- CDC
- Heart Failure
- Cardiovascular Clinical Consult
- Adult Immunization
- Hepatic Disease
- Rare Disorders
- Pediatric Immunization
- Implementing The Topcon Ocular Telehealth Platform
- Weight Management
- Monkeypox
- Guidelines
- Men's Health
- Psychiatry
- Allergy
- Nutrition
- Women's Health
- Cardiology
- Substance Use
- Pediatrics
- Kidney Disease
- Genetics
- Complimentary & Alternative Medicine
- Dermatology
- Endocrinology
- Oral Medicine
- Otorhinolaryngologic Diseases
- Pain
- Gastrointestinal Disorders
- Geriatrics
- Infection
- Musculoskeletal Disorders
- Obesity
- Rheumatology
- Technology
- Cancer
- Nephrology
- Anemia
- Neurology
- Pulmonology
Do These Small Subungual Lines Suggest a Larger Problem?
Thin dark lines beneath the fingernails are the only physical findings of note in a middle-aged man who presents with cough, fevers, and arthralgias.
A 42-year-old man presents with nonproductive cough and subjective fevers and chills with associated arthralgias of 2 weeks’ duration. He admits to a history of intravenous drug use and hepatitis C. He uses daily alcohol and tobacco and currently takes no prescription or over-the-counter medications.
Vitals signs: temperature, 38.3°C (100.9°F); heart rate, 101 beats/min; respiratory rate, 18 breaths/min; blood pressure, 112/72 mm Hg; oxygen saturation, 96% on room air.
His cardiopulmonary examination reveals clear lungs, with a grade II/VI systolic ejection murmur. The rest of his physical exam is unremarkable except for some lesions under the fingernails similar to those shown in the Figure above.
1. What is this dermatologic manifestation?
2. What diagnosis might this finding suggest in this patient?
Please click here for answer and discussion.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
