#shittygif

[fraguada]

#saturdaymorningmood #shittygif #reducemesh #rhino3d (at Casa Fraguada)

[narumitsu-hachimitsu]

[self-aid]

Lyme disease

For transmission of Borrelia burgdorferi, the tick needs to be firmly attached to the skin and have an engorged appearance (generally 36 hrs!). 

Just remember the tick is brown and ixy. One of the UWorld questions I did wanted to mention the tick was brown as compared to RMSF tick (Dermacentor carrying R. rickettsii) which is allegedly black; after brief googling I felt like Dermacentor still looked brown though...so idk.

[diamondeyeamets]

((pffff my last response to hypsellis ask))

[self-aid]

Cryptococcus

The systemic spread of infection can involve any organ, though skin is the most common extraneural site of infection.

If cutaneous crypto is suspected, BIOPSY + histopath! Grossly, it resembles Molluscum contagiosum. Once cutaneous crypto is dx, look for systemic involvement: CXR, blood and CSF cx, India ink stain for CSF, cryptococcal antigen in serum & CSF.

[self-aid]

Terbinafine

The superficial lady in a turban has fine pointed nails.

Terbinafine - treat onchomycosis, taken orally, but not for systemic fungal infections.

[eichkatze]

[pretentiousfork]

just tried but understand that I’ve spend 40 min to hell...