17 results
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
- Differential ... Diagnosis Framework ... and Workup Phenotypes ... , SIBO, Celiac disease ... #Diagnosis #Workup
Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Nail diseases and ... white spots) #Diagnosis ... #Fingernail #Disorders ... #Differential # ... #PhysicalExam
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Darker distal band ... advanced age, liver disease ... #Terrys #Fingernails ... #PhysicalExam # ... Clinical #Photo
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... Clinical history ... pseudotumor 4 phenotypes ... IgG4 #Related #Disease ... #phenotypes #workup
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
brown transverse band ... seen in kidney disease ... #Lindsays #Fingernails ... #PhysicalExam # ... Clinical #Photo
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Aortitis - Diagnosis ... and Workup Clinical ... Inflammatory diseases ... #Aortitis #Diagnosis ... #Workup #Differential
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
function, no valvular disease ... Workup for cause ... highest on my differential ... #PhysicalExam # ... Fingernails #Nailbed
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
an old house & works ... Diagnosis? ... University Infectious Diseases ... #dermatology #clinical ... #photo
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
wane; diagnosis ... biopsy preferred Differential ... University Infectious Diseases ... Sporotrichiosis #Infection #clinical ... #photo #hand
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential ... Diagnosis Approach ... 109 mm Hg) with clinical ... Renal parenchymal disease