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diagnosis nejm management physicalexam ucsdh dermatology fingernails sign cellulitis hands hematology infection infections infectiousdiseases radiology rash rheumatology skin syndrome syphilis
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 #Sign
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
Rapid onset of fever ... sepsis: chronic liver ... Early abx are critical ... dermatology #legs #clinical ... #photo
"Liver palms" Palmar erythema #clinical #diagnosis #PhysicalExam #hands #liver #hepatology #cirrosis #photo
"Liver palms" Palmar ... erythema #clinical ... PhysicalExam #hands #liver ... hepatology #cirrosis #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
Vibrio vulnificus ... urgently, and Vibrio ... including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Spider Angioma: Dialated superficial arterioles, most commonly associated with advanced liver disease. Charlie Goldberg, M.D. - UCSD
with advanced liver ... UCSD Catalog of Clinical ... Images #Clinical ... #Photo #Dermatology
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 ... #PhysicalExam #Clinical ... #Photo
Waterborne Infections - Differential Diagnosis Framework Infections that can be acquired from fresh water, brackish water, sea
(Shigella) • Vibrio ... Cholera/Vibrio ... vulnificus • Vibrio ... is biphasic • Clinical ... Meningitis - Liver
Syphilitic gummas in Tertiary syphilis Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
syndromes Clinical ... is the main clinical ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... PT ↑ PTT • ↑ Fibrin
Interstitial keratitis in Tertiary Syphilis Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
blood vessels, liver ... Tertiary #syphilis #clinical ... #photo
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