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Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,

palms, soles, and ... #Melanoma #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign

Paronychia
Inflammation of the nail folds - red, swollen, often tender. Frequent immersion in water a risk

#Paronychia #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign

Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen

Darker distal band ... #Terrys #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

commonly fractured carpal ... "pooping duck sign ... "pooping duck sign ... ulna, pain with wrist ... Triquetrum #Fracture #Wrist

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... box, pain with wrist ... #TerryThomas #Wrist

Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Instability (MCI) of the Wrist ... The proximal carpal ... slightly extended, and ... ECRB) The distal carpal ... clinical #video #physicalexam

Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or

certain chemotherapy and ... Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign

Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of

Ulnar Fovea Sign ... examiner with the elbow ... The elbow is in ... #Ulnar #Fovea #Sign ... #video #physicalexam

Nail Pitting
Non-specific sign for psoriasis (additional signs include onycholysis, thickening, and 'oilspot' lesions which are yellow

onycholysis, thickening, and ... #Pitting #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign

Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome.
Fully flex wrists and

Fully flex wrists ... and adduct dorsal ... surfaces of hands ... Tunnel #Syndrome #Wrist ... #PhysicalExam #

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