Physical Findings

Physical findings

Disease / Entity

mid-abdominal pulsatile mass, lower back pain, abdominal bruit

Abdominal Aortic Aneurysm

erythematous pustules and scales resembling psoriasis around mouth genitalia anus feet elbows knees

Acrodermatitis enteropathica; zinc deficiency

fever, n/v, diffuse periumbilical pain  R lower quadrant

Acute appendicitis

R lower quadrant pain

Acute Appendicitis; Ectopic pregnancy; PID; ovarian cyst; mittelschmerz; Meckel's; Intussusception.

acute onset constant dull aching RUQ pain, 30 min after eating, pain radiates to R shoulder

Acute Cholecystitis

dysuria, frequency, urgency, discomfort over the bladder

Acute cystitis

high fever, drooling, inspiratory stridor, severe dyspnea in a child. Thumbprint sign on x-ray of head/neck.

Acute epiglottitis; H. influenza type B

fever, steady boring midepigastric pain that penetrates straight thru to the back, hemorrhage in the flank's (Gray Turner's sign)

Acute Pancreatitis

knife-like midepigastric pain radiating through to the back

Acute pancreatitis

sudden onset spiking fever, flank pain, chills, n/v, dysuria, frequency

Acute Pylenoephritis

fever, HA, facial pain, postnasal d/c, chronic cough

Acute sinusitis

hyperpigmentation, weakness/fatigability, weight loss, hypotension, Na K

Addison's disease; adrenal insuff.

pharyngitis, pneumonia, conjuctivitis, gastroenteritis, hemorrhagic cystitis

Adenovirus

colicky abdominal pain, abdominal distentio, obstipation, radiograph (distended loops of bowel w step-ladder appearance)

Adhesions; GI obstruction

high fever, dehydration, n/v, hypotension

adrenal crisis

HTN, abdominal pain, hematuria, berry aneurysm, mitral valve prolaps

Adult Polycystic Kidney Disease

café au lait spots, polyostotic fibrous dysplasia, precocious puberty, short stature, young girls

Albright syndrome

pale boggy nasal mucosa

Allergic rhinitis

hereditary nephritis with nerve deafness

Alport’s Syndrome

progressive dementia

Alzheimer’s

substernal chest pain radiating to L arm or jaw, pain lasts longer than 30 min, pain relieved by nitroglycerin, sweating

AMI

awkwardness of finger movements, weakness of hands arm, spasticity of legs, hyperreflexia, no loss of sensory function

Amyotrophic lateral sclerosis

bent over posture, decreased ant flexion of lumbar spine, limited chest expantion

Ankylosing spondilitis

increase in fine hair of the body (hypertrichosis)

Anorexia

high pitched blowing diastolic murmur

Aortic insufficiency

crescendo-decrescendo systolic at second R intercostal space

Aortic stenosis

dyspnea on exertion, syncope, angina pectoralis

Aortic stenosis

pupil reacts to accomodation, but not to direct light

Argyll Robertson pupil; neurosyphilis

abdominal pain, fever, chills, jaundice

Ascending cholangitis

bulging of flanks, shifting dullness to percussion in the abdomin

Ascites; portal HTN, hypoalbuminemia

Murmur; fixed spliting of S2

ASD

fever, HA, n/v, confusion, nuchal rigidity

Aseptic Meningitis, Lymphocytic Choriomeningitis virus

inspiratory / expiratory wheezing, dyspnea, cough worse at night

Asthma

feet are widely spaced, foot lifted too high, walks w slapping feet

Ataxic gait

sudden onset fever, dyspnea, cyanosis, inspiratory lag, increased A-a

Atelectasis

Murmur; Diastolic; high pitched blowing murmur directly following S2

AV/PV reguritation

Murmur; Systolic; crescendo decrescendo murmur

AV/PV stenosis

dorsiflexion of big toe, and fanning of other toes on plantar reflect

Babinski's sign; UMN lesion

petechiae on palms [Janeway's], painful erythematous nodules on fingers [Osler's], subconjunctival hemorrhage, splinter hemorrhage

