13 results
Brittle nails and hair loss in hypothyroidism- ...Physical examination revealed dry skin, thickened and brittle nails
Brittle nails and ... loss had resolved ... #clinical #photo ... #NEJM #hypothyroidism ... #nails
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
Whistling Cough- A 4-year-old boy presented to the otorhinolaryngology outpatient clinic with a 2-day history of
definitively identified, air ... bronchus, since air ... a foreign body had ... #NEJM #clinical ... #chest #xray #peds
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
appeared pale and had ... spoon-shaped nails ... associated with nail ... #NEJM #clinical ... #photo #koilonychia
Black Hairy Tongue- ...A polymicrobial wound infection developed, and she received treatment with intravenous meropenem and
Black Hairy Tongue ... reported nausea and a bad ... mouth...Black hairy ... The condition can ... #NEJM #photo #clinical
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 ... Poor pulses - Hair ... legs - Brittle nails ... extremity #msk #physicalexam
Signs of Peripheral Arterial Disease on Foot Exam

You can see reduced arterial pulses, skin atrophy, thinning
Foot Exam You can ... disappearance of hair ... changes in the nail ... Arterial #Disease #PAD ... #Foot #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