14 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Terry's Nails ... advanced age, liver ... #Terrys #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
gummas in Tertiary syphilis ... person still has syphilis ... though there are no signs ... blood vessels, liver ... #clinical #photo
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
keratitis in Tertiary Syphilis ... , or acquired syphilis ... though there are no signs ... blood vessels, liver ... #clinical #photo
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Rash Secondary ... The signs and symptoms ... ) ▪ Malaise, fever ... #Rash #Diagnosis ... #Clinical #Photo
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Returning Traveler’ algorithm ... thin smear • Signs ... duplex or CTA • Liver ... Liver biopsy • ... node biopsy • Clinical
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Venous Gas on POCUS ... ominous prognostic sign ... result of recent diagnostic ... #Liver #Ultrasound ... #Clinical
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
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... disease and ILD • Liver ... Liver biopsies show
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails ... in addition to signs ... studied) with liver ... #PhysicalExam #Clinical ... #Photo
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Maculopapular rash ... • Common clinical ... • In tertiary syphilis ... Acute meningeal signs ... • Uveitis • Rash