44 results
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
were visible (arrows ... louseborne relapsing fever ... Smear #Microscopy #NEJM
Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the
computed tomography (CT ... Panels A and B, arrows ... excretory phase on CT ... ureter (Panel C, arrows ... AcidFastBacilli #Microscopy #NEJM
Emphysematous Prostatitis - Radiography of the kidney, ureter, and bladder showed an atypical focus of gas
ramus (Panel A, arrows ... computed tomography (CT ... Clinical #Radiology #CT ... #Prostatitis #NEJM
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... Red Flags: • Fever ... refer + order CT ... Differential #Diagnosis #Algorithm
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
Erythematous Rashes - THE ALGORITHMIC ... or absence of fever ... diagnosis is narrowed ... If fever is present ... Erythematous #Rash #Algorithm
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... examination - Fever ... include cranial CT ... Delirium #Management #Algorithm
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Refer to your ‘Fever ... Returning Traveler’ algorithm ... Bone marrow biopsy ... udaygulati #FUO #Fever
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... ; however, an algorithmic ... the physician narrow ... petechiae/purpura with fever ... petechiae/purpura with fever
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
cystitis, may have fever ... infection, such as fever ... , specifically CT ... antibiotics early, may narrow
Salmonella enterica Aortitis - chest radiograph showed enlargement of the aortic arch, with deviation of the
side (Panel A, arrow ... Panels B and C, arrows ... Radiology #CXR #CT ... Enterica #Aortitis #NEJM