8 results
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... dorsum of the hand ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Lives in an old ... heaped up borders); differential ... Blastomycosis #SkinRash ... #dermatology #clinical ... #photo
Mechanic’s Hands in Dermatomyositis

Finally, mechanic’s hands which are common to Anti-synthetase syndrome and another type of
Mechanic’s Hands ... Anti-synthetase syndrome ... #SkinRash #Dermatomyositis ... #Dermatology #Clinical ... #Photo
Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for
Vasculitis (LCV) of the Hand ... Differential for ... Churg-Strauss syndrome ... #skinrash #dermatology ... #clinical #photo
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... macrognathia), ↑ hand ... GH stimulates liver ... Differential Diagnosis ... Beckwith Wiedemann syndrome
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
the metabolic clinic ... prominent on the hands ... bottles or shake hands ... #NEJM #clincal # ... photo #xanthoma
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
was 0.2 mIU per liter ... superior vena cava syndrome ... #clinical #photo ... #NEJM #Pembertons
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
studied) with liver ... such as nephrotic syndrome ... #Fingernails #Hands ... #PhysicalExam #Clinical ... #Photo