17 results
Paronychia
Inflammation of the nail folds - red, swollen, often tender. Frequent immersion in water a risk
#Paronychia #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Splinter Hemorrhages
Nonspecific finding associated with trauma most commonly but also seen in subacute bacterial endocarditis and
subacute bacterial endocarditis ... #Hemorrhages #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign #Endocarditis
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
#Terrys #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Leukonychia #striata #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,
Lentiginous #Melanoma #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Nail Pitting
Non-specific sign for psoriasis (additional signs include onycholysis, thickening, and 'oilspot' lesions which are yellow
Non-specific sign ... psoriasis (additional signs ... #Pitting #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... Hypercoagulable states • Clinical ... serology: Serial negative ... Frequent false-negative
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... TTE negative but ... phenomena due to endocarditis ... Node #infective #endocarditis ... #clinical #photo
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
Transverse lines of the fingernails ... are a typical sign ... BeausLines #Transverse #FingerNails ... #Ridges #Clinical ... #PhysicalExam #Photo
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... antimicrobials, clinical ... #Infective #Endocarditis ... differential #workup #infectiousdiseases