74 results
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
the ED with a rash ... the patient’s rash ... Scalded #Skin #Syndrome ... #SSSS #Clinical ... #Photo #Peds #Pediatrics
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Christmas Tree Rash ... palms/soles - Differential ... ChristmasTree #Rash ... Pityriasis #rosea #clinical ... #dermatology #photo
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
considered for urgent referral ... presence of metabolic syndrome ... repeat testing or referral ... result in urgent referral ... Liver #Enzymes #Differential
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag Syndrome ... Purple #Urine #Bag #Syndrome ... pathophysiology #clinical ... #photo #differential
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Typical ECG in BRASH ... balanced fluids" > normal ... #Syndrome #diagnosis ... #management #pathophysiology
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... systemic signs, labs normal ... biopsy preferred Differential ... Sporotrichiosis #Infection #clinical ... #photo #hand
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Irritable bowel syndrome ... Malabsorption syndromes ... Irritable bowel syndrome ... Chronic #Diarrhea #management ... workup #diagnosis #differential
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 • LOW VIT D
    -
Diagnosis and Management ... (phenytoin) • NORMAL ... Formation: Hungy Bone Syndrome ... - DiGeorge Syndrome ... endocrinology #differential
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... arthritis, Skin rash ... fraction < 20% Differential ... CK, normal biopsy ... Disease #diagnosis #management
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat clinic ... • Bilateral RAS ... • Unilateral RAS ... Secondary #Nephrology #Differential