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management physicalexam fingernails cellulitis dermatology hands hematology infection infections infectiousdiseases nejm rheumatology skin syndrome vulnificus abnormal activation atlas beaus bullae
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
"Liver palms" Palmar erythema #clinical #diagnosis #PhysicalExam #hands #liver #hepatology #cirrosis #photo
"Liver palms" Palmar ... erythema #clinical ... #diagnosis #PhysicalExam ... #hands #liver ... hepatology #cirrosis #photo
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
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 #
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
- Differential Diagnosis ... Cholera/Vibrio ... is biphasic • Clinical ... Meningitis - Liver ... #Differential #Diagnosis
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 ... Activation #Syndrome #Diagnosis
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
organ damage Clinical ... without significant fibrin ... DIC • Severe Liver ... #Coagulation #diagnosis
Nail Pathologies - Findings in or Near Nails Paronychia A superficial infection of the proximal and lateral
the Fingers Clinically ... Terry's Nails ... Seen in liver disease ... Abnormal #Pathology #Diagnosis ... #Clinical #Signs
Oral histoplasmosis in a transplant patient 50 F Midwest hx liver transplant on prednisone MMF fever, sweats,
50 F Midwest hx liver ... Diagnosis? ... histoplasmosis is rare & diagnosis ... transplant #mouth #clinical ... #photo
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