Clinical Pearl Collection
Clinical Pearl
Rupjit BanikClinical Pearl:01
Unilateral headache with increased ESR? Please consider Temporal Arteritis
Clinical Pearl:02
Can't palpate the pulse with repeated effort in an alive patient?
May be you're dealing with a patient of Takayasu's Arteritis (Pulseless disease)
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Clinical Pearl:03
A hospital admitted CLD patient suddenly complaining of Dyspnoea?
May be this patient is suffering from Right Sided Pleural Effusion. More clearly to say, Hepato Pulmonary Syndrome.
Clinical Pearl:04
A well hydrated (Haemorrhage is already managed) hospital admitted RTA victim suddenly presents with Acute Renal Failure?
may be you're dealing with a case of Crush Syndrome.
Clinical Pearl:05
Palpable JVP? Please consider Tricuspid Regurgitation .
Mechanism :
In Tricuspid Regurgitation, the Tricuspid valve remains open.
So,during ventricular systole, the extra volume of blood with ventricular contractile impulse reaches the Jugular vein resulting in palpable pulsatile JVP.
Clinical Pearl: 06
Suppose clear cut clinical & morphological findings suggesting Myeloma but there is no paraprotein in serum & urine.
May be you're dealing a case of Non Secretory Myeloma...
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Clinical Pearl:07
Hyperextensibility with bleeding manifestation? Thinking of Marfan's Syndrome? Nope, may be you're dealing with Ehlers Danlos Disease.
(Marfan's syndrome should classically have no bleeding manifestation)
Clinical Pearl:08
Signs & Symptoms of Hypocalcaemia are (CATS. )
C= Convulsions
A= Arrhythmia
T= Tetany
S= Spasm & Stridor
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