The rule of 4 of the brainstem
Peter Gates rule of 4 of the brainstem illustrated in a single diagram...why and how?
Category Medical Specialty
Brainstem Rules of 4
Gates described a simplified method for answering the question 'Where is the lesion?' using only the parts of the brainstem that we actually examine during a clinical examination to understand brainstem vascular syndromes.
Peyronie’s disease
Peyronie disease refers to plaques (flat scar tissue) forming under the skin of the penis. The plaques can be palpated through the skin; are often painful; and can cause the penis to bend, shorten or become indented during erections.
Charles Macklin
Charles Clifford Macklin (1883-1959) was a Canadian pulmonologist. Macklin Effect (1939)
Ferdinand-Jean Darier
Ferdinand-Jean Darier (1856-1938) was a Hungarian born, French dermatologist and physician. Affiliated with Darrier sign and Darier disease
Troubling Tachycardia
An ECG case of Bidirectional ventricular tachycardia focusing on two main causes: digoxin toxicity & catecholaminergic polymorphic VT - CPVT
RESCUEicp and the Eye of the Beholder
Alistair Nichol explains why the "favourability" of outcomes from brain trauma in the RESCUEicp trial are in the eye of the beholder.
ECG Case 073
ECG of a 7 year old boy presenting with intermittent feeling of 'butterflies fluttering' in his chest
ICE 001: Forearm injury
A 24 year old woman fell on an outstretched hand while playing netball. Describe her forearm X-ray
Thomas test
Thomas test is a physical examination test, first described in 1875 by the Welsh bonesetter Hugh Owen Thomas (1834–1891)
Flummoxing Familial Fibrillation
A teenager in atrial fibrillation with a worrying family history. A very unusual looking ECG with Familial Fibrillation... congenital SQTS
Sudden Syncope at Soccer
A 26-year old man presents to ED by ambulance after an episode of syncope while playing soccer. RVOT, BCT, ARVC, ARVD