棕色的指甲作为冲击诊断的线索
Satoshi Inaba1,2, Hisatoshi Okumura3, Yuichiro Nakanishi4
1Department of General Internal Medicine Fukuchiyama City Hospital Fukuchiyama Japan.
Journal of general and family medicine
|March 10, 2025
概括
一个农民的棕色指甲变色导致了结核阿迪森病的诊断. 早期识别这种上腺功能缺陷症状使得迅速治疗和恢复成为可能.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 上腺功能不充分,或阿迪森病,可以呈现与非特异性症状.
- 指甲色素过高是不常见的,但可能是上腺功能不全的指标.
研究的目的:
- 突出了上腺功能不全的指甲多色素的诊断意义.
- 报告一个结核阿迪森病病例,呈现出震惊和指甲变色.
主要方法:
- 一个60岁的男性农民的案例报告.
- 临床表现:对液体没有冲击反应.
- 诊断确认:ACTH水平升高和偶尔观察到棕色指甲变色.
主要成果:
- 患者出现了冲击,最初对液体复苏无反应.
- 观察到棕色的指甲变色,引发了对上腺功能不充分的怀疑.
- 升高的ACTH水平证实了上腺功能不充分,导致结核阿迪森病的诊断.
结论:
- 指甲色素过高可能是上腺功能不全的关键诊断线索.
- 通过微妙的迹象,如指甲变化,早期识别结核阿迪逊病对于有效的管理至关重要.
- 及时诊断和治疗导致了患者病情的解决.
相关概念视频
Cardiovascular System Abnormal Findings I: Inspection and Palpation
233
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
233
Changes in Skin Color: Clinical Perspectives
1.6K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
1.6K
Assessment of the Cardiovascular System II: Inspection
145
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
145
Blood Pressure Imbalances and Circulatory Shock
728
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
728
Assessment of the Cardiovascular System III: Palpation
168
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
168
Physical Assessment of the Respiratory Tract II: Inspection
213
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
213


