Different arterial pulse waveforms and example causes

Different arterial pulse waveforms are best assessed at the carotid artery. You are feeling for the speed at which the artery expands and collapses and force with which it does so. It takes some practise to master and it may be useful to imagine a graph such as those shown in the figure below,also Some examples are present:

Aortic stenosis: a slow rising pulse, maybe with a palpable shudder. Sometimes called anacrotic or a plateau phase........

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Inspecting a skin lesion

 # Inspect each lesion carefully and note¦
-Grouped or solitary? Pattern if grouped .
-Distribution/location:

• Symmetrical/asymmetrical?
• Peripheral?
• In only light exposed areas?
• Dermatomal?

-Colour.
-Shape.
-Size.
-Surface.
-Edge.
-Nature of the surrounding skin.

Gynecomastia Versus Pseudogynecomastia

Gynecomastia is defined as a benign enlargement of the male breast resulting from a proliferation of the glandular component of the breast.Gynecomastia can clinically be detected by the presence of a rubbery or firm mass extending concentrically from the nipples.
Although gynecomastia is usually bilateral, it can be unilateral.

Pseudogynecomastia ( also called lipomastia ) is characterized by fat deposition without glandular proliferation.

TO SEE appearance of Pseudogynecomastia in x-ray

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You can differentiate between true gynecomastia and pseudogynecomastia by a simple test made clinically by having the patient lie on his back with his hands behind his head. The examiner doctor then places a thumb on each side of the breast, and slowly brings the thumbs together. In true gynecomastia, a ridge of glandular tissue will be felt that is symmetrical to the nipple-areolar complex. With pseudogynecomastia, the fingers won't meet until they reach the nipple.

You can click on image to enlarge

Measuring Blood Pressure Instructions

Temperature Podcast

Rapid Assessment: A Flowchart Guide to Evaluating Signs & Symptoms

Unique reference for nurses and other healthcare professionals providing key information assuring each patient assessment is targeted towards understanding the patient’s underlying condition. Lists more than 200 signs and symptoms, listed alphabetically, and presented in flowchart form for quick and easy access.

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Ellena's Neurological Exam

Video illustration shows neurological examination of infant reflexes.

History and Examination at a Glance

History and Examination At a Glance provides a concise, readily accessible introduction and revision guide designed in accordance with current teaching practice. The book follows the easy-to-use At a Glance format of double page spreads composed of clear memorable diagrams that support accompanying key facts and essential information.
For ease of understanding, the book has a four-part approach. Section I introduces students to key history taking and communication skills including relationships with patients, family history, functional enquiry and more. Section II covers the history and examination of the systems as well as the principles and presentation of a history and examination. Section III and IV cover all the common clinical presentations and system based conditions, how they present and how to make a diagnosis. These include topics from chest pain, headache, unconscious patient, attempted suicide and trauma to aortic aneurysm, renal failure, asthma, stroke and much more.
History and Examination At a Glance will be an essential resource for all medical students as well as students in other health professions. It is ideal for clinical training, for the run up to OSCE as well as other clinical examinations and it will be an absolute cornerstone to anyone’s clinical attachments! The book is designed to fit into the reading time as well as the budget of students and trainees.

PASS: only4lekar

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Musculoskeletal System &Lumbar Spine Examination

Clubbing is Clubbing causes

It is described clinically as a bulbous uniform swelling of the soft tissue of the terminal phalanx of a digit with subsequent loss of the normal angle between the nail and the nail bed.

Since Hippocrates first described .............

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Kochar's Clinical Medicine 5th edition

Description : The acquisition of knowledge is essential to creating diagnostic hypotheses and achieving a solution to the patient's clinical problem. With that in mind, we have developed the 5th edition of Kochar's ClinicalMedicine for Students to link theoretical information more closely to the practice of medicine. Although direct patient experience is an irreplaceable way to develop the practice of medicine and patient care, theoretical knowledge is still an essential component of the learning process. Formal knowledge, which can be acquired from a book, serves as the basis for the application of knowledge in the context of the clinical practice, allowing the student to continuously learn from their experiences.

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External Jugular Vein Distention

External Jugular Vein Distention:The picture above demonstrates a markedly distended
right external jugular vein (EJV). This is the result of elevated central venous pressure (CVP). The picture below demonstrates .........

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MOUTH EXAMINATION

HEAD & LYMPH NODE EXAMINATION

Clinical Imaging: An Atlas of Differential Diagnosis Part 3

Atlas offers differential diagnosis for a spectrum of radiographic patterns, in conventional radiography, ultrasound, and computed tomography. Features new sections on magnetic resonance imaging, differential diagnoses, and updated information.

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Clinical Imaging: An Atlas of Differential Diagnosis Part 2

Atlas offers differential diagnosis for a spectrum of radiographic patterns, in conventional radiography, ultrasound, and computed tomography. Features new sections on magnetic resonance imaging, differential diagnoses, and updated information.

For Download :

CLICK HERE

Clinical Imaging: An Atlas of Differential Diagnosis Part 1

Atlas offers differential diagnosis for a spectrum of radiographic patterns, in conventional radiography, ultrasound, and computed tomography. Features new sections on magnetic resonance imaging, differential diagnoses, and updated information.

For Download :

CLICK HERE

Head and Neck Lymph nodes Exam

Lymph Nodes: The major lymph node groups are located along the anterior and posterior aspects of the neck and on the underside of the jaw. If the nodes are quite big, you may be able to see them bulging under the skin, particularly if the enlargement is asymmetric (i.e. it will be more obvious if one side is larger then the other). To palpate,use......

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