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diagnosis differential algorithm canimorsus clinical photo skin ascites bone cats dermatology disease dogs enlarged fever fulminans hypertension immunecompromised immunocompromised infection
Acute Purpura Fulminans Skin Rash on Physical Exam 60 year old male ITP s/p splenectomy 1d
rigors, diarrhea, nausea ... Vibrio, aeromonas, Capnocytophaga ... in setting of asplenia ... Final dx: Septic ... BIDMC_IDFellows #Capnocytophaga
Causes of Splenomegaly - Differential Diagnosis Algorithm Infectious • Bacterial • Viral (EBV) • Parasitic • Fungal Congestive
Causes of Splenomegaly ... Hepatic, Portal, ... Splenic) Infiltrative ... Diagnosis #Algorithm #Causes ... #Hematology
Capnocytophaga Canimorsus Skin Rash 40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... underlying r.f as asplenia ... patients who are asplenic ... #dermatology #clinical
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... thrombosis • Splenic ... Hypertension - Hepatic ... Diagnosis #Algorithm #Hepatology ... #causes
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
hepatorenal syndrome Clues ... : • Cardiac causes ... thrombosis • Splenic ... Differential #Diagnosis #causes ... #hepatology
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... Osteomyelitis / Septic ... Common d/t impaired splenic ... differential #diagnosis #causes ... #hematology
Capnocytophaga GNR with long fusiform shape. Fastidious facultative anaerobe that grows slowly and needs enriched agar C.
Capnocytophaga GNR ... = most common cause ... clinical scenario: septic ... shock with fever, rash ... immunocompromised host, asplenia
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm Structural Defect - Asplenia/HypospIenism • Bacteremia/Septic
Causes of Fever ... Structural Defect - Asplenia ... • Bacteremia/Septic ... Diagnosis #Algorithm #Causes ... #Hematology
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