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diagnosis cellulitis dermatology fingernails infection infections infectiousdiseases management nejm physicalexam vulnificus bullae cardiology differential frost fungal hands hematoma legs melioidosis
Terry's Nails Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Terry's Nails ... advanced age, liver ... #Terrys #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
skin infection ... sepsis: chronic liver ... #Vulnificus #skin ... dermatology #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 skin ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Terry's Nails Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails ... studied) with liver ... spider angiomas and skin ... #PhysicalExam #Clinical ... #Photo
Waterborne Infections - Differential Diagnosis Framework Infections that can be acquired from fresh water, brackish water, sea
(Shigella) • Vibrio ... Cholera/Vibrio ... Blooms (HABs) Skin ... is biphasic • Clinical ... Meningitis - Liver
Melioidosis - Skin Infection 63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
Melioidosis - Skin ... diabetes with c/o fever ... , alcoholism, liver ... Infection #Cellulitis #Clinical ... #Photo #dermatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Lacrimal swelling • Skin ... salivary ducts Clinical ... amyloidosis, PAH Skin ... vasculitis: 10%-16% Liver ... Symptomatic: artificial tears
Uremic Frost in End-Stage Renal Disease- A 39-year-old man with end-stage renal disease presented to the
urine output...His skin ... ), a sodium level ... of urea on the skin ... #NEJM #clinical ... #photo #renal #urology
Pocket Hematoma after Pacemaker Placement A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
techniques and fibrin ... dehiscence or skin ... indicated against skin ... Pocket #Hematoma #clinical ... #Pacemaker #photo
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
has five major clinical ... Mississippi and Ohio River ... osteomyelitis or skin ... fungal stain of clinical ... , A. niger, A. terreus
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