35 results
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... 10% Crab, few cases ... Rapid onset of fever ... sepsis: chronic liver ... legs #clinical #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
Vibrio vulnificus ... vulnificus can cause ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
symptoms, elevated liver ... should be TS and SF level ... A liver biopsy can ... of liver disease ... algorithm #diagnosis #management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Stabilization Concern for Liver ... Consult GI ± EGD Causes ... GAVE (idiopathic, liver ... Differential #Diagnosis #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Transfer to a liver ... #AFLP #Fatty #Liver
Waterborne Infections - Differential Diagnosis Framework

Infections that can be acquired from fresh water, brackish water, sea
(Shigella) • Vibrio ... Cholera/Vibrio ... vulnificus • Vibrio ... Meningitis - Liver ... - And, in rare cases
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... blood vessels, liver ... syphilis #clinical #photo
Stress Dose Steroids - Medical and Surgery Indications
Minor Stress:
 • Inguinal hernia repair
 • Mid febrile
• Mid-moderate nausea ... Procedure • Liver ... Indications #Dosing #management
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
- Nonremitting fever ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... PT ↑ PTT • ↑ Fibrin ... Syndrome #Diagnosis #Management
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... General: fever, ... heart (2-5%), liver ... syndrome: ACUTE, fever ... Sarcoidosis #Diagnosis #Management