33 results
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... Purple #Urine #Bag ... Syndrome #PUBS #pathophysiology ... #clinical #photo ... #differential #
Erythroderma - Diagnostic Algorithm. Pathophysiology: 1) Extensive cutaneous capillary dilation, results in widespread exfoliation of the
Pathophysiology: ... epidermal turnover rate ... accelerated mitotic rate ... #Dermatology #Rash ... Nikolsky #Algorithm #Differential
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... the latent and late ... lesions—Condyloma lata—on ... #Diagnosis #Clinical ... #Photo #Dermatology
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Christmas Tree Rash ... palms/soles - Differential ... ChristmasTree #Rash ... Pityriasis #rosea #clinical ... #dermatology #photo
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
dermatidis • Sensitivity ... cut-offs defined in clinical ... : Mucorales • Sensitivity ... GM does not differentiate ... disease - Sensitivity
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Fulminans Skin Rash ... nausea. 2hrs later ... new full-body rash ... fulminans) and critical ... #clinical #photo
Acute Schistosomiasis: Katayama Fever
 • Most common in travelers and children
 • "Swimmers Itch" in the
or urticarial rash ... rapid increase in Ag ... Fever #diagnosis #clinical ... #photo
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... at Chesapeake Bay ... , hypotension, rash ... dermatology #legs #clinical ... #photo
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Pads on patient, Crash ... Pain • ECG: Bad ... Turn rate to 30bpm ... above intrinsic rate ... bradycardia #diagnosis #differential
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Galactomannan Testing Sensitivity ... cut-offs defined in clinical ... >90% (In most clinical ... does not differentiate ... invasive dz • Sensitivity