8 results
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Purpura Fulminans Skin ... rigors, diarrhea, nausea ... in multipressor shock ... Your blood cxs identify ... #Rash #clinical
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 ... surgical, GIB), Skin
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
& hemorrhagic rash ... ; symptoms of shock ... fetal blood vessel ... that persists as skin ... #Immunization #peds
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 ... O2 delivery • PE ... #differential #causes
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 ... O2 delivery • PE ... #differential #causes
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Pathogenesis and Clinical ... enzyme 21-OHase causes ... vomiting • Late (shock ... cold & mottled skin ... endocrinology #peds
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... PRES-Associated Clinical ... Infection/Sepsis/Shock ... elevated white blood ... the underlying cause
Uremic Frost in End-Stage Renal Disease- A 39-year-old man with end-stage renal disease presented to the
with anorexia, nausea ... urine output...His skin ... studies showed a blood ... of urea on the skin ... #NEJM #clinical