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56 Cards in this Set
- Front
- Back
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Acral Lentiginous Melanoma (pic) |
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Acral Lentiginous Melanoma description |
dark brown discoloration in nail bed |
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Beau's Lines Description |
transverse INDENTED lines parallel to lunula |
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Beau's Lines (pic) |
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Clubbing Description |
Soft tissue growth at the nail bed. Greater ant-post distance vs. distal IP join. Takes months/years to develop. |
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Clubbing (pic) |
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Koilonychia description |
"spooning of the nail" - curves up away from the nail bed. Classic finding in iron defeciency anemia. |
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koilonychia (pic) |
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Lindsay's nail description |
"Half and Half nails" - proximal portion is pale/white, while distal half is brown/pink/red. Associated w/ renal failure |
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Mees' lines description |
transverse white band parallel to lunula. described with arsenic intoxication, thallium, lymphoma, malaria, and now most common is cancer chemo. |
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Muehrcke's Lines descript |
two or mroe paired transverse white bands assoc w/ severe hypoalbuminemia (<2.2 g/dL) |
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Nail Pitting descript |
small depressions in the nail that are present in 50% of people with psoriasis (usually more severe cases) |
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Onycholysis descript |
irregular separation of the naile plate from hyponychium. Trauma, psoriasis, hyperthryroidism (specifically Grave's Dz). |
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Periungual fibroma (aka Koenen tumor) description |
flesh-colored papule of nail folds (usually toes) seen in 50% patients with tuberous sclerosis. |
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Quitter's nail descript |
Cig smoking = orange-brown discoloration of nails of fingers holding the ci. A normal proximal nail indicated smoking cessation. |
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Splinter Hemorrhages descript |
small brown/red streaks perpendicular to lunula, usually distal nail. Commonly traumatic, but also seen with microembolism from infectious endocarditis, scleroderma, and trichinosis (parasite). |
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Terry's Nails Descript |
proximal paleness of anil with only a little preserved pink distal border (can appear dark). Seen with liver cirrhosis and other "severe medical conditions" (heart failure, poorly controlled DM, TB, hepatitis) |
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Lindsay's Nails (pic) |
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Mees' Lines (pic) |
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Muehrcke's Lines (pic) |
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nail pitting (pic) |
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Onycholysis (pic) |
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Periungual Fibroma (pic) |
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Quitter's Nail (pic) |
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Splinter Hemorrhages (pic) |
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Terry's Nails (pic) |
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Arachnodactyly |
long fingers assoc w/ Marfans! (wrist circumference<5th finger and thumb) |
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Bouchard's Node description |
Bony Protuberance of proximal IP joint w/o inflammation. osteoarthritis |
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Boutonniere deformity description |
extension at distal IPJ and flexion at proximal IPJ. severe chronic rheumatoid arthritis |
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Dupuytren's contractures description |
shortening of finger flexors in the palm. idiopathic, EtOH abuse/EtOH cirrhosis |
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Heberden's Node description |
bony protuberance of distal IPj w/o inflammation. osteoarthritis |
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Janeway Lesion description |
painless, red macular lesion of palms/soles produced by embolism due to infectious endocarditis |
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Joint hypermobility description |
dorsiflex 5th finger more than 90 degrees and/or appose thumb to flexor of forearm. suggests Ehlers-Danlos syndrome |
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Large, fleshy hands description |
if rings don't fit anymore acromegaly |
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Mechanic's Hands description |
Thickened, cracked and dirty appearing palmar skin. anti-synthetase syndrome variant of dematomyositis |
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Osler node description |
PAINFUL red RAISED lesions on ventral surface of fingers/toes caused by IC deposition. Originally described with subacute bacterial endocarditis. |
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Pallor of nail beds and palms description |
assoc w/ severe anemia. |
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Swan Neck deformity description |
extension of proximal IP and flexion at distal IP. severe chronic RA |
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Arachnodactyly (pic) |
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Bouchards Node - OsteoA |
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Boutonniere deformity - RA |
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Dupuytren's contractures |
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Heberden's node - OsteoA |
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Janeway lesion *PAINLESS* |
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Ignore arm thing Joint hypernmobility - Ehlers-Danlos |
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large fleshy hand - acromegaly |
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Mechanics Hands - dermatomyositis |
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Osler Node *RAISED AND PAINFUL!* |
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Pallor of nail beds/palm/hand - anemia |
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Swan Neck Deformity - RA |
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Difference between Osler Node and Janeway Lesion? |
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What to ask/further examine if you suspect Fe Deficiency? |
Examine nails (koilonychia), mouth (angular cheilosis) and tongue (atrophic glossitis). These are all signs of general malnutrition/anemia though.... for specific Fe Def Dx, ask about dysphagia, and especially pica!!!! |
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You have an IV drug user and you're worried about endocarditis. What would you look for on PE? |
Ventral fingers/toes - Osler node or splinter hemorrhage Palms/Soles - Janeway lesion MSK - Septic Joint Eye exam - Roth spots |
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Why important to catch Marfans early? |
Most will have aortic root dilation, predisposing them to aortic dissection |
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Findings in Alcoholism |
HTN |
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Ulcerative face lesions, acute, with fever, in US: |
More likely blastomycosis than lupus vulgaris |