Bacterial endocarditis

fever, HA, nuchal rigidity; CSF - PMN, glucose, protein

Bacterial meningitis

newborn - Group B strep, E. coli

child - H. influenza

young adults - N. menigitis

older adults - S. pneumonia

slow growing waxy nevi w vascular pattern

Basal cell carcinoma

Upper lip tumor

Basal cell carcinoma

resting tremor

Basal ganglia lesion

slow, writhing movements

Basal ganglia lesion

sudden jerky, purposeless movements; choreaform

Basal ganglia lesion

unilateral dropping of mouth & facial m, inability to close eye

Bells' aplsy

coffe ground emesis

Bleeding peptic ulcer

paralysis of striated mm, dry mouth, dry eyes

Botulism

Adenopathy - axillary

Breast CA; Cat scratch disease

subdural hematoma

Bridging veins; sup cerebral v.

pt understands written & spoken, but can't articulate

Broca's aphasia

broken speech; motor expressive aphasia

Broca's area lesion

fever, cough w foul smelling sputum that layers on standing, hemopytsis, recurrent respiratory infections

Bronchiectasis

hemisection of cord (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN)

Brown-Sequard

raised bright red lobulated vascular tumor

Capillary hemangioma

cutaneous flushing, diarrhea, valvular disease

Carcinoid

numbness tingling and pain along thumb long and ring fingers, worse at night, atrophy of thumb

Carpal tunnel syndrome, Median n. injury

Intention tremor

cerebellar lesion

Trypansoma infection sleeping disease, cardiomegaly with apical atrophy, achlasia, megacolon

Chagas’ Disease

painful genetial ulcers

Chancroid; Hemophilus ducreyi

rhythmic alternating pattern of apnea and hyperpnea

Cheyne-Stokes breathing; hypoxia of medulla oblongata

dyspnea, JVD, pitting edema

CHF

notching of ribs, weak femoral pulse, well developed upper body underdeveloped lower body, claudication

Coarctation of aorta

fever, HA, myalgia, retro-orbital pain

Colorado tick fever virus

fever, HA, coughing, sneezing, sore throat

Common cold; #1=Rhinovirus

patent ductus, deafness, retardation, cataracts

Congenital Rubella Syndrome

palpable upper right quadrant mass, projectile vomiting

Congential pyloric stenosis

HTN, suppresed renin, Na⁺ K⁺ , muscle weakness.

Conn's syndrome

fever, sore throat, vessicles in oropharynx

Coxsackie virus

calcinosis of fingertips, Raynaud's phenomenon, esophageal motility problems, sclerodactly, telangiectasia

CREST syndrome

dwarfism, mental retardation, puffy face, protruding tongue

Cretinism, Hypothyroid

IBD; ileocecum, transmural, skip lesions, lymphocytic infiltrate, granulomas

(contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps, ­ colon cancer risk)

Crohn’s

moon facies, buffalo hump, truncal obesity, abdominal striae, diastolic HTN, hyperglycemia, thin hair, protein depletion, depression

Cushing's

progressive muscle weakness, hyperkeratotic cuticles, periungual telangiectasaia, flat topped violacious papulesover the knuckles

Dermatomyositis

acute onset severe retrosternal chest pain, tearing pain w radiation to back

Dissecting Aneurysm

maroon colored stool

Diverticular hemorrhage

fever, rebound tenderness, constant pian, L lower quadrant

Diverticulitis

epicanthal folds, broad nose, square ears, protruding tongue, endocardial cushion defects, duodenal atresia, megacolon

Downs' syndrome

post gastrectomy: post-prandial; dizziness, tachycardia, palpitations

Dumping syndrome

fever, pain in calf on compression or dorsiflexion, ankle edema

DVT

hypogastric pain, abnormal uterine bleeding, adnexal mass, missed menstrual period, hypovolemic shock

