13 results
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... , hypotension, rash ... sepsis: chronic liver ... skin #infection #rash ... legs #clinical #photo
Spider Angioma: Dialated superficial arterioles, most commonly associated with advanced liver disease.

Charlie Goldberg, M.D. - UCSD
with advanced liver ... Images #Clinical #Photo ... #Dermatology #Rash
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
Vibrio vulnificus ... urgently, and Vibrio ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
with urticarial rash ... Rash: • Nonpruritic ... maculopapular skin rash ... /splenomegaly, liver ... #rheumatology #management
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Petechial or purpuric rash ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... PT ↑ PTT • ↑ Fibrin ... Syndrome #Diagnosis #Management
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
(2+): kidneys, liver ... erythematous macular rash ... STSS #treatment #management
Case of Fitz-Hugh-Curtis (FHC) Adhesions

28F +4d RUQ pain worse w/ inspiration, 102F fever, no vaginal discharge,
inspiration, 102F fever ... vaginal discharge, rash ... enhancement of liver ... FHC #Clinical #Photo
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
without significant fibrin ... DIC • Severe Liver ... causes #treatment #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Sedation Scale (RASS ... tool to assess level ... bradycardia. renal/liver ... CriticalCare #diagnosis #management
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
S/sx: Fever, flank ... maculopapular rash ... Sx include: fever ... eruptions, diarrhea, liver ... Transfusion #diagnosis #management