31 results
The diagonal crease in the lobe of the ear (Frank's sign) is a sign theoretically related
The diagonal crease ... the lobe of the ear ... (Frank's sign) ... is a sign theoretically ... Earlobe #Clinical #Photo
Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left
toward her left breast ... A 43-year-old man ... #Clinical #Derm ... Lymphangitis #Abdominal #NEJM
Summary table of common benign breast diseases and how to manage them. 
Fibroadenoma:
 • Most common
common benign breast ... surrounding tissue • Can ... e.g. biopsy, car ... bruising/erythema/sign ... of trauma Breast
The patient was noted to have bilateral Frank's sign, which is a diagonal crease in the
is a diagonal crease ... lobule to the rear ... #Franks #Sign #CAD ... #Photo #PhysicalExam ... #Ear #Clinical
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
hyperkeratotic central areas ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
• Increased ESR ... and/or CRP Temporal ... Doppler US : halo sign ... PET/CT: aortitis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... GCA can present ... in literature (NEJM ... cases (Cornelia NEJM ... GCA #Temporal #Signs
Skin Mottling - Skin mottling, a common clinical sign in patients in shock, is a violaceous
common clinical sign ... the knees but can ... be seen in the ears ... B) #Clinical #Derm ... Hypoperfusion #Shock #NEJM
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
tongue • Small ears ... Single palmar creases ... wide 'sandal' gap ... PhysicalExam #Features #Signs
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
C-reactive protein, ESR ... double contour sign ... • Dual-energy CT ... 2 attacks in a year ... +Radiographic signs