9 results
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
into the baby's hands ... Stroke the perioral skin ... and extend, hands ... Pediatrics #Peds #Diagnosis ... #Neurology #PhysicalExam
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 ... Infection #clinical #photo ... #hand
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin

A young man presents with rapid
Abdominal Striae, Thin Skin ... gain (license photo ... What findings are ... the patient's hand ... Next diagnostic
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
fingertips ("mechanic’s hands ... CD4+/CD8+ ratio are ... • Mechanic's hands ... Dermatomyositis #rheumatology ... #dermatology #diagnosis
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... the palms of the hands ... faint that they are ... Syphilis #Rash #Diagnosis ... #Clinical #Photo
Vasculitis - Differential Diagnosis Framework

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

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... variably: On one hand ... required due to skip ... them, but urgent rheumatology ... required +/- prompt ophthalmology
Terry's Nails

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

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... ) • Anti-Mi2 (skin ... kinase levels are ... • Mechanic's hands ... Myositis #Myopathy #rheumatology