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Leptospirosis

Jul 20, 2017 by in Uncategorized Comments Off on Leptospirosis

Fig 60.1 (a, b) Generalized jaundice Fig. 60.2 (a, b) Ecchymosis (left) and dark urine demonstrating hemoglobinuria Fig. 60.3 (a, b) Conjunctival suffusion Question What is the diagnosis? Answer Leptospirosis…

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Invasive Aspergillus

Jul 20, 2017 by in Uncategorized Comments Off on Invasive Aspergillus

Fig. 54.1 Multiple peribronchovascular opacities with spiculated consolidative peripheral opacity in left upper lobe Fig. 54.2 Patchy peribronchovascular opacities present in both lungs Fig. 54.3 Cavitary foci within the consolidative…

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Chikungunya

Jul 20, 2017 by in Uncategorized Comments Off on Chikungunya

Fig. 59.1 Maculopapular rash (Courtesy of Dr. Jorge Hidalgo, from Karl Heusner Memorial Hospital Belize) Question What diagnostic approach should be undertaken? Answer The presence of fever and arthralgias is…

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Management of Acute Liver Failure

Jul 20, 2017 by in Uncategorized Comments Off on Management of Acute Liver Failure

Fig. 64.1 Non-contrast head CT at initial presentation. There was no evidence of cerebral edema despite markedly impaired mental status Broad-spectrum antibiotics consisting of vancomycin and cefepime were started given…

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Dengue

Jul 20, 2017 by in Uncategorized Comments Off on Dengue

Fig. 58.1 Petechial rash (Courtesy of Dr. Jorge Hidalgo, from Karl Heusner Memorial Hospital Belize) Question What approach should guide this patient diagnosis? Answer The abrupt onset of fever with…

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Hemophagocytic Lymphohistiocytosis

Jul 20, 2017 by in Uncategorized Comments Off on Hemophagocytic Lymphohistiocytosis

Fig. 73.1 Chest radiograph on admission (a) demonstrated bilateral infiltrates, which corresponded to bilateral ground glass opacities and interstitial thickening on a CT performed the same day (b). After 1…

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Acute Lower Gastrointestinal Bleeding

Jul 20, 2017 by in Uncategorized Comments Off on Acute Lower Gastrointestinal Bleeding

Fig. 65.1 Mesenteric angiography with coil embolization. Angiography of the colic branches with positive blush sign (Panel A and B) and following coil embolization (Panel C) Principles of Management Definitions…

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Acute Pancreatitis

Jul 20, 2017 by in Uncategorized Comments Off on Acute Pancreatitis

Fig. 63.1 Axial contrast-enhanced CT showing a mildly enlarged pancreas (A), with normal contrast enhancement and peripancreatic fat stranding and fluid (B), consistent with acute interstitial edematous pancreatitis These recommendations…

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