10 results
This image shows acellular scanning EM with a fibrocellular crescent with entrapped RBCs. The glomerulus is
acellular scanning EM ... fibrocellular crescent ... fibrocellular #crescent ... #RBCs #ElectronMicroscopy ... SEM #clinical #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... right gaze was present ... fasciculus), which causes ... The most common causes ... ophthalmology #neurology
This image shows acellular scanning EM with empty lacunar spaces of a fibrocellular crescent previously occupied
acellular scanning EM ... fibrocellular crescent ... fibrocellular #crescent ... #ElectronMicroscopy ... SEM #clinical #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... 150mg/d protein present ... proliferative • Anti-GBM ... #Proteinuria #Nephrology ... Diagnosis #Algorithm #Causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
granulomatosis: • EBV-associated ... disease • 30% present ... differential #diagnosis #causes ... #radiology #neurology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Cytomegalovirus; GBM ... cell/white cell casts ... or may not be present ... Nephrocalcinosis causes ... nephrotic #syndrome #nephrology
Foreign Body - Will vary in appearance based on composition. May exhibit the "halo sign" which
May exhibit the "halo ... generally only present ... hours) #Clinical #EM ... #ForeignBody #ALiEM
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
virus • CMV • EBV ... Photophobia • Nausea ... , photophobia, nausea ... neurosyphilis can present ... differential #diagnosis #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
infections are present ... in 15% of cases ... Demyelinating disease caused ... effect/Edema • EBV ... InfectiousDiseases #Neurology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyperproteinemia, Recent ... MH/CCF/CWRU EM ... Algorithm #diagnosis #causes ... #nephrology #sodium