9 results
Digital clubbing found in a 64 year old woman seen for pathological patellar fracture after a
found in a 64 year ... clubbing #nails #fingernails ... #clinical #photo ... #pulmonary #physicalexam
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
and nephrotic syndrome ... Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... Young females Differential ... - no light-near ... #Adies #Pupil #PhysicalExam
Quitter's Nail
Nicotine stained distally, but not proximally with clear line of demarcation. May also appear when
switches to "lower tar ... #Quitters #Fingernails ... #PhysicalExam # ... Clinical #Photo
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Differential ... Seronegative Reactive Syndrome ... Ligamentous injuries - Meniscal ... Effusions #causes #differential ... diagnosis #msk #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... If ok with ICU team ... caseyalbin #PhysicalExam
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Findings in or Near ... seen in Reiter's syndrome ... #FingerNails #Nail ... Clinical #Signs #PhysicalExam
Differential Diagnosis of Acute Arthritis

Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals

Infectious arthritis: Bacteria, fungi,
Differential Diagnosis ... arthritis: Behçet syndrome ... hyperlipoproteinemia,* meniscal ... tear Systemic ... #Diagnosis #Differential
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
such as nephrotic syndrome ... Terrys #Nails #Fingernails ... #Hands #PhysicalExam ... #Clinical #Photo