12 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 ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Pemberton's sign- Suggests SVC syndrome, Neck Mass

The Pemberton maneuver is a physical examination tool used to
Pemberton's sign ... positive Pemberton's sign ... positive Pemberton's sign ... #Pembertons #sign ... Clinical #Photo
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
Transverse lines ... are a typical sign ... FingerNails #Ridges #Clinical ... #PhysicalExam # ... Photo
Mees' Lines
Transverse while lines (usually one per nail, no depressions) that often can will disappear if
Mees' Lines Transverse ... while lines (usually ... #PhysicalExam # ... Clinical #Photo ... #Sign #Arsenic #
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
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
Quitter's Nail
Nicotine stained distally, but not proximally with clear line of demarcation. May also appear when
proximally with clear line ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign #Nicotine
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