Ectopic Pregnancy

micrognathia, prominent occipet, low-set ears, cleft palate, flexion deformities of fingers

Edward's syndrome

increased elasticity of skin and of connective tissue (contortionist)

Ehlers-Danlos

fever, HA, nuchal rigidity, n/v  seizures  coma  death

Encephalitis

vaginal bleeding, pain, ascites, weight loss, palpable pelvic mass, post menopausal female

Endometrial Adenocarcinoma

chronic pelvic pain, painful intercourse, painful defecation, lower back pain

Endometriosis

purple lesion w central clearing, arthritis, endocarditis, meat/fish handler

Erisipeloid

tendon xanthoma

Familial Hypercholesterolemia

acute respiratory distress, petechiae following musculoskeletal trauma

Fat embolism syndrome

peg-leg gait; knee fully extended throughout

Femoral n. damage

absent patellar reflex

Femoral n. damage [L2-L4]

ASD

Fetal alcohol syndrome

Auscultation; scratchy sounds over pericardium

Fibrinous pericarditis

sore, beefy red tongue w papillary necrosis

Folate deficiency; iron deficiency; scurvy; pellagra

personality change, deficits in concentration, judgement

Frontal [lobe] release signs

right upper quadrant pain, abdominal distention 30 min post prandial

Gall stones

colonic polyposis, soft tissue tumors, bone tumor

Gardner's syndrome

hyperpigmentation of the axilla

Gastric CA

n/v, diarrhea,

Gastroenteritis; Rotavirus

fever, malaise, posterior auricular lymphadenopathy

German measels; Rubella

Adenopathy - left supraclavicular

GI CA

enlarged supraclavicular lymph node

GI malignancy

fever, unilateral HA, temporal swelling tenderness, jaw claudication, ESR

Giant cell (temporal) arteritis

urethritis w creamy purulent penile discharge; cervicitis, Bartholin gland cyst

Gonorrhea

male presenting first w hemoptysis, then acute glomerulonephritis

Goodpasture's; anti-basement membrane antibodies

creeping raised genital sores that heal by scaring

Granuloma inguinale

exophthalmos, proptosis, periorbital edema, thyroid bruit, tachycardia, afib, systolic HTN, nervousness, heat intolerance, weight loss

Graves disease

large hands, prominent brow & jaw,

Growth hormone

idiopathic polyneuritis (ascending muscle weakness & paralysis; usually self-limiting)

