Funtabulously Frivolous Friday Five 145

Dyspnoea while bending forward

Bendopnoea is a novel symptom that was found in 28% of subjects with NYHA class III and IV heart failure. The pathophysiology appears to be increased filling pressures on bending without reducing the cardiac index.

It also has a strong association with a raised JVP, so if you can not see the pesky JVP, just get the patient to tie up their shoes (mean time to SOB = 8 seconds). [Reference]

Originally described as subpleural spots of ecchymosis by French police doctor Auguste Ambroise Tardieu in 1859. He first described this phenomenon following the death of a newborn child by strangulation or suffocation.

This description has spread in forensic science to indicate any violent asphyxiation except drowning. The petechiae/ecchymosis can be present on a number of visceral surfaces including lung and myocardium. Clinically you may see them on the subconjunctiva, conjunctiva or in the oropharynx or skin of a patient from an attempted hanging.

Used for shoulder dystocia, it is now a combination of moves to dislodge the obstructing shoulder.

• Rubin I = suprapubic pressure
• Rubin II = applying posterior pressure on the anterior shoulder, which would bring the foetus in an oblique position with the head towards the vagina
• The Woods’ screw manoeuvre is the Rubin II but in the opposite direction. [Reference]

See diagrams below for the HELPERR mnemonic for shoulder dystocia and how to do the manoeuvre’s – clean pair of scrubs post procedure is optional.

The part of the body where one cannot reach to scratch. [Reference]

It is generally written that high water content of the fruit keep them them ‘cool’ and moist inside. Core temperature measurements estimate that the inside of the cucumber is up to 20 degrees (F) cooler than the external environment. [Reference]