Showing posts with label Clinical examination. Show all posts
Showing posts with label Clinical examination. Show all posts

Monday, March 8, 2010

Tuesday, January 5, 2010

Cerebellar Signs and symptoms

Remember: 3 Deadly ANTS Playing on your cerebellum ( =  DDD ANTS P , i.e 3 Ds expanded )

Dysarthria
Decreased tone
Dysdiadochokinesis
Ataxia
Nystagmus
Tremor (Intention tremors)
Slurrred speech / Scanning speech
Pendular knee jerk

Note: Please try to quote the ANTS first in the order of symptoms before 3 Ds, as they are the most important. See the picture below to remember the 3 ants better :-)


Thursday, December 31, 2009

Auscultatory areas

Thanks to anonymous reader for correcting a major error in this post.
Auscultatory areas starting from left 2nd intercostal space:
Remember: All Patients Take Medicines
Aortic - Pulmonary - Tricuspid - Mitral
Note:
  • Only Aortic area is on right ; Remember that All stands for aortic area - read as Aortic ll (Second) ; Because it's in 2nd IC space !
  • If you want to remember the other intercostal spaces where the auscultatory areas on left are situated just remember " Lot no.245 " - Left 2, 4, 5 IC spaces in that order for Pulmonary, Tricuspid, Mitral in that order of All Patients Take Medicine.
  • Confusion buster: Please note that Aorta arises from left ventricle, but auscultatory area is on right side. Note the same problem with Pulmonary artery.
  • Also check our older posts - Aorta and IVC : left or right ? 

Wednesday, December 30, 2009

History taking : Description of symptoms

The history of specific symptoms have to be described in this order:
Remember that a good doctor takes a good history before he OPERATES

Onset of symptoms
Progression
Exacerbating factors
Relieving factors
Associated symptoms
Time relation of symptoms ( Night pain etc )
Episodic nature ( Symptom free intervals etc )
Systemic inquiry related to symptom

Monday, October 5, 2009

DDH - Clinical Examination (Tests)

Ortholani's and Barlow's tests detect DDH. You might confuse between the two tests or you may feel that both are the same. First, here is what the tests are:
  • Barlow's test: The maneuver is performed by adducting the hip while applying light pressure on the knee, directing the force posteriorly. If the hip is dislocatable, the test is considered positive. The Ortolani maneuver is then used, to confirm that the positive finding (i.e., that the hip actually dislocated).
  • Ortholoni's test: It is performed by gently abducting the infant's leg using the examiner's thumb while placing anterior pressure on the greater trochanter using the examiner's index and forefinger. A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head relocates anteriorly into the acetabulum.
Now here's how to remember the two tests:
Barlow's test - you feel the Dislocation - so Barlow's test is Bad test as you are dislocating from joint.
ORTHOlani - you try to feel the Reduction - like ORTHOpedicians reducing all fractures and dislocations.

Saturday, October 25, 2008

Medicine clinical examination ; Stethoscope sounds

The stethoscope's diaphragm is larger than the bell. So remember - diapragm (LARGER) picks up HIGH pitched sounds; Bell (SMALLER) picks up LOW pitched sounds.
AeGophony- like bleating of A Goat ; Ask the patient to say 'A', you hear 'E' (AEgophony)
Bronchophony - spoken from the EARpiece (BEAR).
sIbiliant rhonchi is hIgh pitched; sOnorous- lOw pitched

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