10 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Terry's Nails ... advanced age, liver ... #Terrys #Fingernails ... PhysicalExam #Clinical #Photo
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... #clinical #diagnosis ... PhysicalExam #hands #liver ... hepatology #cirrosis #photo
Common organ involvements and symptoms in Sarcoidosis
Lung 89-99% - Cough, dyspnoea, wheezing and stridor
Skin 16-32% -
, wheezing and stridor ... and vision loss Liver ... pain and elevated liver ... involvements #symptoms #diagnosis
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails ... studied) with liver ... However, Terry's ... #Terrys #Nails # ... PhysicalExam #Clinical #Photo
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
endocarditis • Trauma Terry's ... discoloration) • Liver ... #Differential #Diagnosis
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Terry's Nails ... Seen in liver disease ... Abnormal #Pathology #Diagnosis ... #Beaus #Mees #Terrys
Oral histoplasmosis in a transplant patient
50 F Midwest hx liver transplant on prednisone MMF fever, sweats,
50 F Midwest hx liver ... prednisone MMF fever ... Diagnosis? ... histoplasmosis is rare & diagnosis ... mouth #clinical #photo
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome Diagnosis ... RTA, TYPE I RTA Diagnosis ... vasculitis: 10%-16% Liver ... Symptomatic: artificial tears ... #Rheumatology #Diagnosis
Melioidosis - Skin Infection
63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
diabetes with c/o fever ... Diagnosis: Melioidosis ... , alcoholism, liver ... Cellulitis #Clinical #Photo
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Histoplasmosis Diagnosis ... Mississippi and Ohio River ... Increased protein level ... normal glucose level ... , A. niger, A. terreus