529 results
Rib Fracture Associated with Bordetella pertussis Infection - Physical examination revealed a large ecchymosis across her
with Bordetella pertussis ... Radiology #CT #Pertussis ... #BordetellaPertussis
Post-Exposure Prophylaxis (PEP) for Pertussis
 • Highly contagious, secondary attack rate 80% in susceptible individuals!
 •
Prophylaxis (PEP) for Pertussis ... household & close contacts ... - Direct contact ... Prophylaxis #PEP #Pertussis
Contact Dermatitis: Inflammatory response to topical irritant. Note the linear distribution 
across the knuckles, caused by
Contact Dermatitis ... knuckles, caused by contact ... Dermatology #SkinRash #Contact
Vesiculobullous Skin Rash - Differential Diagnosis Algorithm
Vesicles Fragile/EasiIy Ruptured - Intraepidermal blisters, possibly crusts/erosions
 - Inflammatory
Agent • Contact ... blisters, tense intact
Allergic Contact Dermatitis 
- Erythematous, indurated, scaly plaques 
- T-cell mediated, delayed-type hypersensitivity response to exogenous
Allergic Contact ... exogenous agents #Contact
Contact Precautions for MRSA & VRE 
Choosing Wisely: Things We Do For No Reason

Source Article: https://www.journalofhospitalmedicine.com/jhospmed/article/195053/hospital-medicine/things-we-do-no-reason-contact-precautions-mrsa-and-vre
Rebuttal
Contact Precautions ... things-we-do-no-reason-contact-precautions-mrsa-and-vre ... things-we-do-good-reasons-contact-precautions-multidrug
Mental Status Exam (MSE)
Note: The MSE is a "snapshot" of a patient at a specific time.
You
Perception, Thought content ... activity, eye contact ... , avoiding eye contact ... circumstantial • Thought Content
Red Leg - Cellulitis Mimickers
 - Unilateral
     • Contact Dermatitis
Unilateral • Contact
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
associated with initial contact ... initial ST-papilla contact ... beneficial to inject contrast
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
people do not contract ... factors: Close contact