17 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... #PhysicalExam #Clinical ... #Photo #Sign
Corrigan’s Pulse and Quincke’s Pulse- ...While the patient was sitting upright, the right carotid artery was
Corrigan’s Pulse ... diastolic collapse — a sign ... pulsation — a sign ... #clinical #photo ... #NEJM #corrigans
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
though there are no signs ... blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Cryptococcus neoformans Meningoencephalitis- The opening pressure on lumbar puncture was 29 cm of water (reference range,
(2.6 mmol per liter ... to 3.8 mmol per liter ... was 0.80 g per liter ... #clinical #NEJM ... stain #indiaInk #pathology
Caterpillar Sign in Infantile Hypertrophic Pyloric Stenosis - An upper gastrointestinal radiographic series was obtained (ultrasonography
Caterpillar Sign ... in Infantile Hypertrophic ... “caterpillar” sign ... #Clinical #Peds ... #AXR #KUB #NEJM
Gray-Turner Sign after Liver Biopsy
50 y/o woman with new cirrhosis now s/p liver biopsy.
Gray-Turner sign classically
Gray-Turner Sign ... after Liver Biopsy ... Gray-Turner sign ... #Flank #clinical ... #photo
Dubin-Johnson Syndrome - A laparoscopic exploration revealed a smooth liver with normal consistency and morphologic features
revealed a smooth liver ... staining (Panel B) #Clinical ... #Pathology #DubinJohnson ... Syndrome #Microscopy #NEJM
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
Pemberton’s Sign ... Pemberton’s sign ... was 0.2 mIU per liter ... #clinical #photo ... #NEJM #Pembertons