Medscape > Fast Five Quizzes Quiz: Do You Know Key Signs and Symptoms of Rare Diseases? Germaine L. Defendi, MD, MS; Emmanuel C. Besa, MD; Michael Stuart Bronze, MD September 29, 2016 Rare diseases are defined as conditions that occur in fewer than 200,000 people in the United States. Some of these diseases are at the upper range of prevalence, whereas others are much more rare. Although you may not encounter them frequently in practice, having a keen eye for certain si...

Images in Clinical Medicine Emphysematous Pyelonephritis N Engl J Med 2016; 375: 1671 A  51-year-old man presented with fever and general malaise of 2 weeks' duration. He had had diabetes mellitus for the preceding 20 years, and at the time of presentation this condition was poorly controlled. On admission to the hospital, his white-cell count was 10,800 per cubic millimeter (normal range, 3900 to 9800). The C-reactive protein level was 8.6 mg per deciliter, blood urea ni...

Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects older adults because of their hig...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

IMAGING IN INTENSIVE CARE MEDICINE Grey Turner's sign associated with hemorrhagic pancreatitis Rostane Gaci, Cyril Cadoz, Laurent Hennequin, et al Intensive Care Med 2016 DOI 10.1007/s00134-016-4551-9 A 59-year-old man with a history of alcohol abuse was admitted to the emergency room with hemodynamic instability and acute abdominal pain radiating into the back. Physical examination revealed abdominal muscle guarding without jaundice. Hemoglobin levels were low (8 g/dL...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Images in Clinical Medicine Cholesterol Embolization after Transcatheter Aortic-Valve Replacement Lu Devy, M.D., Florence Brunet-Possenti, M.D. Bichat Hospital Paris, France devy.lu87@yahoo.fr N Engl J Med 2016; 375: e25 An 88-year-old man with a history of myocardial infarction for which he had required quadruple coronary-artery bypass grafting presented with mottled-appearing purple discoloration of the skin on his toes. One month earlier, he had undergone tran...