The Pulse

Today we saw some pretty empressive gouty tophi - small joints on the hands were involved, as well as an impressive tophus on the elbow (th...

-Tunisia? -Two Knees, Yeah! -Two Knees, Huh? Okay...terrible...there's plenty more where that came from. Today we examined two knees . A...

Today we did a lot of percussion and auscultation ....and a bit of tactile vocal fremitus . The summary below is very important - you can p...

What does this picture have to do with splenomegaly? Send me an email - if you're right, I'll buy you a coke. The spleen is the 3r...

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis are about as bad a drug reaction as you can get. These are basically the same condit...

Today we looked at nails a bit more closely. We examined the white part of the nail, termed the Lunula, which is Latin for 'little moon...

Today we saw some really interesting cases including: *Ascites: check out a previous post with evidence-based physical exam findings here . ...

Common causes of Clubbing: Gastrointestinal : liver disease, inflammatory bowel diseases, celiac disease, malignancy Pulmonary : malignancy...

Today we saw of case of severe non-pitting edema, and a case of what appeared to be cellulitis, but in fact was radiation-induced skin chan...

(rainbow trout pictured left) Today we saw a case of severe aortic stenosis (valve area 0.6 cm). We have discussed AS in detail before, and ...