49 results
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
, interdigital areas ... , and genital areas ... Clinical #Derm #PrimaryCare ... Scabies #Microscopy #NEJM
Panel A shows a patient with erythematotelangiectatic rosacea, in which diffuse erythema and telangiectasia are present
(i.e., convex areas ... Clinical #Derm #PrimaryCare ... #Rosacea #NEJM
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
underlying lung disease ... ) • Abnormal CXR ... refer + order CT ... of cancer, lung disease
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
vasculitis, Behcet disease ... Goodpasture's Disease ... • Labs: CBC, cr ... , anti-CCP • CXR ... resolution chest CT
Fournier’s Gangrene - Physical examination was notable for necrotic-appearing tissue in the scrotum and perineum, with
perineum, with areas ... Clinical #Surgery #CT ... #Subcutaneous #NEJM
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
to metastatic disease ... Systemic Diseases ... common: lung, breast ... common: lung, breast ... Diagnosis #causes #primarycare
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Pott's Disease in ... from TB endemic areas ... tissue damage - CXR ... involvement - CT ... CMC_IM #Potts #Disease
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
especially in areas ... sun (e.g., palm creases ... ) Peptic Ulcer disease ... 2) Cushing's disease ... • In Cushing's disease
Pathways Involved in Protein and Amino Acid Metabolism in Chronic Kidney Disease. The tricarboxylic acid (TCA)
Chronic Kidney Disease ... Urea is synthesized ... through the urea ... AminoAcidMetabolism #Pathways #NEJM
Summary table of common benign breast diseases and how to manage them. 
Fibroadenoma:
 • Most common
common benign breast ... diseases and how ... High mobile - "breast ... e.g. biopsy, car ... #diseases #benign