10 results
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
Transverse lines of the fingernails ... the nails can be caused ... paired white lines caused ... Ridges #Clinical #PhysicalExam ... #Photo
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
dyspnea, orthopnea/PND ... Workup for cause ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis #PhysicalExam ... #Fingernails #Nailbed
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
Caused by increased ... #Lindsays #Fingernails ... #PhysicalExam # ... Clinical #Photo
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... membrane into the CNS ... Waddling gait - Difficulty ... Phosphatase: • Other causes ... Hyophosphatasia #hepatology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... the organism is difficult ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
If you haven't seen it, flecainide can cause significant yellowing of the skin and eyes.
flecainide can cause ... In this case just ... cutaneous #yellowing #fingernails ... sideeffects #clinical #photo ... nails #cardiology #dermatology
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
present in 80% of cases ... Rash #clinical #photo ... #dermatology #Palms ... #Soles #dermatology ... #physicalexam
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
describes progressive difficulty ... out this is a case ... GottronsPapules #dermatology ... #clinical #photo
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
to Clostridium difficile ... Terrys #Nails #Fingernails ... #Hands #PhysicalExam ... #Clinical #Photo
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
immunosuppressed pts ... cutaneous mucor cases ... therapy), some cases ... Mucormycosis #Eschar #dermatology ... skin #clinical #photo