How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

127 results for

Nail Splinter Hemorrhage

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. Psoriatic Arthritis (Overview)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

62. Infective Endocarditis (Overview)

signs of IE are found in as many as 50% of patients. They include the following: Petechiae: Common, but nonspecific, finding Subungual (splinter) hemorrhages: Dark-red, linear lesions in the nail beds Osler nodes: Tender subcutaneous nodules usually found on the distal pads of the digits Janeway lesions: Nontender maculae on the palms and soles Roth spots: Retinal hemorrhages with small, clear centers; rare Signs of neurologic disease, which occur in as many as 40% of patients, include the following (...) , septic pulmonary infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhage, or Janeway lesions Immunologic phenomenon such as glomerulonephritis, Osler nodes, Roth spots, and rheumatoid factor Positive blood culture results not meeting major criteria or serologic evidence of active infection with an organism consistent with IE Echocardiogram results consistent with IE but not meeting major echocardiographic criteria A definitive clinical diagnosis can be made based on the following

2014 eMedicine.com

63. Dermatologic Manifestations of Hematologic Disease (Treatment)

, purpura, ecchymoses, painful skin nodules, and subungual splinter hemorrhages. Livedo reticularis is a presenting sign in up to 40% of patients with the diagnosis of SLE. [ ] Skin changes defined as livedo reticularis are violaceous, red or blue, reticular, or mottled pattern of the skin of the arms, legs, and the trunk. They are not reversible with rewarming. [ ] Noninflammatory vascular thrombosis is the most frequent finding in skin lesions of patients with antiphospholipid syndrome. Differential (...) is believed to diminish disulfide bond formation, which consequently reduces nail-plate pliability. Changes also occur in the oral mucosa and on the tongue. Of 378 patients with iron deficiency, 14% had angular stomatitis and almost half had alterations in tongue papillae, either a change to the filiform type or atrophy. [ , ] Diffuse hair thinning is reported in female blood donors and is believed to be caused by a decrease in the iron storage pool. Changes in hair quality, primarily increased splitting

2014 eMedicine.com

64. Dermatologic Manifestations of Cardiac Disease (Treatment)

of clubbing of a finger in a patient with Eisenmenger syndrome (right-to-left shunt). Cyanosis Definition is a bluish discoloration of the skin and mucous membranes due to an increased amount of reduced hemoglobin in the small blood vessels of the skin. It is most appreciable in the lips, nail beds, earlobes, and cheeks. The mechanism includes either dilatation of cutaneous venules or a reduction in the oxygen saturation of intracapillary blood. Cyanosis manifests when the absolute concentration (...) of reduced hemoglobin exceeds 5 g/dL. Clinical presentation Cyanosis may be central or peripheral. In the central type, the desaturation of the arterial blood affects both the mucous membranes and the skin. In peripheral cyanosis, a slowing of blood flow and overextraction of oxygen from blood occurs as a result of vasoconstriction and reduced peripheral blood flow owing to cold exposure, shock, congestive heart failure (CHF), or peripheral vascular disease. Central cyanosis is caused by the following

2014 eMedicine.com

65. Dermatologic Manifestations of Gastrointestinal Disease (Treatment)

macular or papular, sharply demarcated telangiectases on the face, lips, palate, tongue, ears, chest, or extremities, with occasional presentation under nails. The age of onset for the telangiectases is most often the third decade of life, although earlier presentations may occur during adolescence. Although the distribution of lesions and associated bleeding diathesis are clinically suggestive of hereditary hemorrhagic telangiectasia, it may occasionally be difficult to distinguish from similar (...) % of patients. The second most common manifestation involves spontaneous hemorrhage from vascular telangiectasia within the GI tract. [ , ] The GI lesions resemble the skin lesions in form and size and are most often found in the stomach or duodenum. A ring of less vascularized tissue surrounding the GI lesions is a characteristic finding on endoscopy. Bleeding from these telangiectases tends to begin in the fifth or sixth decade of life and often can be severe. Treatment modalities include endoscopic laser

2014 eMedicine.com

66. Psoriatic Arthritis (Treatment)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

67. Psoriatic Arthritis (Treatment)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

68. Psoriatic Arthritis (Treatment)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

69. Dermatologic Manifestations of Hematologic Disease (Overview)

, purpura, ecchymoses, painful skin nodules, and subungual splinter hemorrhages. Livedo reticularis is a presenting sign in up to 40% of patients with the diagnosis of SLE. [ ] Skin changes defined as livedo reticularis are violaceous, red or blue, reticular, or mottled pattern of the skin of the arms, legs, and the trunk. They are not reversible with rewarming. [ ] Noninflammatory vascular thrombosis is the most frequent finding in skin lesions of patients with antiphospholipid syndrome. Differential (...) is believed to diminish disulfide bond formation, which consequently reduces nail-plate pliability. Changes also occur in the oral mucosa and on the tongue. Of 378 patients with iron deficiency, 14% had angular stomatitis and almost half had alterations in tongue papillae, either a change to the filiform type or atrophy. [ , ] Diffuse hair thinning is reported in female blood donors and is believed to be caused by a decrease in the iron storage pool. Changes in hair quality, primarily increased splitting

