9 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
nodular rash of arm ... wane; diagnosis ... trauma leads to skin ... painless, no systemic signs ... #hand
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin

A young man presents with rapid
Abdominal Striae, Thin Skin ... What findings are ... the patient's hand ... Next diagnostic ... Cushings #Syndrome #Signs
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
Signs Hypothyroidism ... high energy but are ... Dermatopathy Ø Hands ... Hyperthyroid #Symptoms #Signs ... #Diagnosis #endocrinology
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... the palms of the hands ... Syphilis #Rash #Diagnosis ... #Clinical #Photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... fingertips ("mechanic’s hands ... CD4+/CD8+ ratio are ... • Mechanic's hands ... #dermatology #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... loss, arthralgia, arm ... bruits, asymmetric arm ... occasional oligoclonal bands
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... variably: On one hand ... required due to skip ... required +/- prompt ophthalmology ... GCA #Temporal #Signs
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's nails are ... in addition to signs ... skin stretch marks ... #Fingernails #Hands ... PhysicalExam #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
) • Anti-Mi2 (skin ... Gottron sign) ... • Shawl sign • ... kinase levels are ... • Mechanic's hands