10 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
for months wax and ... trauma leads to skin ... biopsy preferred Differential ... #clinical #photo ... #hand
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Leg Pain: • Infection ... entrapment • Infections ... syndromeShin ... extremity #msk #physicalexam
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
- Differential ... Irregular pustules on hands ... SAPHO syndrome ( ... Sweet syndrome ... #Lesions #Differential
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
response to local skin ... +/- myocardial infarction ... test (this is a skin ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... to exclude are infections ... occasional oligoclonal bands ... , recent viral infection
Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for
Vasculitis (LCV) of the Hand ... Differential for ... Churg-Strauss syndrome ... Vasculitis #LCV #Hand ... dermatology #clinical #photo
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
The syndrome of ... Differentials for ... this are: Infectious ... clinical #video #ophthalmology ... #physicalexam #
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
very remarkable w/differential ... vasculitis vs infection ... variably: On one hand ... required due to skip ... required +/- prompt ophthalmology
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
complicated with urinary infections ... skin stretch marks ... #Fingernails #Hands ... #PhysicalExam # ... Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Tenderness → Consider infectious ... ) • Anti-Mi2 (skin ... • Mechanic's hands ... #rheumatology #differential