312 results
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 ... loss of vision, and ... Orbital #Apex #Syndrome ... #Clinical #Video ... #PhysicalExam #NEJM
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
Dacrocytes (tear ... poikilocytes resemble a pear ... each of the above photos ... , thalassemia, and ... #Clinical #Path
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded Skin Syndrome ... (SSSS) A 5-year-old ... Scalded #Skin #Syndrome ... #SSSS #Clinical ... #Photo #Peds #Pediatrics
Acanthosis Nigricans and Insulin Resistance - A 27-year-old woman presented with a 2-year history of acanthosis
Acanthosis Nigricans and ... presented with a 2-year ... nigricans (Panels A and ... B) #Clinical #Derm ... Acanthosis #Nigricans #NEJM
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
the brain, eye, and ... ear Visual or ... several common and ... early diagnosis and ... #inflammatory #differential
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag Syndrome ... Purple #Urine #Bag #Syndrome ... pathophysiology #clinical ... #photo #differential
Chondrodermatitis nodularis 
 - Scaly papule on ear, usually helix 
 - Painful, especially when sleeping
Scaly papule on ear ... changes to the ear ... and cartilage ... Diagnosis #Benign #Clinical ... #Photo
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
Subjective Tinnitus: Pathogenesis and clinical findings
Subjective Tinnitus - Perceived sound with no acoustic stimulus, heard only
: Pathogenesis and ... clinical findings ... the ear, perceived ... by patient AND ... pathophysiology #differential
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... : • Common Clinical ... Features: alveolitis, ear ... and nose chondritis ... myeloid cells NEJM