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diagnosis dermatology differential rash clinical algorithm vesicular vesiculobullous cellulitis common distribution extremity granuloma infection leg lesions lower majocchis management microscopy
Algorithm for Diagnosis of the Vesiculobullous Rash Febrile, Diffuse Distribution: - Varicella, Smallpox, Disseminated, Gonococcal,
Fasciitis, Hand Foot ... & Mouth Disease ... Contact Dermatitis, Herpes ... Zoster, Dyshidrotic ... #Dermatology #Skin
Vesiculobullous Rashes - THE ALGORITHMIC APPROACH Vesiculobullous rashes provoke significant angst in many physicians (Figure 5, page
fasciitis and hand-foot-and-mouth ... disease present ... is simpler and less ... contact dermatitis, herpes ... zoster, dyshidrotic
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
Vibrio Vulnificus skin ... gulf of Mexico Oyster ... Hippocrates in 5 BC as foot ... #dermatology #legs ... #clinical #photo
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
disease • Slipped ... Epidural abscess - Herpes ... zoster - HIV ... - Lyme disease ... pain/swelling - Fever
Secondary Syphilis Rash Secondary syphilis is the most contagious of all the stages of this disease, and
stages of this disease ... Skin rash and malaise ... ) ▪ Malaise, fever ... 30%) ▪ Moist, heaped ... Diagnosis #Clinical #Photo
Pustular Skin Lesions - Differential Diagnosis Framework What are pustules? • Pustules < 5-10 mm + pus • Material
disease Pustular ... Herpes zoster 3 ... Herpes simplex ... Generalized itchy rash ... Pustules + Fever
Common Dermatological Conditions - Distribution and Morphology • Acne vulgaris - Face, upper back, chest -
Ankles, lower legs ... dorsal aspect of foot-shoe ... crusted erosions • Herpes ... zoster - Dermatomal ... #dermatology #rash
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... back pain at/near level ... defined sensory level ... zoster, West Nile ... virus - Herpes
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
and branches • Fever ... arthralgia, arm/leg ... muscle weakness • Nerves ... , mucositis • Rash ... purpura (lower legs
Majocchi’s Granuloma due to Trichophyton rubrum This is GMS stain and culture of a skin biopsy
and culture of a skin ... No fever. ... / foot + tinea ... Clinic Infectious Diseases ... rubrum #clinical #photo
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