9 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 ... treatment are critical ... #clinical #photo ... AL #lightchain #NEJM
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
relapsing fever #Clinical ... #Recurrentis #Smear ... #Microscopy #NEJM
Auer Rods - Bone marrow aspiration revealed 5% blasts and 65% promyelocytes; many promyelocytes had prominent
#Clinical #Path ... AcutePromyelocyticLeukemia #Smear ... #Microscopy #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
peripheral-blood smear ... rhodesiense) (Panel B) #Clinical ... Derm #Pathology #Smear ... #Microscopy #Trypanosomiasis ... TrypanosomaBrucei #NEJM
Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the
bacilli (Panel D) #Clinical ... Tuberculosis #Pyuria #Smear ... AcidFastBacilli #Microscopy ... #NEJM
Squamous-Cell Carcinoma of the Tongue - Intraoral examination revealed a well-circumscribed superficial ulcer, with a homogeneous
Carcinoma of the Tongue ... carcinoma (Panel B) #Clinical ... Honc #SCCa #SCC #Tongue ... #Squamous #Microscopy ... #NEJM
Grouped Pustules on an Erythematous Base - On physical examination, grouped, coalescing pustules that had scalloped
stain (Tzanck smear ... Microscopic examination ... #Clinical #Derm ... Pustules #Tzsanck #Smear ... #Microscopy #NEJM
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