21 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
disease/cirrhosis, CHF ... #Terrys #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
and nephrotic syndrome ... Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
Caused by increased ... #Lindsays #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #HalfAndHalf #Sign
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
the nails can be caused ... are a typical sign ... #Ridges #Clinical ... #PhysicalExam # ... Photo
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... heart failure syndrome ... cardiomyopathy, massive pulmonary ... #PhysicalExam # ... Video #Clinical
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency - Differential ... Framework and Clinical ... Manifestations Causes ... PVR and increase venous ... • Moderate pulmonary
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Common clinical ... Acute meningeal signs ... indicator to differentiate ... CNS #Infections #differential
Cheyne-Stokes Respirations

What eponymous respiratory pattern do you observe in this patient? What eponymous jugular venous pulse
respirations, caused ... by HF (from IE) ... carotid) and frog sign ... Respirations #breathing #pulmonary ... #clinical #video
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... has Kussmaul's sign ... PHTN #JVP #Neck #PhysicalExam ... #Clinical #Video
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Reversible course Differential ... leukoencephalopathy, Cerebral venous ... the underlying cause ... with AEDs until cause