Tag Archives: Physical exam

A Diagnosis at Hand: Pulmonary Arterial Hypertension

A classic physical examination finding pointed to underlying disease in a 43-year-old Hispanic woman. On presenting to the Emergency Department, she reported progressive shortness of breath, fatigue, and chest pressure. One month earlier, she could exercise without limitation. However, in the ensuing interval, she developed increasing dyspnea and constant, nonexertional, left-sided chest pressure. A review […]

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Terry’s Nails: A Window to Systemic Diseases

Despite the enormous involvement of imaging tools in medicine, a focused physical examination still plays a pivotal role in all medical fields. During and after taking history, a detailed inspection and examination of the patient will direct to further key diagnostic tools. A wealth of information can be gained from shaking hands and examining the […]

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Stop, You’re Making Me Blush

The physical examination is vital in assessing a patient’s presenting symptom, especially when the symptom is dermatologic in nature. However, if the dermatologic examination shows no abnormality on presentation, further measures must be completed to illicit such symptoms. In our patient, this involved provoking the physical examination finding through exercise. Case Presentation A 26-year-old woman […]

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Ludwig’s Angina

A previously healthy 33-year-old man, with a history of type 1 diabetes mellitus, underwent left lower molar extraction. Two days later, he presented to the emergency department with swelling in the left submandibular area and was subsequently treated with meperidine, codeine, and penicillin G. Two days later, after an unsuccessful resolution, he returned with bilateral […]

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Muehrcke’s Lines

A 29-year-old woman with no significant medical history developed anasarca over the course of approximately 2 weeks. On the basis of renal biopsy, a diagnosis of minimal change disease was made. Her nephrotic syndrome was poorly responsive to steroid therapy, and despite high doses of prednisone of up to 120 mg/d, her serum albumin and […]

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