115 results
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... clinical #diagnosis #PhysicalExam ... #hands #liver ... hepatology #cirrosis #photo
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... #Fingernails #PhysicalExam ... #Clinical #Photo
The Febrile Child - some diagnostic clues to evaluating the febrile child.

#Febrile #Fever #Evaluation #Assessment #Signs
some diagnostic clues ... #Febrile #Fever ... Signs #Symptoms #PhysicalExam
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Stabilization Concern for Liver ... Consult GI ± EGD Causes ... GAVE (idiopathic, liver ... Differential #Diagnosis #management
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... with persistent fever ... #Endocarditis #PhysicalExam ... #clinical #photo
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
should be TS and SF level ... out additional causes ... evaluation for other causes ... If other causes ... algorithm #diagnosis #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... Glucose, Salicylate level ... Toxic Salicylate Level ... : 150mg/kg Management
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... 10% Crab, few cases ... Rapid onset of fever ... sepsis: chronic liver ... legs #clinical #photo
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Fever vs Hyperthermia ... rapidly fatal • Causes ... Identify underlying cause ... Cooling blankets can cause ... comparison #diagnosis #management
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... symptoms are not caused ... General: fever, ... heart (2-5%), liver ... Sarcoidosis #Diagnosis #Management