A previously healthy 48-year-old man presented to the emergency department with acute onset of pain in both flanks. During the preceding 6 months he had had an unintentional weight loss of approximately 5 kg. On physical examination, the following nail changes were noted. What is the finding? A. Nicotine staining B. Ungal Melanoma C. Splinter Hemorrhage D. Janeway Lesion E. Onchylosis

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Splinter hemorrhage The flank pain, probaly, is due to renal infarcts caused by Infective endocarditis

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C. Splinter Hemorrhages

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C. Splinter Hemorrhages

C

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C. Splinter Hemorrhages

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C splinter hhg diagnostic of endocarditis

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C. Splinter Hemorrhages

THE. ANSWER. IS... C .....SPLINTER. HEMORRHAGE

Answer is C

Spilnter h'age

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