26 results
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
right side of the tongue ... Tongue necrosis ... arteritis #clinical #photo ... GiantCell #Arteritis #tongue ... #NEJM
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
- strawberry tongue ... diagnosis #clinical #photo ... #signs #symptoms
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... Yellow fever, Dengue ... 30048576/ #Faget #Sign ... #bradycardia #differential
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
Black Hairy Tongue ... ...Black hairy tongue ... surface of the tongue ... Black hairy tongue ... #NEJM #photo #clinical
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
biopsy of the tongue ... amyloidosis #clinical #photo ... AL #lightchain #NEJM
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Faget's Sign & Liebermeister's ... Dengue Fever NOTE ... help hone your differential ... #Fagets #Sign #Pulse ... Dissociation #diagnosis #differential
Geographic Tongue - A well-defined, flat, rounded red area could be observed on the lingual dorsum;
Geographic Tongue ... be seen on the tongue ... of geographic tongue ... pathognomonic sign ... #NEJM
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless, no systemic signs ... biopsy preferred Differential ... Infection #clinical #photo
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... without localizing signs ... abscess of liver, Dengue ... Hemorrhagic fevers; Dengue ... Returning #Traveler #differential
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... • Symptoms and signs ... decreased muscle tone ... Influenza, EBV, Dengue ... diagnosis #neurology #differential