11 results
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Muehrcke's Lines ... and nephrotic syndrome ... Leukonychia #striata #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
of the fingernails ... are a typical sign ... BeausLines #Transverse #FingerNails ... #Ridges #Clinical ... #PhysicalExam #Photo
Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
Beau's Lines ... #Beaus #Lines #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Mees' Lines
Transverse while lines (usually one per nail, no depressions) that often can will disappear if
Mees' Lines Transverse ... while lines (usually ... #Mees #Lines #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign #Arsenic
Quitter's Nail
Nicotine stained distally, but not proximally with clear line of demarcation. May also appear when
proximally with clear line ... #Quitters #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign #Nicotine
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... symptoms/signs ... considered for urgent referral ... presence of metabolic syndrome ... LFTs #Abnormal #Algorithm
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm Source ... unstable vital signs ... infections, whose clinical ... indwelling catheters or lines ... #Management #BloodCultures
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... pulmonary edema (“B-lines ... acute coronary syndrome ... #differential #algorithm
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... examination and vital signs ... Plan definitive management ... including specialist referral ... Checklist #Diagnosis #Management
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
the Fingers Clinically ... seen in Reiter's syndrome ... #FingerNails #Nail ... Pathology #Diagnosis #Clinical ... #Signs #PhysicalExam