33 results
Nikolsky’s Sign - Febrile & Positive Nikolsky’s Sign: Patients in this group have the potential to
sick (Fever + Rash ... large amounts of skin ... #Clinical #EM #IM
Common Causes of the Different Categories of Dizziness #Diagnosis #PrimaryCare #EM #IM #Differential #Dizziness #Vertigo #Disequilibrium
#PrimaryCare #EM ... Lightheadedness #Table #NEJM
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
Finally, skin scrapings ... Scabies #Microscopy #Rash ... #NEJM
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
diffuse violaceous skin ... Clinical #Derm #EM ... Pneumatosis #CT #NEJM
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
erythematous and scaly rash ... examination of a skin ... Scabies #Microscopy #NEJM
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Clinical #Cardiology #EM ... Hyperkalemia #PeakedT #NEJM
Petechiae are small, red lesions caused when capillaries leak blood into the skin. Petechiae larger than
blood into the skin ... purpura #Clinical #EM
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
Approach to Fever and Rash ... Parvovirus 819 / EBV ... Secondary syphilis, EM ... WuidQ #Fever #Rash
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
hypovolemia (dry MM, skin ... seizure) #Pathophys #EM
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
status (edema, JVD, skin ... history #Diagnosis #EM