Guillain-Barre

dyspnea, cough, swelling of the feet, wheezing

Heart failure

sudden wild flailing of one arm

Hemiballismus

cool clammy skin, delayed capillary refill, later … pallor, tachycardia

Hemorrhagic shock

nails are white at proximal and middle portions, nails are pink distally

Hepatic cirrhosis

jaundice, fever, anorexia, n/v

Hepatitis A

jaundice, fever, n/v, anorexia

Hepatitis B virus

fever, abdominal pain, weight loss, abdominal mass, hypoglycemia,

Hepatocellular CA

weakness of quadriceps,  knee jerk

Herniated disk at L3-L4

weakness of dorsiflexion,  ankle jerk

Herniated disk at L5-S1

encephailitis in the temporal lobes

Herpes simplex I

keratoconjuctivitis

Herpes simplex I

painful vessicles that ulcerate in the genital area

Herpes simplex II

dilation & hypertrophy of colon w fecal retention

Hirschsprung's disease; Megalcolon

fever, lethargy, sore throat, lymphadenopathy, splenomegaly, rash, leukopenia

HIV initial presentation

constricted pupil, dropping eyelid, loss of sweating

Horner's syndrome

AV nicking, retinal hemorrhage / exudates, S4

HTN

morning HA, dizziness, blurry vision, sweating, chest pain, dyspnea

HTN

choreiform movement, hypotonia, progressive dementia

Huntington's

progressive dementia, urinary incontinence, ataxic gait

Hydrocephalus; normal-pressure

hirsutism, truncal obesity, poor wound healing

hyperadrenocorticalism

gray band of corneal opacity

Hyperlipidemia

Ca, phosphate, osteitis fibrosa, polyuria, kidney stones, alk phos

Hyperparathyroidism

stones, bones, abdominal groans, psychic moans

Hyperparathyroidism

heat intolerence, tachycardia, fine oily hair, tremor weight loss

Hyperthyroidism

cold intolerence, bradycardia, lethargy, cholesterol, dry brittle hair

Hypothyroidism

insulin, C-peptide, glucose, ketoacidosis

IDDM; type I diabetes

sudden death in young athletes

Idiopathic Hypertrophic Subaortic Stenosis; outflow obstruction

rash on face w discrete vessilcles that rupture and form yellow/honey colored crust

Impetigo

Adenopathy - Ant cervical

Infection, ie pharyngitis

Roth spots, splinter hemprrhages, Osler's nodes (painful nodules), Janeway's lesions (painless nodules), glomerulonephritis

Infective endocarditis

weakness in climbing stairs; pt throws torso back during heel strike while walking

Inferior gluteal n. [L5-S2} gluteus maximus

fever, HA, cough, myalgia

Influenza virus

insulin, C-peptide, glucose

Insulinoma

dyspnea on exertion, nonproductive cough, hemoptysis, and chest pain

Interstitial (restrictive) lung disease

post prandial pain, anorexia, weight loss

Intestinal ischemia

abdominal pain, distention, vomiting, constipation

Intestinal obstruction

alternating diarrhea / constipation, cramping abdominal pain, pain relieved by bowel movement

Irritable bowel syndrome

sudden onset severe abdominal pain, n/v, abdominal distention, bloody diarrhea, hypotension, absent bowel sounds

Ischemic bowel - infarct

post-prandial pain of splenic flexure, 30 min

Ischemic bowel - warning sign

yellow skin, yellow sclera, dark yellow urine, light colored stool

Jaundice

AIDS pts; progressive multifocal leukoencephalopathy

JC virus

multiple red-purple lesions that progress macule  papule  nodule

Kaposi's sarcoma

situs inversus, recurrent pulmonary infections, sterility infection

Kartagener’s Syndrome; immotile cilia 2 to defective dynein arms.

band of golden-brown pigment on the posterior corneal surface

Kayser-Fleischer ring; Wilson's diseas

intense pain radiating to left shoulder

Kehr's sign; ruptured spleen

hematuria, proteinuria, oligouria

Kidney problem

male genetalia, female fat distribution

Klinefelter's

tall stature, eunuchoid appearance, gynecomastia, testicular atrophy

Klinefelter's

hyperoral, hypersexual, disinhibition, visual agnosia

Kluver-Bucy; Amygdala lesion

slow deep respirations with increased tidal volume

Kussmaul's breathing; ketoacidosis

Adenopathy - cervical

Laryngeal CA; Thyroid CA

low grade fever, mild inspiratory stridor, Steeple sign on lateral x-rays of neck.

Laryngotracheobronchitis;

croup; parainfluenza virus.

black pigmentation of bowel

Laxative abuse

gout, HTN, renal insufficiency

Lead poisoning

gout, retardation, self-mutilation

Lesch-Nyhan; HGPRT deficiency

white patch on the buccal mucosa which does not wipe off

Leukoplakia

pruritic flat-topped violet papules of forearm neck thigh buccal mucosa and glans penis

Lichen planis

Winged scapula

Long thoracic n. damage; paralysis of serratus ant m.

dysuria, frequency, hematuria

Lower urinary tract

clubbing of nails

Lung CA if acute

Chronic lung infection if chronic

Congenital heart defect if child

Cough, weight loss, chest pain, hemoptysis, hoarseness

Lung CA; bronchogenic

Adenopathy - right supraclavicular

Lung CA; Esophageal CA.

