{"id":1830,"date":"2020-05-18T20:57:21","date_gmt":"2020-05-19T03:57:21","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=1830"},"modified":"2021-06-29T12:53:48","modified_gmt":"2021-06-29T19:53:48","slug":"palmar-erythema","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/palmar-erythema\/","title":{"rendered":"Palmar Erythema"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592017500066{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]\n<div class=\"textLayer\"><span style=\"font-size: 14pt;\">Erythema of the thenar\/hypothenar portion of the hand with a pale central palm, seen in liver disease (likely from imbalance of estrogens to androgens).<\/span><\/div>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology-2\/gastroenterology\/#Palmar_erythema\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged woman with cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017517085{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_cirrhosis_palmar-erythema_img_0049\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0049-scaled-wpp1592028901405-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0049-scaled-wpp1592028901405-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0049-scaled-wpp1592028901405-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0049-scaled-wpp1592028901405.jpg 960w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_cirrhosis_palmar-erythema_img_0048\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0048-scaled-wpp1592028930712-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0048-scaled-wpp1592028930712-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0048-scaled-wpp1592028930712.jpg 540w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/palmar-erythema\/gastroenterology_cirrhosis_palmar-erythema_img_0051\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled-1536x2048.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_0051-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 2:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged man with cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017534540{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-2' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_cirrhosis_palmar-erythema_img_3700\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3700-scaled-wpp1592029166730-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3700-scaled-wpp1592029166730-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3700-scaled-wpp1592029166730-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3700-scaled-wpp1592029166730.jpg 960w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_cirrhosis_palmar-erythema_img_3699\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3699-scaled-wpp1592029193807-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3699-scaled-wpp1592029193807-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3699-scaled-wpp1592029193807-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_3699-scaled-wpp1592029193807.jpg 960w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 3:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a young man with cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017548340{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-3' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/palmar-erythema\/gastroenterology_cirrhosis_palmar-erythema_img_7728\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-1536x1152.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Palmar-Erythema_IMG_7728-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1 id=\"patient4\">Patient 4:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged man with cirrhosis. Note the presence of Dupuytren&#8217;s contracture, which is associated with liver disease. <\/span><\/p>\n<p><span style=\"font-size: 14pt;\">This patient also has spider angiomas as well as a<a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/cardiology-2\/cardiology-multimedia-new\/bounding-pulse\/#patient4\" target=\"_blank\" rel=\"noopener noreferrer\"> bounding peripheral pulse<\/a> from the high output state of cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017564612{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-4' class='gallery galleryid-1830 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/dupuytren-and-palmar-erythema\/'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Dupuytren-and-palmar-erythema-scaled-wpp1591853508986-150x150.jpeg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 5:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged woman with cirrhosis. Note the presence of clubbing, which should trigger a search for the presence of a right-to-left shunt, such as hepatopulmonary syndrome.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017589143{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-5' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/palmar-erythema\/hepatopulmonary-clubbing-3\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-225x300.jpeg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-225x300.jpeg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-768x1024.jpeg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-1152x1536.jpeg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-1536x2048.jpeg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Hepatopulmonary-clubbing-3-scaled.jpeg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 6:<\/h1>\n<p><span style=\"font-size: 14pt;\">This patient has<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-6' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_3365-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-1536x1152.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3365-1-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_3364\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-1536x1152.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3364-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_3363-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"276\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3363-1-wpp1611810777123-300x276.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3363-1-wpp1611810777123-300x276.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_3363-1-wpp1611810777123.jpg 458w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 7:<\/h1>\n<p><span style=\"font-size: 14pt;\">This patient has<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-7' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_2479-1\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-1536x1152.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_2479-1-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 8:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged woman with cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017173859{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-8' class='gallery galleryid-1830 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_6210\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6210-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6210-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6210-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6210-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6210-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_6209\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6209-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6209-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6209-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6209-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6209-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_6208\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6208-wpp1624992557420-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6208-wpp1624992557420-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6208-wpp1624992557420.jpg 289w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 9:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is an older man with cirrhosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017173859{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-9' class='gallery galleryid-1830 gallery-columns-1 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_6292\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6292-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6292-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6292-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6292-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_6292-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592017500066{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text] Erythema of the thenar\/hypothenar portion of the hand with a pale central palm, seen in liver disease (likely from imbalance of estrogens to androgens). [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Patient 1: This is a middle-aged woman with cirrhosis.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017517085{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Patient 2: This is a middle-aged man<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1783,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-1830","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1830","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=1830"}],"version-history":[{"count":6,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1830\/revisions"}],"predecessor-version":[{"id":10668,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1830\/revisions\/10668"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1783"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=1830"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}