7 results
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
biopsy of the tongue ... under polarized microscopy ... monoclonal light chains are ... and treatment are ... AL #lightchain #NEJM
Grouped Pustules on an Erythematous Base - On physical examination, grouped, coalescing pustules that had scalloped
seen on the left arm ... stain (Tzanck smear ... Microscopic examination ... Pathology #Herpes #Arm ... #Microscopy #NEJM
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... hemorrhage, which are ... Sjogren's, GPA, EGPA, Microscopic ... Cholesterol embolism - Amyloidosis ... Petechiae #Rash #Differential
Myelodysplastic Syndromes (MDS)

What?
Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
Peripheral Smear ... abnormal under the microscope ... abnormal under a microscope ... blood count with differential ... Peripheral blood smear
Oral / Mouth Lesions and Ulcers (Adult & Elderly) - Differential Diagnosis Algorithm

Teeth
 • GERD (Dissolves
Adult & Elderly) - Differential ... polyangiitis (GPA)/microscopic ... Disease (Strawberry Tongue ... Acromegaly • Amyloidosis ... Ulcers #Ulcerating #Differential
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
Zika virus • Dengue ... Melioidosis • Dengue ... chest film; blood-smear ... dipstick test, microscopic ... Fever #Travel #Differential
Fever in the Returning International Traveler
Investigations after comprehensive physical examination including thorough skin examination: 
 •
Labs, Malaria Smears ... XRay, Stool O&P, Dengue ... Negative malaria smears ... been ordered and are ... workup #diagnosis #differential