12 results
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... in 5 BC as foot cellulitis ... immunosuppressive meds ... #cellulitis #dermatology ... #legs #clinical
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 #
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 ... • Nephritic syndrome ... • Bilateral RAS ... • Unilateral RAS
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), RV Failure (PE ... Toxins (CCB, BB, BRASH ... syndrome etc), ... cytokine release syndrome ... Failure, Endocrine (adrenal
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 • Nephritic syndrome (Casts)
 • Marked proteinuria (may be
Management Summary CLINICAL ... • Nephritic syndrome ... (Casts) • Marked ... • Often severe renal ... • Vasculitic rash
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... possible orbital cellulitis ... improvement in the rash ... other potential causes ... Ophthalmicus #HZO #clinical
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Immunosuppressive agents, Renal ... the underlying cause ... Seizures: Treat with AEDs ... until cause identified
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Sedation Scale (RASS ... will vary with clinical ... Propofol infusion syndrome ... , bradycardia. renal ... dissociative drug, it causes