11 results
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
as well as the nail ... pulsation — a sign ... and Quincke’s pulse ... PhysicalExam #Video #Fingernails ... #Nails #AorticRegurgitation
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
patient with a normal ... highest on my differential ... #AorticRegurgitation ... #Diagnosis #PhysicalExam ... #Fingernails #Nailbed
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
manicuring, or frequent hand ... #FingerNails #Nail ... #Diseases #Abnormal ... #Pathology #Diagnosis ... #Clinical #Signs
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... explained by an abnormal ... spider angiomas and ... Fingernails #Hands ... PhysicalExam #Clinical #Photo
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
wane; diagnosis ... painless, no systemic signs ... , labs normal. ... biopsy preferred Differential ... Infection #clinical #photo
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Nail bed pressure ... • Examine for signs ... neurology #comatose #diagnosis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... Diagnosis Framework ... → Syncope • Signs ... - Decreased pulse ... #diagnosis #causes
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Clubbing of nails ... signs of chronic ... - BAR >1.0 is abnormal ... Bronchiectasis #pulmonary #differential ... #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Diagnosis Framework ... purpura: Strong sign ... diminished, or tender pulses ... claudication, pulse ... fluid (CSF) is abnormal
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Diagnosis Framework ... Brucellosis Faget's Sign ... - Temperature Pulse ... #Diagnosis #intermittent