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clinical diagnosis fingernails physicalexam sign algorithm ankle bullae causes clincal ct dermatology differential frost goiter hands hypercholesterolemia hypothyroidism jerk management
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
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 ... patients with renal ... PhysicalExam #Clinical #Photo
Nail Disorders secondary to Systemic Diseases Nail Fold Abnormality • SLE • Scleroderma • Dermatomyositis Koilonychia - Spoon-shaped
endocarditis • Trauma Terry's ... discoloration) • Liver ... discoloration) • Chronic renal
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Uremic Frost in End-Stage Renal Disease- A 39-year-old man with end-stage renal disease presented to the
Frost in End-Stage Renal ... with end-stage renal ... ), a sodium level ... #NEJM #clinical ... #photo #renal #urology
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
total cholesterol level ... a triglyceride level ... LDL) cholesterol level ... #NEJM #clincal # ... photo #xanthoma
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
vasculitis: 10%-16% Liver ... cirrhosis: 3%-20% Renal ... Distal (Type I) renal ... Symptomatic: artificial tears
Woltman's sign of hypothyroidism- ...At the time of presentation, a physical examination was notable for the
free thyroxine level ... serum thyrotropin level ... was 20.5 mIU per liter ... #clinical #photo ... #NEJM #Woltmans
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
plasma thyrotropin level ... was 0.2 mIU per liter ... and the serum level ... #clinical #photo ... #NEJM #Pembertons
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