APRIL 5, 2008

Examining Fingernails in elderly patients (5/5)
Abnormalities of the nail are often caused by skin disease, infection & medical conditions.

Author: Mark E. Williams - Medscape.com

Content:

INTRODUCTION
OBSERVING THE NAIL SHAPE AND SURFACE
OBSERVING THE NAIL COLOUR
PROCESSES AROUND THE NAIL
CASES


CASES

The following are examples of patients in whom examining the fingernails may help identify their conditions:


CASE 1: 78-year-old with multiple conditions.

Nail case 1

CASE 2: 84-year-old man with a painful ankle.

Nail case 2

CASE 3: 68-year-old man with esophageal cancer.

Nail case 3

CASE 4: 62-year-old woman with dermatomyositis.

Nail case 4



Acknowledgments by Mark E. Williams

The author would like to thank the University of Virginia GME Office for funding support; Jim Thomas, MD, of www.Dermnet.com for permission to use images from their extensive dermatologic atlas; and the internal medicine residents at the University of Virginia for pre-testing and their helpful feedback.

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