15 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver disease ... /cirrhosis, CHF, ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... significant portal HTN Signs ... • Infiltrative diseases ... Veno-occlusive disease
The diagonal crease in the lobe of the ear (Frank's sign) is a sign theoretically related
coronary artery disease ... coronary disease ... : 17891926 #PhysicalExam ... Earlobe #Clinical ... #Photo
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... Edema #biliary #physicalexam ... #cirrhosis #liver ... #disease #signs
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Differential Diagnosis ... dullness, puddle sign ... incisional). 3) Signs ... of underlying disease ... Jcortesizaguirr #Ascites #workup
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary Cirrhosis ... cholestasis → Cirrhosis ... failure PBC Signs ... bile ducts Differential ... cholangitis #diagnosis #workup
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless, no systemic signs ... 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 ... signs of end-organ ... 109 mm Hg) with clinical ... Renal parenchymal disease
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 ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #HalfAndHalf #Sign
Differential Diagnosis and Workup for Male Gynecomastia:
Medications: spironolactone, ketoconazole, finasteride, alcohol, opiates, INH, steroids (testosterone, estrogen),
Differential Diagnosis ... and Workup for ... Hypogonadism: look for signs ... Cirrhosis Renal ... #Differential #