The Pulse

1. Liver Failure - some exam findings to look for include: encephalopathy asterixis jaundice bruising fetor hepaticus muscle wasting clubbi...

(Treponema pallidum pictured left) Today we examined a patient for possible tertiary syphilis and looked specifically for an Argyll Robersto...

1. Xanthelasma : cholestrol deposits under the skin, typically around the eye - often called xanthelasma palpebrarum . Usually yellowish/whi...

On inspection remember to look for "SEADS" - s welling, e rythema, a trophy, d eformities, s kin changes. Wrist: Often has Radial...

Interesting eye findings today: Cranial Nerve III All extra ocular movements except those from the Superior Oblique (CN IV) and Lateral Rect...

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...