Adenopathy - abdominal, retroperitoneal

Malignant Lymphoma; Testicular CA; Prostate CA

arachnodactyly (spider fingers), dolichocephaly (long skull), dislocated lens, dissecting aortic aneurysm, mitral valve prolapse, thumb sign (thumb protrudes across clenched fist)

Marfan syndrome

fibrillin defect

Adenopathy - postauricular

Measles

fever, HA, malaise, myalgia, photophobia, burning eye pain, white spots on buccal mucosa [Koplic's

Measles

fever, malaise, Koplik's spots

Measles; Rubeola virus

diverticulum 2 inches long, 2 feet from the ileocecal valve

Meckel's diverticulum

newborn that is unable to pass meconium, absence of stool in ampulla of rectum

Megacolon; Hirschsprung's, Down's, Chaga's

ovarian fibroma, ascites, R pleural effusion

Meigs' syndrome

amenorrhea, hot flashes, night sweats, female 52 yo

Menopause

chest pain, diaphoresis, dyspnea, n/v

MI

epidural hematoma

Middle Meningeal a.

holosystolic murmur at apex

Mitral regurgitation

diastolic rumbling low-pitch crescendo-decrescendo murmur at apex

Mitral stenosis

warts

Molluscum contagiosum virus

fever, lethargy, atypical lymphs, neg heterophil Ab

Mononucleosis; Cytomegalovirus

fever, lethargy, sore throat, lymphadenopathy, splenomegaly, atypical lymphs, Monospot test

Mononucleosis; Epstein-Barr virus

lytic lesions of the skull

multiple myeloma

nystagmus, intention tremor, scanning speech

multiple sclerosis

fever, malaise, swelling of parotids

Mumps virus

child with difficulty walking, tendency to fall

Muscular dystrophy

Murmur; Systolic; holosystolic murmur

MV/TV regurgitation

Murmur; Diastolic; early, mid-diastolic rumble following opening snap

MV/TV stenosis

bilateral ptosis

Myasthenia gravis

difficulty talking, diplopia, muscular weakness upon exertion

Myasthenia gravis

puffiness of hands, face, feet; yellow skin

Myxedema; Hypothyroid

abrupt onset oligouria, HTN, periorbital edema, hematuria

Nephritic syndrome

abrupt onset severe, colicky, flank pain radiating into the groin

Nephrolithiasis

periorbital edema

Nephrotic syndrome

insulin, C-peptide, glucose, ketoacidosis

NIDDM, type II diabetes

nml biceps DTR

nml C5

nml triceps DTR

nml C7

nml pupil light reflex

nml CN II  CN III

nml gag reflex

nml CN IX  CN X

nml corneal reflex

nml CN V-1  CN VII

nml jaw jerk

nml CN V-3

nml cough

nml CN X  recurrent laryngeal n.

phrenic .n

spinal motor n.

nml hip adduction

nml L1-L2

nml knee extension

nml L3-L4

nml patellar DTR

nml L4

nml great toe extension

nml L5

nml knee flexion

nml L5-S1

nml achilles DTR

nml S1

nml great toe flexion

nml S1

diarrhea, n/v for 1 day

Norwalk virus

pain of weight bearing joints, worsens by end of day, DIP, Heberden's nodes

Osteoarthritis

multiple bone fractures, blue sclera, deafness

Osteogenesis imperfecta

brittle bone disease

hip pain that worsens at night and is dramatically relieved by aspirin

Osteoid osteoma

Migratory thromboplebitis

Pancreatic CA

warts

Papillomavirus

condyloma accuminata

Papillomavirus - types 6, 11

absent bowel sounds

Paralytic Ileus

stooped posture, resting tremor, festinating (shuffling) gait, cogwheel rigidity, pill-rolling tremor

Parkinson's

machine like murmur, widened pulse pressure, bounding pulses

PDA

Murmur; machinery murmur, differential cyanosis (upper body pink, lower body blue)

