46 results
Secondary Disseminated Syphilis

Case from my residency that @EstradaElJefe helped me publish in JGIM. One important finding
Secondary Disseminated ... Syphilis Case ... /ReafordRJ #Syphilis ... #Secondary #Disseminated ... #Dermatology #Clinical
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Arthritis • Disseminated ... • Secondary Syphilis ... like rash) • Primary ... #Orthopedics #Causes
Histoplasmosis - Histoplasma capsulatum 
Found in Spelunkers. Caves. Bat and Bird droppings
Distribution: Mississippi and Ohio River
Caves. ... River Valleys Clinical ... asymptomatic • Disseminated ... immunocompromised • Primary ... : TB-like Treatment
Genital Lesions - Differential Diagnosis Algorithm
Elevated - Vesicles:
 • Herpes simplex
Elevated - Papules / Plaques -
• Secondary Syphilis ... - Painless • Primary ... syphilis (chancre ... #skinlesions #dermatology ... Diagnosis #Algorithm #causes
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Syphilis - Clinical ... 1) Primary Syphilis ... responsible for most cases ... 30 years after primary ... • Primary, secondary
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Primary Syphilis ... Without treatment ... soles in 50% of cases ... to asymptomatic infection ... Comprehensive Review of Infectious
Primary Syphilis
Usually, a single ulcer (chancre) appears at the site where the bacteria entered the body.
Primary Syphilis ... heals without treatment ... administered, the infection ... #Primary #Syphilis ... Chancres #Diagnosis #Clinical
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Extravascular Causes ... anemia): - Disseminated ... usually IgM) (e.g. primary ... spherocytosis) • Infections ... Extravascular #Causes
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... Myelogenous Leukemia • Primary ... Myelofibrosis Infectious ... effect following treatment ... #Hematology
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
, but without treatment ... , the infection ... resembling rashes caused ... Rash #Diagnosis #Clinical ... #Photo #Dermatology