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Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
Panel A), arms, and ... spaces on the hands ... #Clinical #Derm ... #Pathology #Scabies ... Microscopy #Rash #NEJM
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
relapsing fever #Clinical ... #Pathology #BorreliaRecurrentis ... Smear #Microscopy #NEJM
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
pulmonary hypertension and ... patient to raise hand ... effect as seen in pathology ... Regurgitation #Severe #TR #Wrist ... PhysicalExam #Cardiology #Clinical
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Eyelid Melanoma - Despite conservative interventions, the stye had persisted and the skin had become noticeably
persisted and the ... skin had become ... mitogenesis (Panel C) #Clinical ... #Pathology #Derm ... Melanoma #Microscopy #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
rhodesiense) (Panel B) #Clinical ... #Derm #Pathology ... TrypanosomaBrucei #NEJM
Radial Nerve Anatomy and Function
The Radial nerve is the nerve of elbow, wrist and digital extension.
nerve of elbow, wrist ... the wrist and elbow ... When clinically ... not involve a wrist ... ulnarly deviated wrist
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
#Clinical #Photo ... Mandibularis #Rash #NEJM
Strongyloides stercoralis Hyperinfection - Physical examination revealed reticulated purpuric patches with dusky centers on the abdomen,
groin, penis, and ... Panel B, arrow) and ... #Clinical #Derm ... #Pathology #InfectiousDisease ... FilariformLarvae #Microscopy #NEJM
Tinea Versicolor - Physical examination revealed large, coalescing, hypopigmented patches and macules on her torso and
macules on her torso and ... in a “spaghetti and ... #Clinical #Derm ... #Pathology #Tinea ... Microscopy #Spaghetti #NEJM
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... (Panel A), and ... dorsum of the hand ... #clinical #photo ... #NEJM #vibrio #