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Traditionally, congestive heart failure has been classified according to severity of symptoms, first formulated by the
STAGES of CHF (A ... Stage D CHF is frequently ... associated with end-stage ... Classification #Stages ... Classes #NYHA #ACCAHA
In order to better classify heart failure, the American College of Cardiology Foundation and the American
of a patient in Stages ... especially in Stage ... but will remain Stage ... Stage B is defined ... Classes #NYHA #ACCAHA
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
Stages in the development ... recommended therapy by stage ... HeartFailure #Staging #Stages ... #ACCAHA #Algorithm
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... Stage D CHF is frequently ... associated with end-stage ... HeartFailure #Staging #Stages ... #ACCAHA #Algorithm
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Seen in states of ... #Fingernails #PhysicalExam ... #Clinical #Photo
Venous Insufficiency: Chronic venous insufficiency resulting in swelling and dark discoloration of legs.

Charlie Goldberg, M.D. -
Catalog of Clinical Images ... #Clinical #Photo ... Insufficiency #Stasis
Stages of Healing Decubitus Ulcer: Upper left image demonstrates Stage 4 ulcer, with periosteum of bone
Stages of Healing ... image demonstrates Stage ... Pressure #Ulcer #Stage4 ... #Healing #Stages ... #Photo #UCSDH
Transverse Nail Ridges: Horizontal lines which are a marker of a past episode of severe illness
Photo
severe illness Photo ... Catalog of Clinical Images ... #Clinical #Photo ... Ridges #UCSDH #PhysicalExam
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Seen in states of ... #Fingernails #PhysicalExam ... #Clinical #Photo
Osler's Nodes: Painful, erythematous nodules associated with bacterial endocarditis. 
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
Photo credit, Josh ... Catalog of Clinical Images ... #Clinical #Photo