11 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... disease/cirrhosis ... #Terrys #Fingernails ... PhysicalExam #Clinical #Photo ... #Sign
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... #physicalexam #cirrhosis ... #liver #disease ... #signs #diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... quadrant discomfort Signs ... Liver biopsy findings ... #PBC #Primary #Biliary
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
significant portal HTN Signs ... obstruction) • Lack of signs ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... Cirrhosis (PBC) ... /Liver failure ... PBC Signs and ... or higher • Liver
Gray-Turner Sign after Liver Biopsy
50 y/o woman with new cirrhosis now s/p liver biopsy.
Gray-Turner sign classically
after Liver Biopsy ... woman with new cirrhosis ... now s/p liver biopsy ... from percutaneous liver ... Flank #clinical #photo
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 ... cirrhosis. ... Terrys #Nails #Fingernails ... PhysicalExam #Clinical #Photo
Falciform Ligament Sign - An abdominal radiograph that was obtained with the patient in a supine
Falciform Ligament Sign ... a radiographic sign ... ligament connects the liver ... arrow) #Clinical #Radiology ... Pneumoperitoneum #CT #KUB #NEJM
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Seen in liver disease ... , usually cirrhosis ... #FingerNails #Nail ... Diagnosis #Clinical #Signs
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
year history of biliary ... cirrhosis due to ... (25.1 mmol per liter ... #NEJM #clincal # ... photo #xanthoma