7 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
trauma leads to skin ... painless, no systemic signs ... biopsy preferred Differential ... #clinical #photo ... #hand
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... treatment, the infection ... the palms of the hands ... Diagnosis #Clinical #Photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... to exclude are infections ... purpura: Strong sign ... occasional oligoclonal bands
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... very remarkable w/differential ... vasculitis vs infection ... variably: On one hand ... required due to skip
DANISH Mnemonic for Cerebellar Signs of Disease

D - Dysdiadochokinesia / Dysmetria - Impaired ability to perform
for Cerebellar Signs ... alternating movements (hand ... Limb (heel-shin ... movements I - Intention ... Diagnosis #Neurology #PhysicalExam
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... skin stretch marks ... #Fingernails #Hands ... #PhysicalExam # ... Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Tenderness → Consider infectious ... ) • Anti-Mi2 (skin ... Gottron sign) ... • Shawl sign • ... • Mechanic's hands