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.
Category Medical Specialty
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)
Karl Stellwag von Carion
Karl Stellwag von Carion (1823 – 1904) was an Austrian ophthalmologist. Eponym: Stellwag Sign (1869) in Graves orbitopathy
Dalrymple sign
Dalrymple sign: Widened palpebral tissue (lid retraction) or lid spasm seen in thyrotoxicosis (Graves disease) by John Dalrymple (1852)
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
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
Sheep Pox
Orf is a zoonotic infection occurring in humans which is characterised by erythematous weeping nodules found most commonly on the hands and feet
Carlo Mondini
Carlo Mondini (1729 – 1803) was an Italian anatomist and physician. Described the Mondini deformity of the inner ear with congenital deafness in 1791
Pendred syndrome
Pendred syndrome: autosomal recessive genetic disorder (chromosome 7q31), characterized by congenital sensorineural deafness and goitre.
Vaughan Pendred
Vaughan Pendred (1869–1946) was an English GP. Pendred first described the syndrome of bilateral sensorineural hearing loss with goitre (Pendred syndrome)
Lung Ultrasound: Pneumonia
Pneumonia is an inflammatory, most commonly infectious process involving the lungs. Typically the alveoli in intensely inflamed areas fill with inflammatory fluid or pus, and this is known as consolidation. The changes may be widespread, patchy or lobar. Ultrasound can…
Pregnant and Acidotic
A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?