Showing posts with label OSCE. Show all posts
Showing posts with label OSCE. Show all posts

Thursday, 16 August 2012

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Nail abnormalities


Terry's Nails
Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen in states of stress (e.g. advanced age, liver disease/cirrhosis, CHF, DM2)



Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.



Beau's Lines
Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain chemotherapy. 


Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or more lines on one nail. Seen in states of decreased protein synthesis or increase protein loss such as with hypoalbunemia (usually less than < 2.2 g/dL), certain chemotherapy and nephrotic syndrome. 


Wednesday, 15 August 2012

Chronic Neck Swelling


A young adult male presented with chronic, indolent, inflammatory discharging nodules on the neck of about two years duration. Some older lesions have left scarring behind. Cervical lymph node were enlarged and skin biopsy showed tuberculoid granulomas within the dermis.

What is the clinical condition? 

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