Rectal Examination
Rectal Examination
Pulsus Alternans
Pulsus Alternans = alteration of weak and strong pulse beats (not relate cycle length)
Neck Stiffness DDx
Meningitis Subarachnoid haemorrhage Posterior fossa syndrome Cervical spondylitis Tetanus Neck abscess Torticollis
Myotomes and Differentiating Nerve Lesions
Myotomes and Differentiating Nerve Lesions
Massive Abdominal Distension
Massive Abdominal Distension
Granulomatous diseases
Granuloma = spherical mass of immune cells that attempts to wall off a substance; organized collection of macrophages
Geography and Disease
Africa – Sickle cell, HIV, Malaria, Dengue, Variegated Porphyria (afrikaners) Anywhere in the third world – TB Asia – SARS, TB, Melioidosis Australia (Northern Territory) – Melioidosis, Dengue Developing world – Cholera, Dengue India – Malaria, Dengue Nepal – Leptospirosis,…
Double peak on arterial pulse
Aortic stenosis and regurgitation Severe AR HCM Intra-aortic balloon pump
Clinical Examination of the Critically Ill
Pros and cons of clinical examination of the critically ill
Animal Encounters and Disease
Animal Encounters and Disease; transmission of zoonoses
Carcinoid Syndrome
Carcinoid tumors are neuroendocrine malignancies typically located in the GI tract; most commonly in the terminal ilium and appendix.