51 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
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... amebic abscess of liver ... or elevation of liver ... Typhoid, amebic liver ... fluke, amebic liver
"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 ... Skin 16-32% - ... and vision loss Liver ... pain and elevated liver ... involvements #symptoms #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Generalized Differential Diagnosis ... • Xerosis (dry skin ... Diabetes Mellitus Liver ... • Cholestatic liver ... #Differential #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 ... spider angiomas and skin ... However, Terry's ... PhysicalExam #Clinical #Photo
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... toxic aetiology: Skin ... Alcohol-related liver ... cholangitis Consider liver ... #DrugInduced #Liver
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... status (edema, JVD, skin ... history (cardiac, liver ... drug history #Diagnosis
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
Scarlet fever • ... Delayed-type skin ... folds #Scarlet #fever ... #diagnosis #clinical ... #photo #signs #
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... could have been diagnosed ... with persistent fever ... PhysicalExam #clinical #photo ... dermatology #soles #skin