16 results
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
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
tongue - Pastia lines ... = petechial lines ... Scarlet #fever #diagnosis ... #clinical #photo ... #signs #symptoms
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
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
Problem Representation - Approach to the Infectious Disease Patient

Who: Patient age and host/risk factors (such as
, splenectomy, etc ... illness What: Key signs ... that define the clinical ... illness script (e.g ... #History #HPI #Diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Cardiac, pulmonary etc ... Lack of UMN/LMN signs ... Muscle Biopsy: Dermatomyositis ... #Differential #Diagnosis