16 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
abdomen revealed calcification ... 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 ... , hypotension, rash ... immunosuppressive meds ... dermatology #legs #clinical
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... 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
Shock Overview ... death Common Clinical ... anaphylaxis, toxins/meds ... O2 delivery • PE ... #differential #causes
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 ... Moccasin tinea pedis ... Variety #type #clinical
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis Overview ... Clinical Picture ... Diagnosis - Clinical ... Clinical DX: - ... immunosuppressants - Meds
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Syndrome (PRES) Overview ... Clinico-Radiological ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified
Examination revealed exudative tonsillitis (Panel A), strawberry tongue, and cervical adenopathy with tenderness. Skin examination revealed
punctate papules that caused ... #Clinical #PrimaryCare ... #ScarletFever #Rash ... StrepPyogenes #NEJM
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
Clinical Trial of ... NEJM 2018 https ... out what does cause ... VisualAbstract #Peds ... Infusion #Rates #NEJM
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome Overview ... Hypocomplementemia • Can cause ... salivary ducts Clinical ... Xerostomia • Dental caries ... effusion, INC risk PE