20 results
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
patient’s rash is tender ... Syndrome #SSSS #Clinical ... #Photo #Peds #Pediatrics
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
A presumptive diagnosis ... #Clinical #Photo ... Mandibularis #Rash #NEJM
Osteosarcoma 
Most common primary malignant bone tumor in children 
Most Common Sites of Involvement:
1. Distal femur
proximal femur Clinical ... mass (large and tender ... #Osteosarcoma #Diagnosis ... Oncology #Peds #Pediatrics
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... - Metastases: random ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Differential #Comparison
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
findings confirmed a diagnosis ... Early diagnosis ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... #Clinical #Diagnosis ... #Differential #Comparison
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
Lesions are tender ... confirming our working diagnosis ... of Osler nodes (tender ... #endocarditis #clinical ... #photo #foot
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
intervals vary at random ... Arrhythmia #cardiology #diagnosis ... electrocardiogram #variants #clinical ... #comparison
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... #NEJM #clinical ... #photo #peds #acute
Acrocyanosis- Here again, the cyanosis of the feet is apparent in comparison to the parent's hand
is apparent in comparison ... #clinical #photo ... newborn #peds #pediatrics