Small hemorrhages are noted under the nailbed of a patient with a history of intravenous drug abuse. This finding is associated with:
a. Low albumin levels
b. Zinc deficiency
c. Renal disease
d. Bacterial endocarditis
D
Small hemorrhages under the nailbed, known as splinter hemorrhages, are associated with bacterial endocarditis, a complication of IV drug abuse. A distal band of reddish-pink covering 20% to 60% of the nail (half and half nails) is seen in patients with low albumin levels and renal disease. White spots may indicate zinc deficiency.
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