7418 results
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
(B) Mees’ lines ... nail grows.3 In Mees ... Mees’ lines are ... FingerNails #Ridges #Clinical ... #PhysicalExam #
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
, sarcoidosis, mets ... diagnosis #radiology #clinical
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
pulm infarction, mets ... diagnosis #radiology #clinical
Approach to Perioperative Cardiovascular Evaluation for Patients underqoinq Noncardiac Surgery
1. Emergent Surgery?
2. Risk Stratify eg NSQIP
3.
Eval METS 4.
Urine Color - Differential Diagnosis
Red Urine:
 • Medical conditions: bleeding, porphyria, factitious disorder
 • Meds: rifampin,
factitious disorder • Meds ... hyperbilirubinemia • Meds ... concentrated enough • Meds ... Pseudomonas • Meds ... phosphaturia, chyluria • Meds
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Bronchial carcinoid, Mets ... Primary lung, Mets
Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM
Clinical Examination ... Systematic Review and Meta-analysis
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
• Vasodilatory meds ... Aortic stenosis • Meds ... • Vasodilatory meds
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hyperthyroid, Bony Mets
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
liver biopsy Meds ... - Outpatient meds ... prior hepatotoxic meds