23 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Terry's Nails ... Darker distal band ... advanced age, liver ... #PhysicalExam #Clinical ... #Photo #Sign
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... • Erythematous rash ... auricular papules Clinical ... ILD • Liver dysfunction ... Liver biopsies show
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
Dermatomyositis ... 1) heliotrope rash ... , 2) shawl sign, ... Gottrons #Papules #Clinical ... #Photo
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Returning Traveler’ algorithm ... • Signs of VTE ... duplex or CTA • Liver ... Liver biopsy • ... node biopsy • Clinical
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Scleroderma • Dermatomyositis ... endocarditis • Trauma Terry's ... discoloration) • Liver ... Mellitus Half-and-Half ... Differential #Diagnosis #Algorithm
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
Physical examination and ... mildly elevated liver-function ... #Clinical #Radiology ... KatayamaFever #Rash ... #NEJM
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... along with other signs ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... studied) with liver ... Fingernails #Hands ... #PhysicalExam #Clinical ... #Photo
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... response to abnormal liver ... derangement of liver ... symptoms/signs ... the pattern of liver
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 #