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Medicine

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Kidney

Question
12 out of 21
 

Nail and half nail sign, seen in uremia is (AIIMS May- 09)



A Due to melanin deposition

B Increased capillary density at the distal half of nails

C Hypoproteinemia

D Circulating toxin

Ans. B Increased capillary density at the distal half of nails

Skin

A. Pruritus (due to uremia) Q B. Ecchymosis

C. Hyperpigmentation (yellow hyperpigmentation due to retention of urochrome and discoloration due to hemochromatosis)

D. Nail & Half nail (also known as Lindsay Nail) occur due to Increased capillary density at the distal half of nails

Extra Edge: (Ref. H-18th Edi, P- 2317)

A. A fatal skin condition called nephrogenic systemic fibrosis (fibrosingdermopathy) in which progressive subcutaneous induration, especially on the arms and legs occurs

B. It is seen in patients with CKD, most commonly on dialysis.

C. Exposure to the magnetic resonance contrast agent, gadolinium, may precipitate this syndrome.

Important Points:Calciphylaxis (Ref. H-18th Edi, P- 2313)

A. Calciphylaxis is one type of extraskeletal calcification.

B. Calciphylaxis is a devastating condition seen almost exclusively in patients with advanced CKD.

C. It is heralded by livedoreticularis and advances to patches of ischemic necrosis, especially on the legs, thighs, abdomen, and breasts.

D. Pathologically, there is evidence of vascular occlusion in association with extensive vascular calcification.

Kidney Flashcard List

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