leg clinical dermatology cardiology photo nejm sign legs derm a4c pericarditis lichen pocus striae

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Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms

the trunk and legs ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams ... #striae

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

kg and swollen legs ... ASA, Kussmaul's sign ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology

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