2014 eMedicine.com

70. Dermatologic Manifestations of Cardiac Disease (Overview)

of clubbing of a finger in a patient with Eisenmenger syndrome (right-to-left shunt). Cyanosis Definition is a bluish discoloration of the skin and mucous membranes due to an increased amount of reduced hemoglobin in the small blood vessels of the skin. It is most appreciable in the lips, nail beds, earlobes, and cheeks. The mechanism includes either dilatation of cutaneous venules or a reduction in the oxygen saturation of intracapillary blood. Cyanosis manifests when the absolute concentration (...) of reduced hemoglobin exceeds 5 g/dL. Clinical presentation Cyanosis may be central or peripheral. In the central type, the desaturation of the arterial blood affects both the mucous membranes and the skin. In peripheral cyanosis, a slowing of blood flow and overextraction of oxygen from blood occurs as a result of vasoconstriction and reduced peripheral blood flow owing to cold exposure, shock, congestive heart failure (CHF), or peripheral vascular disease. Central cyanosis is caused by the following

2014 eMedicine.com

71. Dermatologic Manifestations of Gastrointestinal Disease (Overview)

macular or papular, sharply demarcated telangiectases on the face, lips, palate, tongue, ears, chest, or extremities, with occasional presentation under nails. The age of onset for the telangiectases is most often the third decade of life, although earlier presentations may occur during adolescence. Although the distribution of lesions and associated bleeding diathesis are clinically suggestive of hereditary hemorrhagic telangiectasia, it may occasionally be difficult to distinguish from similar (...) % of patients. The second most common manifestation involves spontaneous hemorrhage from vascular telangiectasia within the GI tract. [ , ] The GI lesions resemble the skin lesions in form and size and are most often found in the stomach or duodenum. A ring of less vascularized tissue surrounding the GI lesions is a characteristic finding on endoscopy. Bleeding from these telangiectases tends to begin in the fifth or sixth decade of life and often can be severe. Treatment modalities include endoscopic laser

2014 eMedicine.com

72. Drug Eruptions (Overview)

the images below. Paronychia. Papules and annular plaques. Superficial and mid-dermal perivascular infiltrate of lymphocytes and eosinophils. Foci of extravasation of erythrocytes. Sorafenib [ ] (a novel multikinase inhibitor) - Hand-foot skin reaction, facial and scalp eruption, scalp dysesthesia, subungual splinter hemorrhages, alopecia, body hair loss, stomatitis, nipple hyperkeratosis or pain, and eruptive facial cysts Vemurafenib is a systemic medication recently approved by the Food and Drug (...) of accumulation is argyria (blue-gray discoloration of skin and nails) observed with use of silver nitrate nasal sprays. Adverse effects are normal but unwanted effects of a drug. For example, antimetabolite chemotherapeutic agents, such as cyclophosphamide, are associated with hair loss. The direct release of mast cell mediators is a dose-dependent phenomenon that does not involve antibodies. For example, aspirin and other NSAIDs cause a shift in leukotriene production, which triggers the release

2014 eMedicine.com

73. Tetanus (Overview)

of neurotransmitter containing vesicles to the cell membrane. As a result, gamma-aminobutyric acid (GABA)-containing and glycine-containing vesicles are not released, and there is a loss of inhibitory action on motor and autonomic neurons. [ ] With this loss of central inhibition, there is autonomic hyperactivity as well as uncontrolled muscle contractions (spasms) in response to normal stimuli such as noises or lights. Once the toxin becomes fixed to neurons, it cannot be neutralized with antitoxin. Recovery (...) of nerve function from tetanus toxins requires sprouting of new nerve terminals and formation of new synapses. Localized tetanus develops when only the nerves supplying the affected muscle are involved. Generalized tetanus develops when the toxin released at the wound spreads through the lymphatics and blood to multiple nerve terminals. The blood-brain barrier prevents direct entry of toxin to the CNS. Previous Next: Etiology Tetanus spores may survive for years in some environments and are resistant

