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clinical fingernails pediatrics diagnosis newborn acute algorithm arsenic beauslines brittle cellulitis corrigans dacryocystitis deficient derm dermatology disease duct examination hair
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
can be caused by ... arrest in the nail ... The nail develops ... Ridges #Clinical #PhysicalExam ... #Photo
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Iron-Deficiency Anemia ... appeared pale and had ... #NEJM #clinical ... #photo #koilonychia ... #nails
Brittle nails and hair loss in hypothyroidism- ...Physical examination revealed dry skin, thickened and brittle nails
Brittle nails and ... thickened and brittle nails ... and hair loss had ... #clinical #photo ... #NEJM #hypothyroidism
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
Albumin ≤3.0 g/dL, anemia ... Can treat before ... or z scores in LAD ... peeling begins under nail ... #Diagnosis #Peds
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
hemochromatosis, hemolytic anemia ... , CKD, hiv, immunosuppressive ... meds, chronic alcoholics ... Vibrio vulnificus can ... legs #clinical #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
dacryocystitis can ... #NEJM #clinical ... #photo #peds #acute
Terry's Nails Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails ... cirrhosis since they can ... They can also be ... Fingernails #Hands #PhysicalExam ... #Clinical #Photo
Newborn Infant - Routine Examination Birthweight, gestational age and birthweight percentile are noted. General observation Of the baby's
polycythaemia or anaemia ... retinal vessels can ... This can be confirmed ... Newborn #Infant #PhysicalExam ... #Examination #Peds
Meconium staining- Evidence of meconium staining in utero may be a clue to an infant who
meconium staining can ... Normally, the nails ... #clinical #photo ... #newborn #peds
Mees' Lines Transverse while lines (usually one per nail, no depressions) that often can will disappear if
usually one per nail ... depressions) that often can ... #Fingernails #PhysicalExam ... #Clinical #Photo
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