25 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
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... Myelogenous Leukemia • Primary ... effect following treatment ... Diagnosis #Algorithm #Causes ... #Hematology
Histoplasmosis - Histoplasma capsulatum 
Found in Spelunkers. Caves. Bat and Bird droppings
Distribution: Mississippi and Ohio River
Caves. ... River Valleys Clinical ... asymptomatic • Disseminated ... immunocompromised • Primary ... infection: TB-like Treatment
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
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Extravascular Causes ... anemia): - Disseminated ... usually IgM) (e.g. primary ... Extravascular #Causes ... differential #diagnosis #hematology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Disseminated Intravascular ... organ damage Clinical ... : • Treat primary ... cause • Correct ... #hematology
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
with or without treatment ... , but without treatment ... resembling rashes caused ... Rash #Diagnosis #Clinical ... #Photo #Dermatology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... without other cause ... : 33% • Treatment ... Transfusion #Reactions #hematology ... #diagnosis #comparison
Our approach to the diagnosis and initial management of patients with suspected HIT. Our approach is
approach is based primarily ... on clinical assessment ... Estimates of the clinical ... and to adjust treatment ... Diagnosis #Management #Hematology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... assessment+++ Primary ... Drugs, Unknown cause ... Treatment: • ... #summary #rheumatology