8 results
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
complicated with urinary infections ... studied) with liver ... cirrhosis. ... #PhysicalExam #Clinical ... #Photo
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Cirrhosis w/recent ... sepsis: chronic liver ... rash #cellulitis #dermatology ... #legs #clinical ... #photo
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Infectious ... disease • Liver ... autoimmune hemolytic anemia ... hypogammaglobulinemia #immunology #hematology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Bandemia, AKI. ... asplenia, alcoholism, cirrhosis ... possible Patient's clinical ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
the Fingers Clinically ... include diabetes, anemia ... Terry's Nails ... Seen in liver disease ... , usually cirrhosis
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Fever is the main clinical ... SLE], AOSD) • Infection ... with leukopenia, anemia ... thrombocytopenia • Liver ... Diagnosis #Management #Hematology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Include: • Viral infections ... Sarcoidosis) • Liver ... disease: Cirrhosis ... gastric tumors • Hematology ... differential #diagnosis #hematology
Hemophagocytic Lymphohistiocytosis (HLH)

High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
Triggers: ▪ Infections ... Clinical Presentation ... - Cytopenias (anemia ... - Elevated liver ... Diagnosis #Management #Hematology