Blepharospasm meige hypothyroidism cardiology differential chf pressure fingernails nailbed

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Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new

PND, wide pulse pressure ... confirm high-output HF ... highest on my differential ... #PhysicalExam #Fingernails ... #Nailbed #Cardiology

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