PDA

sudden pleuritic chest pain, tachypnea, dyspnea, tachycardia

PE

dermatitis, diarrhea, dementia

Pellagra; niacin deficiency

air under the diaphragm

Perforated Ulcer

rebound pain, abdominal gaurding

Perforated ulcer

friction rub

pericarditis

abdominal guarding, rebound tenderness, pts sits perfectly still

Peritonitis

pigmentation around mouth, colonic hamartomatous polyps

Peutz-Jeghers syndrome

HTN, HA, perspiration, palpitation, feelings of dread, abdominal pain, hyperglycemia

Pheochromocytoma

fever, lower abdominal pain, adnexal tenderness to cervical motion

PID; chlamydia, gonorrhea

bitemporal hemianopsia

Pituitary adenoma

bitemporal hemianopsia, diabetes insipidus, cranial nerva palsy

Pituitary adenoma

acute solitary oval annular lesion of 2-6 cm on the trunk, followed weeks later by eruption of small of christmas tree pattern w wrinkled center and scaly border w hyperpigmentation

Pityriasis rosea

dysphagia for solids, glossitis, leukoplakia, achlorhydria, iron deficiency

Plummer-Vinson syndrome

upper lobe centrilobular emphysema, cor pulmonale, lungs are blackw nodular masses w antracotic pigment

Pneumoconiosis, Coal miner's

insidious onset low grade fever, pleuritic chest pain, chills, myalgia, non productive cough

Pneumonia, Atypical; Mycoplasma, Tb, Legionella, Chlamydia…

sudden onset spiking fever, pleuritic chest pain, chills, cough w rusty sputum

Pneumonia, Typical; Strep pneumo

sudden onset sharp stabbing chest pain w dyspnea, deviation of trachea, hyperresonance

Pneumothorax

esophageal varicies

Portal HTN; alcoholic cirrhosis

hyperpigmentation of the skin

Primary adrenocortical insufficiency

Adenopathy - hilar

Primary lung CA; Tb; Sarcoid

Murmur; Systolic clicks

prolapse

mental retardation, short stature, missing metacarpals at birth

Pseudohypoparathyroidism; PTH insensitivity

pitting and yellow discoloration of nails, silvery cutaneos plaques which pinpoint bleed when lifted

Psoriasis

cva tenderness, fever, chills, pain w urination

Pyelonephritis

fever, HA, sore throat, fatigue, nausea, anorexia, painfully sensitive nerves around bite wound  hyperactivity, agitation confusion, lethargy, seizures, madness, salivation hydrophobia, seizures, coma, death

Rabies virus

Wrist drop

Radial n. damage; fall on shoulder, birth injury

bilateral cyanosis of the digits; white  blue  red

Raynaud's disease

post [neck] surgical hoarseness

recurrent laryngeal n damage

Can't see, can't pee, can't climb a tree

Reiter's

gross hematuria, flank pain, palpable abdominal mass

Renal cell CA

Nails are white proximally and brown distally

Renal disease

White reflex

retinoblastoma

fever, drowsiness, convulsions, vomiting  coma; post influenze / varicella

Reye syndrome

fever, malaise, endocarditis, polyarthritis, ESR

Rheumatic fever

chronic peripheral symmetric polyarthritis, morning stiffness, radial deviation of wrist, ulnar deviation of digits, MCP, PIP

Rheumatoid arthritis

swan neck deformity of digits, boutonniere deformity, symmetric involvement of PIP

Rheumatoid arthritis

severe pruritis worse at night, excoriated papules in interdigit area, other family members also affected

Scabies

Mouth CA

SCC

Adenopathy - submental

SCC of floor of mouth

Tightened skin with disappearance of creases over knuckles

Scleroderma

pain itching tingling along dermatome, eruption of vessicles and pustular eruptions over an erythematous base

Shingles; Herpes zoster

ulcers and sores on legs that are slow to heal; bone pain; young African American

