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physicalexam management checklist clubbing ucsdh algorithm arsenic beaus beauslines cardiology chf crisis diagnosis differential foamed heartfailure heavymetal hypokalemia icu leukonychia
Muehrcke's Lines (Leukonychia striata) Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Muehrcke's Lines ... while transverse lines ... Leukonychia #striata #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Terry's Nails Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
states of stress (e.g ... #Terrys #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
of the fingernails ... are a typical sign ... BeausLines #Transverse #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 ... while lines (usually ... #Mees #Lines #Fingernails ... #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 ... #Beaus #Lines #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Quitter's Nail Nicotine stained distally, but not proximally with clear line of demarcation. May also appear when
proximally with clear line ... #Quitters #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign #Nicotine
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
changes (especially QT ... incongruous with clinical ... either via central line ... two peripheral lines ... Hypokalemia #Management #CriticalCare
Clubbing of the Fiingers: Bulbous appearance of the distal fingers associated with a number of uncommon
lung conditions (e.g ... , IPF, cancer, etc ... Images #Clinical ... #Photo #Clubbing ... #Fingernails #UCSDH
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Intubation only if clinically ... monitoring (vital signs ... , clinical appearance ... subjective dyspnea, etc ... Checklist #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... pulmonary edema (“B-lines ... ECG is vital while ... heartfailure #chf #criticalcare
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