49 results
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
, interdigital areas ... , and genital areas ... C) #Clinical #Derm ... 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
Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left
toward her left breast ... #Clinical #Derm ... Lymphangitis #Abdominal #NEJM
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
birefringent crystals Treatment ... medications • Acute ... • Colchicine: Acute ... and chronic treatment ... diagnosis #management #treatment
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
hyperkeratotic central areas ... after 1 week of treatment ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
Acute Dacryocystitis ... a diagnosis of acute ... the first day of treatment ... #NEJM #clinical ... #photo #peds #acute
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
maintain long-term ... volume overload Urea ... into ammonium by urease-producing ... hyponatremia #nephrology #treatment
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Presentation ​- Acute ... DIAGNOSIS: ​• Acute ... Chronic phase: Derm ... TREATMENT: ​• Acute
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... this as a long-term ... Urea powder • Induces ... into ammonium by urease-producing ... hyponatremia #nephrology #treatment
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
ED Treatment of ... thromboembolic disease, breast ... endometrial path0100' or breast ... follow-up for long-term