9 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
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus ... 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 ... Images #Clinical #Photo ... #Dermatology #Rash
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 #
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
endocarditis • Trauma Terry's ... discoloration) • Liver ... Systemic #Secondary #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 ... #Terrys #Nails # ... PhysicalExam #Clinical #Photo
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
- Nonremitting fever ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... PT ↑ PTT • ↑ Fibrin ... Diagnosis #Management #Hematology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
without significant fibrin ... DIC • Severe Liver ... treatment #management #hematology
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 ... Cellulitis #Clinical #Photo ... #dermatology