winterbottom's sign

http://en.wikipedia.org/wiki/Winterbottom's_sign

romana's sign

http://en.wikipedia.org/wiki/Romana's_sign

CSU practice

did CSU practice with BKF

cervical lymph nodes - things of interest

the preauricular and postauricular can be continuous, so make patient at ease, and to go smoothly

for anterior and posterior cervical lymph nodes, ask patient to push against the hand.

reporting for lymph nodes

site

size

suface

mobility

consistency

tenderness

temperature

texture

overlying skin

SP1

last week, Lauren and co. had CSU practice with me as SP.

things that i have leant;

Q. in what case does petechia and cyanosis appear at the same time on the body?

A. Polycythemia Vera. because PV causes all blood cells to increase, there petechia appears. the reason for cyanosis - many deoxygenated RBC in body in proportions.

Q. in what instance do we take karatkoff sound phase 4 for a more accurate measure of the Diastolic Blood Pressure?

A. Children and Pregnent mothers.

http://en.wikipedia.org/wiki/Korotkoff_sounds

Q. why do we have to do the palpitory method in BP taking?

A. to prevent taking the wrong systolic pressure. due to the auscultatory gap in hypertensive people http://en.wikipedia.org/wiki/Auscultatory_gap

Q. why do we see for the stomache rise and fall, when we have the case of acute appendicitis?

A. to look for guarding. appendicitis can lead to peridonititis, which will cause tenderness in abdomen. hence guarding will be observed.

http://wrongdiagnosis.com/p/peritonitis/symptoms.htm

a useful mneumonic Lauren came up with;

MR. PlayStation - Mitral Regurge - PanSystolic murmur

MS. MD - Mitral Stenosis - Mid-Diastolic murmur

Aortic regurge - Mid-systolic.

a more useful mnemonic i came up with-

Mr.PS

MS. MD

ASES Aortic Stenosis - Ejection systolic

ARED Aortic regurge - Early Diastolic