Category Medical Specialty
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DRSABCDE of CXR Interpretation

Chest X-Rays (CXR) are routine investigation in clinical practice and consequently it is important for medical students and clinician’s alike to know how to interpret them. There are many approaches to CXR interpretation, each trying to ensure that key abnormalities are identified and no area is overlooked.

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Granulomatosis With Polyangiitis

The eponym 'Wegener Granulomatosis' has been replaced with the term 'Granulomatosis with polyangiitis (GPA)'. This transition was in part to achieve nomenclature symmetry with Microscopic Polyangiitis (MPA) and Eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss); and to remove any historical association with Friedrich Wegener following revelations of his association with the Nazi Party in World War II

Hans Conrad Julius Reiter (1881 – 1969) 340

Hans Reiter

Hans Conrad Julius Reiter (1881-1969) was a German physician and social hygienist. Associated with Reiter Syndrome - known now as Reactive arthritis

Friedrich Wilhelm Ernst Albrecht von Gräfe (1828 – 1870)

Albrecht von Graefe

Albrecht von Gräfe (1828 – 1870) was a German ophthalmologist. Founder of scientific ophthalmology, Graefe sign (1864)

Unusual Urine Clinical Cases

Where are the lemons?

You are wandering past the bedside of a 42 year old male with a cerebral abscess…and you notice he has orange urine. Unusual Urine.

John Dalrymple (1803 – 1852)

John Dalrymple

John Dalrymple (1803-1852) English surgeon and ophthalmologist. Dalrymple sign (1952) relating to Graves disease; dissection and histology of first case of multiple myeloma with Bence Jones (1846)

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Dalrymple sign

Dalrymple sign: Widened palpebral tissue (lid retraction) or lid spasm seen in thyrotoxicosis (Graves disease) by John Dalrymple (1852)

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Graefe sign

von Graefe sign (lid lag sign): Failure of the upper lid to follow a downward movement of the eyeball when the patient changes his or her vision from looking up to looking down. Typically associated with hyperthyroidism and exophthalmos

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Stellwag Sign

Stellwag Sign: decreased, incomplete or infrequent blinking in patients with exophthalmic goitre (Graves-Basedow disease). Stellwag sign may also seen in progressive supranuclear palsy, and in dysthyroid eye disease