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peds fingernails dermatology physicalexam derm newborn bruising conjunctivitis discoloration facial gonococcal gonorrhea hypothyroidism neonatorum ophth ophthalmia acute algorithm anemia ankle
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 ... FingerNails #Ridges #Clinical ... #PhysicalExam #Photo
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
A 48-year-old-man presented to the dermatology clinic with a whitish discoloration and hyperkeratosis of the first
the dermatology clinic ... first toenail that had ... to the distal nail ... #Clinical #IM #InfectiousDisease ... RapidProgression #NEJM
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
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
3.5 by 4.5 cm had ... and ecchymoses had ... V. vulnificus can ... #clinical #photo ... #NEJM #vibrio #
This is another example of facial bruising. Here again the face appears to be cyanotic (including
rest of the body had ... newborn #peds #pediatrics ... #clinical #photo
Staphylococcal Scalded Skin Syndrome (SSSS) A 5-year-old girl presents to the ED with a rash that started
that the patient had ... Syndrome #SSSS #Clinical ... #Photo #Peds #Pediatrics
Gonococcal Ophthalmia Neonatorum (GON) - Figure 1 A 4-day-old girl was brought to the emergency department (ED)
days earlier and had ... #Clinical #Photo ... #Peds #Pediatrics
Dirofilaria repens- Patient had first noted a nodule below her left eye (Panel A). Five days
repens- Patient had ... days later, it had ... Dirofilaria #repens #clinical ... #photo #NEJM #parasite
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
if they have no clinical ... Can treat before ... those >day 10 with clinical ... peeling begins under nail ... Diagnosis #Peds #Pediatrics
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