Purpura #Differential
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Blastomycosis Skin ... heaped up borders); differential ... Indiana University Infectious ... Diseases Fellowship ... dermatology #clinical #photo
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Cardiogenic: Myocardial Infarction ... , Severe Valve Disease ... #Diagnosis #criticalcare ... algorithm #treatment #management
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... Differential ... to exclude are infections ... • ANA (Suggest CTD ... #Vasculitides #differential