2017年5月9日 星期二

內科疾病相關的指甲變化

指甲也是件小事,不過考試喜歡考,病人也喜歡考你喔...




Nail





Lindsey= half-and-half
Chronic renal failure
Koilonychias=spoon nail
Iron deficiency
White nail
Selenium deficiency due to TPN, CHF,DM,sclerosis
Flushing with heartbeat
Aortic regurgitation: Quincke pulsation
Terry nail
Splinter hemorrhage
Liver cirrhosis (thumb/食指), nail plate opacity

Azure lunulae=blue nail
Wilson disease, argyria, 抗癌藥物busulfan/antimalarial
Yellow nail syndrome
Congenital hypoplastic lymphatics TRIAD:
Yellow nail/ primary lymphedema/ pleural effusion
Periodic lymphangitis, sinusitis, bronchiectasis
常常呼吸道感染 肺炎