21 results
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
louseborne relapsing fever ... #Clinical #Pathology ... #Recurrentis #Smear ... #Microscopy #NEJM
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
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
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... CLINICAL UTILITY ... Dengue Fever NOTE ... help hone your differential ... Dissociation #diagnosis #differential
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria - Differential ... • Exercise • Fever ... polyangiitis (GPA) / microscopic ... Amyloidosis) ... Proteinuria #Nephrology #Differential
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
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Peripheral Blood Smear ... diagnosed with a blood smear ... sensitivity of blood smear ... recurrentis #BloodSmear #microscopy ... #pathology #clinical
Streptobacillus moniliformis on peripheral smear and culture microscopy
 - blood culture; patient w/ outdoor exposure
 -
on peripheral smear ... and culture microscopy ... agent in Rat-bite fever ... moniliformis #blood #smear ... #clinical #microscopy
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Red Flags: • Fever ... Sjogren's, GPA, EGPA, Microscopic ... Cholesterol embolism - Amyloidosis ... Petechiae #Rash #Differential