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diagnosis fingernails hematology physicalexam rheumatology syndrome vulnificus activation bullae causes cellulitis coagulation dermatology dic disseminated fungal hands infection infections infectiousdiseases
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
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 ... ALT ↑ bilirubin level ... Syndrome #Diagnosis #Management
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 ... causes #treatment #management
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 ... Symptomatic: artificial tears ... Rheumatology #Diagnosis #Management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
has five major clinical ... Increased protein level ... normal glucose level ... , A. niger, A. terreus ... Fungal #Diagnosis #Management
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