2014 eMedicine.com

74. Psoriatic Arthritis (Follow-up)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

75. Psoriatic Arthritis (Follow-up)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

76. Psoriatic Arthritis (Follow-up)

with psoriatic arthritis, may include the following: Beau lines Leukonychia Onycholysis Oil spots Subungual hyperkeratosis Splinter hemorrhages Spotted lunulae Transverse ridging Cracking of the free edge of the nail Uniform nail pitting Extra-articular features are observed less frequently in patients with psoriatic arthritis than in those with rheumatoid arthritis (RA) but may include the following: Synovitis affecting flexor tendon sheaths, with sparing of the extensor tendon sheath Subcutaneous nodules (...) at the attachment of the Achilles tendon and the plantar fascia to the calcaneus with the development of insertional spurs Dactylitis with sausage digits is seen in as many as 35% of patients Skin lesions include scaly, erythematous plaques; guttate lesions; lakes of pus; and erythroderma Psoriasis may occur in hidden sites, such as the scalp (where psoriasis frequently is mistaken for dandruff), perineum, intergluteal cleft, and umbilicus Psoriatic nail changes, which may be a solitary finding in patients

2014 eMedicine.com

77. Hand Infections

occurrences may be caused by an immunosuppressed state (eg, diabetes, AIDS), foreign body (eg, splinter), or vascular insufficiency (eg, diabetes). A case of paronychia in the thumb that resolved after the patient discontinued use of his personal digital assistant (PDA) was recently reported. [ ] Cellulitis presents with rubor (redness), dolor (pain), calor (warmth/heat), and functio laesa (loss of function). Lymphangitis characterized by red streaks up the arm may develop. In more advanced cases (...) and in those who abuse intravenous drugs. Most cultures from hand infections show multiple organisms. Previous Next: Diagnostic Studies In most cases, the diagnosis of infection is made on clinical grounds. Diagnostic studies are frequently necessary to support the diagnosis. If the diagnosis is in doubt, diagnostic studies may be of benefit. The following studies may be performed: Complete blood count (CBC) may reveal leukocytosis with left shift. Serum glucose levels may be helpful, particularly

2014 eMedicine Surgery

78. Dermatologic Manifestations of Hematologic Disease (Follow-up)

, purpura, ecchymoses, painful skin nodules, and subungual splinter hemorrhages. Livedo reticularis is a presenting sign in up to 40% of patients with the diagnosis of SLE. [ ] Skin changes defined as livedo reticularis are violaceous, red or blue, reticular, or mottled pattern of the skin of the arms, legs, and the trunk. They are not reversible with rewarming. [ ] Noninflammatory vascular thrombosis is the most frequent finding in skin lesions of patients with antiphospholipid syndrome. Differential (...) is believed to diminish disulfide bond formation, which consequently reduces nail-plate pliability. Changes also occur in the oral mucosa and on the tongue. Of 378 patients with iron deficiency, 14% had angular stomatitis and almost half had alterations in tongue papillae, either a change to the filiform type or atrophy. [ , ] Diffuse hair thinning is reported in female blood donors and is believed to be caused by a decrease in the iron storage pool. Changes in hair quality, primarily increased splitting

2014 eMedicine.com

79. Dermatologic Manifestations of Cardiac Disease (Follow-up)

of clubbing of a finger in a patient with Eisenmenger syndrome (right-to-left shunt). Cyanosis Definition is a bluish discoloration of the skin and mucous membranes due to an increased amount of reduced hemoglobin in the small blood vessels of the skin. It is most appreciable in the lips, nail beds, earlobes, and cheeks. The mechanism includes either dilatation of cutaneous venules or a reduction in the oxygen saturation of intracapillary blood. Cyanosis manifests when the absolute concentration (...) of reduced hemoglobin exceeds 5 g/dL. Clinical presentation Cyanosis may be central or peripheral. In the central type, the desaturation of the arterial blood affects both the mucous membranes and the skin. In peripheral cyanosis, a slowing of blood flow and overextraction of oxygen from blood occurs as a result of vasoconstriction and reduced peripheral blood flow owing to cold exposure, shock, congestive heart failure (CHF), or peripheral vascular disease. Central cyanosis is caused by the following

2014 eMedicine.com

80. Dermatologic Manifestations of Gastrointestinal Disease (Follow-up)

macular or papular, sharply demarcated telangiectases on the face, lips, palate, tongue, ears, chest, or extremities, with occasional presentation under nails. The age of onset for the telangiectases is most often the third decade of life, although earlier presentations may occur during adolescence. Although the distribution of lesions and associated bleeding diathesis are clinically suggestive of hereditary hemorrhagic telangiectasia, it may occasionally be difficult to distinguish from similar (...) % of patients. The second most common manifestation involves spontaneous hemorrhage from vascular telangiectasia within the GI tract. [ , ] The GI lesions resemble the skin lesions in form and size and are most often found in the stomach or duodenum. A ring of less vascularized tissue surrounding the GI lesions is a characteristic finding on endoscopy. Bleeding from these telangiectases tends to begin in the fifth or sixth decade of life and often can be severe. Treatment modalities include endoscopic laser

2014 eMedicine.com

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>