5 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... mevalonate kinase deficiency ... Muscular: normal CK ... Prunelle Getten #AdultOnset ... Disease #diagnosis #management
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Etiologies of Folate Deficiency ... mobilize folate stores ... depleted tissue stores ... #FolicAcid #differential ... #diagnosis #hematology
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Allopecia - Differential ... Lithium • Stress ... texture at bald spots ... loss #alopecia #Differential ... #Diagnosis #dermatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Malignancy (e.g. hematologic ... disease • Prolidase deficiency ... • Malar rash - spares ... Valvular disorders • CAD
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
primary lesions - differential ... pruritus • Hematologic ... pruritus (Iron deficiency ... Keep fingernails short ... #Nephrology #CKD