40 results
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
although hepatic causes ... They can be grouped ... - Inherited Urea ... of ammonia: - Urease ... Reye syndrome (Peds
Summary table of common benign breast diseases and how to manage them. 
Fibroadenoma:
 • Most common
surrounding tissue • Can ... e.g. biopsy, car ... bruising/erythema/sign ... mastitis • Usually caused ... diagnosis #surgery #causes
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
Brudzinski’s Sign ... Brudzinski's sign ... Passive neck flexion causes ... involuntary reflex to create ... PhysicalExam #Pediatrics #Peds
Lymphadenopathy - Differential Diagnosis Algorithm
Localized: 
 • Cervical: EBV, CMV, HIV, Toxo, TB, Lymphoma, Head /
Axillary: Infection (Cat ... scratch, Tularemia), Breast ... Anti-epileptic drugs (AEDs ... Diagnosis #Algorithm #Causes
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
3.5 by 4.5 cm had ... and ecchymoses had ... cause skin infections ... #clinical #photo ... #NEJM #vibrio #
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can ... cause adrenal calcification ... bronzing") - Palmar creases
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... hemolytic anemia, CKD ... immunosuppressive meds ... Vibrio vulnificus can ... legs #clinical #photo
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
The anterior fat pad ... posterior fat pad ... So even in a case ... posterior fat pad ... called the “Sail sign
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
dacryocystitis can ... #NEJM #clinical ... #photo #peds #acute
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
lesions, which had ... hyperkeratotic central areas ... from Somalia, had ... #clinical #photo ... #NEJM #tinea #capitis