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 ... marine microbiota & causes ... immunosuppressive meds ... dermatology #legs #clinical ... #photo
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
based on repeat clinic ... multi-drug resistance) Renal ... • Bilateral RAS ... • Unilateral RAS ... HTN #Secondary #Nephrology
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 • Nephritic syndrome (Casts)
 • Marked proteinuria (may be
Management Summary CLINICAL ... Nephritic syndrome (Casts ... • Often severe renal ... • Vasculitic rash ... GlomeruloNephritis #nephrology
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Immunosuppressive agents, Renal ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified ... diagnosis #management #neurology
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 #
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
Scleroderma Renal ... Crisis (SRC) Clinical ... , add other BP meds ... • Refractory cases ... #rheumatology #nephrology