Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis ... Skin rash and malaise ... , the infection ... resembling rashes caused ... #Photo #Dermatology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... Secondary Syphilis ... soles in 50% of cases ... and nephrotic syndrome ... granuIomas on skin
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 β€’ Direct lesion contact during sex is responsible
Syphilis - Clinical ... responsible for most cases ... . 2) Secondary ... weight loss β€’ Skin ... Albuminuria, nephrotic syndrome
MIAMI Mnemonic for Differential Diagnosis of Lymphadenopathy
Malignancies
 - Kaposi sarcoma, leukemias, lymphomas, metastases, skin neoplasms
Infections
 -
lymphomas, metastases, skin ... venereum, primary and secondary ... syphilis, tuberculosis ... arthritis, SjΓΆgren syndrome ... sarcoidosis Iatrogenic causes
β–Ί
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 β€’ Primary hypereosinophilic syndrome
 β€’ Eosinophilic Leukemia
 β€’ MPN/MDS
Differential Diagnosis Algorithm ... familial eosinophilia Secondary ... GI, lung, skin), ... eosinophilia) β€’ Infectious ... Leprosy), Bacterial (syphilis
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... β€’ Screen for secondary ... (common causes ... glucocorticoid treatment ... symptoms (eg, skin
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... oral antibiotic treatment ... or those with clinical ... including those caused ... #SSTIs #Algorithm
Primary Syphilis
Usually, a single ulcer (chancre) appears at the site where the bacteria entered the body.
heals without treatment ... administered, the infection ... progresses to the secondary ... Chancres #Diagnosis #Clinical ... #Photo
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Purpura Fulminans Skin ... purpura fulminans secondary ... - BIDMC Infectious ... #Rash #clinical ... #photo
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
β€’ Syndrome caused ... progressive inflammatory infection ... the fascia, with secondary ... over the involved skin ... area of erythema, skin