leptospirosis algorithm peds em im causes pcc diagnosis centor clinical cullen borrelia icu

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Cullen's sign. Lipase 1,781. Bruising in the skin around the umbilicus. This sign is named after

the early 20th century ... conditions that cause ... #cullensign #em ... #peritonitis #IM ... #FM #ICU #surgery

Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever

Vector and epidemiology ... LBRF can be diagnosed ... can be used for diagnosis ... or PenG 800K U IM ... microscopy #pathology #clinical

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