12 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... disease/cirrhosis, CHF ... #PhysicalExam #Clinical ... #Photo #Sign
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... hemidiaphragm and the liver ... Chilaiditi sign ... #Chilaiditi #Sign ... #clinical #radiology
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
aka Chilaiditi Sign ... colon) between the liver ... PseudoPneumoperitoneum #Chilaiditi #Sign ... #clinical #radiology ... #cxr #xray #chest
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... significant portal HTN Signs ... obstruction) • Lack of signs ... sarcoidosis) • Liver ... metastasis • Fatty liver
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... symptoms/signs ... the pattern of liver ... #Hepatology #Liver
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... supine film the cardiac ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... Cardiac cath if ... #differential #algorithm ... #heartfailure #chf
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... e.g. incidental CXR ... neuropathy or cardiac ... heart (2-5%), liver ... Diagnosis #Management #Signs
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
Pemberton’s Sign ... Pemberton’s sign ... Pemberton’s sign ... #clinical #photo ... NEJM #Pembertons #sign