11 results
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
Koilonychia in Iron-Deficiency ... appeared pale and had ... spoon-shaped nails ... #NEJM #clinical ... #photo #koilonychia
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
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain: • PAD ... Vit B12, B6, Cu deficiency ... legs - Brittle nails ... extremity #msk #physicalexam
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
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
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
caused by vitamin A deficiency ... Vitamin A deficiency ... can also cause ... #NEJM #clinical ... #photo #ophth #bitot
Corrigan’s Pulse and Quincke’s Pulse- ...While the patient was sitting upright, the right carotid artery was
as well as the nail ... #clinical #photo ... #NEJM #corrigans ... pulse #quinckes #physicalexam