16 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 ... are a typical sign ... FingerNails #Ridges #Clinical ... #PhysicalExam #Photo
Brittle nails and hair loss in hypothyroidism- ...Physical examination revealed dry skin, thickened and brittle nails
thyroiditis was diagnosed ... the differential diagnosis ... and hair loss had ... #clinical #photo ... #NEJM #hypothyroidism
Physical exam teaching on clubbing and Schamroth’s sign: Clubbing is the proliferation of connective tissue between
and Schamroth’s sign ... tissue between the nail ... distal phalanx, and can ... #Clinical #PhysicalExam ... #Diagnosis #Schamroths
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
the primary care clinic ... appeared pale and had ... spoon-shaped nails ... #NEJM #clinical ... #photo #koilonychia
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
if they have no clinical ... those >day 10 with clinical ... and lab signs ( ... peeling begins under nail ... #Diagnosis #Peds
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... in literature (NEJM ... cases (Cornelia NEJM ... GCA #Temporal #Signs
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... cirrhosis since they can ... They can also be ... #PhysicalExam #Clinical ... #Photo
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
lesions, which had ... from Somalia, had ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... dacryocystitis can ... #NEJM #clinical ... #photo #peds #acute
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 ... #PhysicalExam #Clinical ... #Photo #Sign #Arsenic