A 48-year-old man presents with flank pain and weight loss. A subtle nail finding on physical exam points towards a devastating systemic diagnosis.
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?
What is the most likely diagnosis?
Nonbacterial thrombotic endocarditis, Pancreatic cancer, Paraneoplastic syndrome, Physical Examination, Splinter hemorrhages