Sickle cell anemia

dry eyes, dry mouth, rheumatoid arthritis

Sjogren's syndrome

photosensativity, oral ulcers, arthritis,

SLE

tinkles and rushes - bowel sounds

Small bowel obstruction

agnosia of the contralateral side of the world;

Spatial neglect syndrome; Right parietal lobe lesion

Shoulder drop

Spinal accessory n. damage

painless papules/granulomas at puncture wound from roses, chain of erythematous nodules along dorsum of hand

Sporotrichosis

Murmur; Opening snap

stenosis

gait with swinging leg out to side and slapping ground with foot; toe strike instead of heel strike

Steppage gait: Common peroneal n. [L4-S2]  weakness of dorsiflexion

fever, malaise, bullous lesions  mucosal ulceration (often secondary to mycoplasma infection or sulfa drugs)

Stevens-Johnson Syndrome; erythema multiforme

tonsilitis, exudative pharyngitis

Strep pyogenes; Adenovirus; EBV; Coxsackie

worst headache of my life

Subarachnoid hemorrhage

puffiness and blue discoloration of face, dizziness, visual disturbances, JVD

Superior vena caval syndrome

painless indurated genital ulcer

Syphilis; Treponema pallidum

absent pulses, claudication of upper extremity, BP  in upper but  in lower, Raynaud's phenomenon, dizziness, visual disturbances

Takayasu arteritis

pain while combing hair, HA, fever, temporal tenderness, limb girdle pain

Temporal arteritis

overriding aorta, pulmonary valve stenosis, VSD, RVH

Tetralogy of Fallot

nystagmus, ataxia, confusion

Thiamine deficiency; mamillary body

white patchy lesions of the oral mucosa

Thrush OR Leukoplakia, not same.

carotid bruit, reversible unilateral loss of vision

TIA

jock itch

Tinea cruris

athlete's foot

Tinea pedis

splenomegaly

Trauma; Infectious mononucleosis; Kala azar; Malaria; Sub acute bacterial endocarditis; Autoimmune; Gaucher's; Niemann Pick; Neoplasm - hemangioma; Hypersplenism; Portal HTN; Sickle cell;

when pt stands on one foot, hips drops on ther side; pt throws torso toward weakened side during walk

Trendelenburg gait: Superior gluteal n.[L4-S1]  paralysis of gluteus medius & minimus

c-v wave

Tricuspid regurgitation

distended neck veins, hepatomegaly, edema

Tricuspid regurgitation

Pulsating liver

Tricuspid regurgitation

a wave

Tricuspid stenosis

short stature, webbed neck, little secondary sex characteristics, coarctation of aorta

Turner's

abdominal pain, bloody diarrhea, fever, weight loss

Ulcerative colitis

hyperextesion of the metacorpophalangeal joints, flexion of the interphalangeal joints; clawhand

Ulnar nerve damage

arm is extended, adducted, internally rotated

Upper trunk injury (C5, C6); Waiter's tip

dyspnea due to severe panting

Uremia

Adenopathy - preauricular

Viral conjuctivitis

low grade fever, HA, myalgia, abdominal discomfort, loss of taste for coffee / cigarettes  pruritis  dark urine, light colored stool

Viral Hepatitis

fever, HA, nuchal rigidity; aseptic

Viral menigitis

nystagmus, slurred speech, ataxia, retinal detachment, renal cell carcinoma

von Hippel-Lindau disease

acute necrotizing granulomatous inflammation of respiratory tract, necrotizing vasculitis, necrotizing glomerulonephritis

Wegener's granulomatosis

saddle nose deformity

Wegener's granulomatosis

confabulation, anterograde amnesia

Wernicke-Korsakoff; mamillary body

wordy nonsensical speech; sensory fluent aphasia

Wernicke's area lesion

fever, abdominal pain, hematuria, unilateral flank mass

Wilm's tumor; Nephroblastoma

jaundice, fever, HA, myalgia, photophobia

Yellow fever virus

peptic ulcer, gastric hyperacidity, pancreatic islet cell tumor,

Zollinger-Ellison syndrome