20 results
Fournier’s Gangrene - Physical examination was notable for necrotic-appearing tissue in the scrotum and perineum, with
induration and crepitus ... in addition to air ... wall (Panel B) #Clinical ... #Subcutaneous #NEJM
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
Palpable Skin Crepitus ... extensive palpable crepitus ... But the term is ... skin #Palpable #Crepitus ... #PhysicalExam #Clinical
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Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
, which showed air ... #Clinical #Derm ... Pneumatosis #CT #NEJM
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... intrinsic factor, IF) Clinical ... • P/E - GI and derm ... Check for IF ab Treatment ... , can consider IM
A 27-year-old man with a 2-year history of recurrent, painful skin lesions. A diagnosis of hidradenitis
#Clinical #Derm ... #IM #Hidradenitis ... HidradenitisSuppurativa #NEJM
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Incubation period: 3-12 ... Lutzomyia verrucarum Clinical ... toxo reactivation Clinical ... Chronic phase: Derm ... TREATMENT: ​• Acute
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
long - Delay>12 ... injury or after IM ... vesicles, and crepitus ... including DM • Treatment ... diagnosis #management #treatment
Immunosuppressive Strategies for the Prevention or Treatment of Acute GVHD. Panel A shows several classic immunosuppressive
Prevention or Treatment ... are in routine clinical ... been tested in clinical ... Pathophysiology #IM ... Immunosuppression #NEJM
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
after 1 week of treatment ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
Treatment with broad-spectrum ... #Clinical #Derm ... #EM #IM #PurpuraFulminans ... Meningococcemia #NEJM