25 results
COVID-19 Signs and Symptoms at the time of Presentation

Fever
Myalgia
Headache
Rinorrhea
Sore Throat
Dyspnea
Chest Tightness
Cough
Sputum
Hemoptysis
Nausea/Vomiting
Diarrhea

Dr. Josh Farkas @pulmcrit via Internet
COVID-19 Signs and ... Presentation Fever ... Josh Farkas @pulmcrit ... Internet Book of Critical ... iBookCC #COVID19 #Signs
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
Scarlet fever • ... folds #Scarlet #fever ... #diagnosis #clinical ... #photo #signs #
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... #PhysicalExam #Clinical ... #Photo #Sign
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit ... Internet Book of Critical ... criticalcare #diagnosis #management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... be present or signs ... also important Management ... Cystitis #diagnosis #management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
workup or TSH level ... monitoring (vital signs ... , clinical appearance ... ://twitter.com/PulmCrit ... MyastheniaGravis #Checklist #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
incongruous with clinical ... target potassium level ... Josh Farkas @pulmcrit ... Internet Book of Critical ... #Hypokalemia #Management
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... Diagnosis: HLH signs ... following: • Fever ... lymph node, or liver ... Lymphohistiocytosis #diagnosis #management