11 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... acid lipase is critical ... and gut, which causes ... #clincial #peds ... #infant #NEJM #
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... , hypotension, rash ... immunosuppressive meds ... dermatology #legs #clinical ... #photo
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat clinic ... multi-drug resistance) Renal ... • Bilateral RAS ... • Unilateral RAS
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Moccasin-variety Tinea Pedis ... Over the years: rash ... dermatophytes cause ... Variety #type #clinical ... #photo #foot #dermatology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Immunosuppressive agents, Renal ... Reversible course Differential ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified
Mycoplasma pneumoniae–Associated Mucositis- ...severe mucositis developed that involved the lips, buccal mucosa (Panel A), conjunctivae, and
In this case, the ... clinical presentation ... mycoplasma-induced rash ... #clinical #photo ... #NEJM #mycoplasma
Monkeypox Skin Rash
30 yr F and her 6 yr daughter purchased 2 prairie dogs 10 days
Monkeypox Skin Rash ... dogs 10 days ago (pers ... monkeypox.’ 1st human case ... Monkeypox #SkinRash #clinical ... #photo #dermatology
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
sawtooth rete pegs ... Although the cause ... more extensive cases ... #NEJM #clinical ... #photo #lichen #