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 #Sign
"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 skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Rapid onset of fever ... sepsis: chronic liver ... rash #cellulitis #dermatology ... #legs #clinical ... #photo
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
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
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 ... PT ↑ PTT • ↑ Fibrin ... Diagnosis #Management #Hematology
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 ... treatment #management #hematology
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... vasculitis: 10%-16% Liver ... Nephrogenic DI Hematologic ... Symptomatic: artificial tears ... Sjogrens #Syndrome #Rheumatology
Melioidosis - Skin Infection
63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
diabetes with c/o fever ... , alcoholism, liver ... Infection #Cellulitis #Clinical ... #Photo #dermatology