12 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... acid lipase is critical ... #clincial #peds ... calcifications #infant #NEJM ... #Wolmans #radiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT Syndrome ... consider long term ... QT prolonging meds ... Congenital #LongQT #Syndrome ... #Diagnosis #Cardiology
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... #NEJM #clinical ... #photo #peds #acute
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
and persists > 12 ... patients • HELLP: Syndrome ... ↑ in anti HTN meds ... so have high clinical ... htn #obstetrics #cardiology
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
staining confirmed a diagnosis ... #clinical #photo ... #derm #NEJM #cutaneous
Froin’s Syndrome - On lumbar puncture, the cerebrospinal fluid (CSF) was xanthochromic, viscous, and coagulated in
Froin’s Syndrome ... lesion at T11–T12 ... #Clinical #Radiology ... Myelography #Froin #Syndrome ... FroinSyndrome #NEJM
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
sawtooth rete pegs ... confirming the diagnosis ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
A diagnosis of pyoderma ... #clinical #photo ... #NEJM #pyoderma ... ulcerative #colitis #derm
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
superior vena cava syndrome ... #clinical #photo ... #NEJM #Pembertons ... #sign #radiology