15 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 ... The nail develops ... #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
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
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
lesions, which had ... hyperkeratotic central areas ... from Somalia, had ... #clinical #photo ... #NEJM #tinea #capitis
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails ... in addition to signs ... cirrhosis since they can ... They can also be ... PhysicalExam #Clinical #Photo
Holster Sign in Dermatomyositis

Interestingly, poikiloderma and violaceous erythema can occur in sun protected areas as well
Holster Sign in ... violaceous erythema can ... sun protected areas ... called: The holster sign ... Dermatology #Clinical #Photo
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Acquired Pneumonia (CAP ... Management Pneumonia Signs ... Uremia (blood urea ... radiograph or CT ... #Pneumonia #CAP
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
double contour sign ... • Dual-energy CT ... Decrease dosage in CKD ... attack + stage ≥3 CKD ... +Radiographic signs
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
The patient was noted to have bilateral Frank's sign, which is a diagonal crease in the
bilateral Frank's sign ... is a diagonal crease ... Frank's sign is ... #Franks #Sign #CAD ... #Photo #PhysicalExam