Patient A 45-year-old healthy male presents to urgent care clinic with acute right upper quadrant (RUQ) abdominal pain without fevers. The patient’s exam confirms a tender RUQ without rebound or guarding. He is found to have a white blood cell count of 15,000 with normal liver function and biliary tests. He is clinically diagnosed with biliary colic and an abdominal ultrasound is ordered to eva...

BACKGROUND Physicians spend less time at the bedside in the modern hospital setting which has contributed to a decline in physical diagnosis, and in particular, cardiopulmonary examination skills. This trend may be a source of diagnostic error and threatens to erode the patient-physician relationship. We created a new bedside cardiopulmonary physical diagnosis curriculum and assessed its effect...

tau.amegroups.com © Translational Andrology and Urology. All rights reserved. Distinguishing penile ecchymosis from a true penile fracture, or a rupture through the tunical albuginea, can be a challenging clinical conundrum. A penile fracture typically occurs in the setting of blunt penile trauma to the erect penis, most often during sexual intercourse or masturbation. The characteristic sympto...

PURPOSE In general, articles on diagnostic tests have a very poor methodological quality. If we translate their conclusions to daily practice without a proper analysis it is easy to see a typical trend: physicians use new (and expensive) tests without increasing diagnostic capacity; they only increase the health budget. Evidence-based medicine (EBM) consists of using the best evidence in decisi...

OBJECTIVE To report on a case of a pathological burst fracture in the cervical spine where typical core red flag tests failed to identify a significant lesion, and to remind chiropractors to be vigilant in the recognition of subtle signs and symptoms of disease processes. CLINICAL FEATURES A 61-year-old man presented to a chiropractic clinic with neck pain that began earlier that morning. Aft...

sialography is the retrograde injection of an iodinated contrast agent into the ductal system of salivary glands and this technique is the only method capable of adequately demonstrating the status of the ductal system. one of the indications of sialography is classification of the salivary ductal system fistulae. this classification has important prognostic and therapeutic values. in the prese...

vesicoureteral reflux (vur) is a relatively common and important entity in children. vur can expose patient to risk of pyelonephritis, permanent renal damage or scar. vur itself has no deleterious effect on kidney parenchyma until the development of infection or increased intravesical pressure.   the diagnosis of vur could lead to appropriate therapy and prevention of long term complications. t...

purpose: to report two cases of oil-drop cataract and the description of this entity. patients and findings: two women (one 46 and the other 56 years-old) presented with gradual visual loss. previous studies including ct scan, mri, vep and erg were normal. with the use of simple diagnostic tests including a multiple pinhole occluder and use of visuscope, a diagnosis of oil-drop cataract was mad...

Introduction: Surgical procedures, especially total laryngectomy, have a profound adverse effect on the patient's physical, functional, as well as emotional health, and strongly decrease quality of life. Tracheoesophageal puncture is one of the most significant method that is widely performed successfully by physicians. Current valve technology enables long expiring duration; however, gen...