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fingernails diagnosis nejm acral aortoenteric arsenic beaus beauslines comparison corrigans derm endocarditis fever fistula heavymetal infective lentiginous leukonychia lichen management
Muehrcke's Lines (Leukonychia striata) Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Muehrcke's Lines ... certain chemotherapy and ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Scarlet fever • Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure • Diffuse erythematous eruption that generally
tongue - Pastia lines ... = petechial lines ... fever #diagnosis #clinical ... #photo #signs # ... symptoms
Acral Lentiginous Melanoma (involving nail) While acral lentinginous melenoma is often seen anywhere on the palms, soles,
Acral Lentiginous ... palms, soles, and ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
are a typical sign ... and Mees’ lines ... FingerNails #Ridges #Clinical ... #PhysicalExam # ... Photo
Mees' Lines Transverse while lines (usually one per nail, no depressions) that often can will disappear if
Mees' Lines Transverse ... thallium poisoning and ... #PhysicalExam # ... Clinical #Photo ... #Sign #Arsenic #
Beau's Lines Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
Beau's Lines ... , malnutrition and ... #PhysicalExam # ... Clinical #Photo ... #Sign
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
reticulate pattern of dots ... and lines, called ... Wickham’s striae ... #NEJM #clinical ... #photo #lichen #
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... high index of clinical ... cultures/serology: Serial ... drug use, Central lines
Aortoenteric Fistula - Diagnosis and Management Summary Epidemiology: • Uncommon but life-threatening • Most common site of bowel connection
the duodenum Clinical ... Signs/Symptoms: ... • Classic triad ... : CTA is first-line ... extravasation of contrast material
Corrigan’s Pulse and Quincke’s Pulse- ...While the patient was sitting upright, the right carotid artery was
diastolic collapse — a sign ... pulsation — a sign ... rapid fall in arterial ... #clinical #photo ... pulse #quinckes #physicalexam
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