58 results
Acanthosis Nigricans and Insulin Resistance - A 27-year-old woman presented with a 2-year history of acanthosis
Resistance - A 27-year-old ... presented with a 2-year ... B) #Clinical #Derm ... Acanthosis #Nigricans #NEJM
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... retro-orbital pain, near-complete ... Orbital #Apex #Syndrome ... #PhysicalExam #NEJM
Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left
A 43-year-old man ... #Clinical #Derm ... Lymphangitis #Abdominal #NEJM
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... brain, eye, and ear ... causes: • Susac syndrome ... • Sjögren syndrome ... #inflammatory #differential
Causes of SVC Syndrome - Differential Diagnosis Framework
 • Benign (15-40%): Thrombosis (aka catheter-associated), Goiter, Fibrosing
Causes of SVC Syndrome ... - Differential ... SCLC, NSCLC, NHL, Germ ... SCVMCMed #SVC #Syndrome ... #Differential #
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... • Extragonadal Germ ... Klinefelter's Syndrome ... • Kallman's Syndrome ... #Gynecomastia #Differential
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Independent: • Tea ... and Toast Syndrome ... failure, nephrotic syndrome ... #Hyponatremia #Differential
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
• Esophagus: Tear ... Weiss, Boerhaave syndrome ... Lower #GIBleed #differential
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... Features: alveolitis, ear ... myelodysplastic syndrome ... myelodysplastic syndrome ... myeloid cells NEJM
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... Young females Differential ... - no light-near