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A. Clubbing

B. Erythematous palms

C. Evidence of widespread scratching

D. Flattened nails (koilonychias)

E. Keratotic striations

F. Pitted nails

G. Purpura

H. 'Target' lesions.

For each of the following clinical scenarios identify the most appropriate

skin/nail condtion from those provided. Each option may be used once, more than

once, or not at all

1. A 45 year old woman with known liver disease.

2. A 56-year-old psoriasis sufferer.

3. A woman with a hypochromic microcytic anaemia.

4. A heavy smoker with haemoptysis.

5. A patient with a history of gallstones presenting with dark urine and

jaundice.

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