*? Quiz*

A 24-year-old man presented with fever and redness of the left lower extremity. He reported an “insect bite” on his left foot two days earlier. Use of a local antiallergy ointment at the site had not improved his symptoms. He developed fever and chills two days after the bite. He also felt a burning sensation on his left leg.

Physical examination showed a temperature of (38.7°C). The remaining vital signs and results of physical examination were normal except for his left leg. He had an extensive area with redness, palpable warmth, and tenderness extending from the foot to the upper part of the thigh (Figure 1). On the lateral surface of the left ankle there was a small area of necrosis at the site of the reported bite (Figure 2). In addition, there were palpable, tender lymph nodes in the left inguinal area.

His white blood cell count was 12.7 × 109 per L (neutrophils, 81.5 percent; lymphocytes, 11.9 percent). The rest of the hematologic and biochemical test results were normal.

Perioperative DOACs management? [JAMA]

Answer: ✅ meningococcal rash (meningococcemia)

Visual pathway lesions

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*?? Confusing Neonatal jaundice:*

? Physiological jaundice: (2-5 d) resolves w/i 2 wks (no dehydration)

*?? Breastfeeding FAILURE jaundice (BFJ): is EXACERBATING physiological jaundice → usually in the 1st wk of life + baby DEHYDRATION*

? BreastMILK jaundice (BMJ): >1 wk of life (peaks at 2nd wk)

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