13 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... deficiency, or Wolman’s disease ... acid lipase is critical ... #clincial #peds ... calcifications #infant #NEJM
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... Evaluation: 1. ... Marfans, EDS ... • Aortic valve disease ... Aortic #Dissection #diagnosis
Algorithm for the Evaluation of Kawasaki and Incomplete Kawasaki Disease:
Diagnosis
* Fever >5d
* Criteria (4/5)
  -
Algorithm for the Evaluation ... Incomplete Kawasaki Disease ... : Diagnosis * ... #Peds #Pediatrics ... Workup #Algorithm #Ddxof
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
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Evaluation of suspected ... incomplete Kawasaki Disease ... if they have no clinical ... those >day 10 with clinical ... #Diagnosis #Peds
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Moccasin-variety Tinea Pedis ... Diagnosis? ... University Infectious Diseases ... Variety #type #clinical ... #photo #foot #dermatology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
and Differential Diagnosis ... Approach (when evaluation ... 109 mm Hg) with clinical ... Coarctation of aorta ... Renal parenchymal disease
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Change in clinical ... Cataract Plan for Meds ... perioperative #Risk #Evaluation ... stratification #diagnosis
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
sawtooth rete pegs ... confirming the diagnosis ... an autoimmune disease ... #NEJM #clinical ... #photo #lichen #
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
A diagnosis of pyoderma ... underlying systemic disease ... inflammatory bowel disease ... #clinical #photo ... #NEJM #pyoderma