9 results
Necrotizing Fasciitis: African-American patient with diabetes that predisposed him to rapidly 
progressive infection. Lower extremity is
occurs deep to the skin ... of illness and pain ... Images #Clinical #Photo ... #Dermatology #Leg ... #SkinRash #Necrotizing
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Causes of Leg Pain ... : • Infection: ... Cellulitis, Abscess, Necrotizing ... abscess - Herpes zoster
Necrotizing Fasciitis: Note the extensive edema, erythema, bullae formation, and necrosis in this patient's thigh. At
failure) with severe pain ... at the site of infection ... right demonstrates leg ... Images #Clinical #Photo ... #Dermatology #SkinRash
Diabetic Foot Infection: Long standing, poorly controlled diabetes has led to peripheral arterial
disease and neuropathy. These
Diabetic Foot Infection ... controlled diabetes has led ... The skin is red ... Images #Clinical #Photo ... #UCSDH
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... gulf of Mexico Oyster ... Hippocrates in 5 BC as foot ... #dermatology #legs ... #clinical #photo
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
- Ensure leg ... this maneuver does ... progressive inflammatory infection ... - Intense pain ... days, the local pain
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
to exclude are infections ... arthralgia, arm/leg ... HTN • Check: HBV ... have PR3-ANCA) • Necrotizing ... purpura (lower legs
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
particular attention paid ... or bed with the legs ... Stroke the skin ... by stroking the outer ... of the little toe
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
and culture of a skin ... from a patient’s leg ... heart Tx: painless leg ... No pain. ... lesions in left leg