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clinical diagnosis differential dermatology rheumatology autoimmune cushings endocarditis fingernails infection janeway lymphocutaneous moonfacies myopathy myositis nails neurology ocular physicalexam ptosis
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While frequently associated
this patient's hand ... this case, they are ... Photo credit, Josh ... Goldberg, M.D. - UCSD ... #Endocarditis #UCSDH
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin A young man presents with rapid
Cushing's Syndrome ... Abdominal Striae, Thin Skin ... What findings are ... the patient's hand ... Signs #MoonFacies #BuffaloHump
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
nodular rash of arm ... trauma leads to skin ... papulonodular lesions ... Infection #clinical #photo ... #hand
Pustular Skin Lesions - Differential Diagnosis Framework What are pustules? • Pustules < 5-10 mm + pus • Material
Pustular Skin Lesions ... sterile and are ... Irregular pustules on hands ... SAPHO syndrome ( ... Sweet syndrome
Secondary Syphilis Rash Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... heaped, wart-like lesions—Condyloma ... the palms of the hands ... faint that they are ... Diagnosis #Clinical #Photo
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
loss, arthralgia, arm ... bruits, asymmetric arm ... occasional oligoclonal bands ... vasculitis • Behcet syndrome ... vasculitis • Cogan syndrome
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Horner’s syndrome ... - Supranuclear lesions ... orbital rooftop fracture ... Redundant eyelid skin ... Differential #Diagnosis #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 ... such as nephrotic syndrome ... #Fingernails #Hands ... PhysicalExam #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
) • Anti-Mi2 (skin ... lesions) • Anti-TIF1 ... Antisynthetase syndrome ... kinase levels are ... • Mechanic's hands
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