59 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... and gut, which causes ... #clincial #peds ... #adrenal #calcifications ... #infant #NEJM #
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
& hemorrhagic rash ... disseminates in blood ... fetal blood vessel ... Vesicular & pruritic rash ... #Immunization #peds
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotension Blood ... • Vasodilatory meds ... • Adrenal insufficiency ... Anaphylaxis • Adrenal ... differential #diagnosis #causes
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Major Clinical Trials ... Care TRICC - NEJM ... Transfusing blood ... Blood saves lives ... unnecessary and cause
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... visits, Ambulatory blood ... multi-drug resistance) Renal ... • Bilateral RAS ... • Unilateral RAS
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 ... , hypotension, rash ... immunosuppressive meds ... dermatology #legs #clinical
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Investigations: full blood ... osmolarity If cause ... investigations depending on clinical ... screen, including blood ... Diagnosis #nephrology #causes
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Fulminans Skin Rash ... rigors, diarrhea, nausea ... new full-body rash ... Your blood cxs identify ... #clinical #photo
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... ), RV Failure (PE ... Toxins (CCB, BB, BRASH ... Failure, Endocrine (adrenal ... albumin, trauma), Renal
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
increased lability in blood ... hypertension (blood ... 109 mm Hg) with clinical ... hypertension (blood ... Causes: • Vascular