Concluded Case

5o year old male with decompasated cirrhosis of liver at present on medical management at present. He has noticed nail changes which are like as given in photos.. Guess the pattern and significance?

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Concluded answer
Yes its Terry’s nail- usually found in end organ failures specially in cirrhosis of liver with Special mention for wilsons diseases...
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IT'S A CASE OF.. ? TERRY'S NAILS.. R/O..UNDERLYING CONDITIONS LIKE.. LIVER DISEASE , KIDNEY DISEASE.. HEART FAILURE , DM ..
Tnx a lot Dr Ramesh Singh
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Pt is in decompensated cirrhosis liver Suggest pt is in liver failure and may be in portal hypertension Nails early clubbing with cynotic suggest Terry's nails . Rt heart failure
Thanx dr Bharat B Madha
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TERRY'S nails Seen in liver failure, cirrhosis, DM. CCF It is due to decrease in vascularity and increase in connective tissue.
Thank you doctor
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Liver failure cirrohosis of liver congestive heart failure
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TERRY'S NAILS ADVISABLE COMPLETE INVESTIGATIONS
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These blue lines are probably result of reduced vascularity under the nails , due hormone effect of excess oestrogen , not metabolized by liver because of cirrhosis. This us similar to gynecomastia and hyperpigmented areola commonly seen in cirrhosis.
Thank you doctor
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Yes its Terry’s nail- usually found in end organ failures specially in cirrhosis of liver with Special mention for wilsons diseases...
In Pneumonia, it is in severe cases lips and nails turns gray to bluish in colour
Cyanosis may be patient has developed hepatopulmonary syndrome
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Terry's nails. This is due to vascularity.
Thank you doctor
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