Synonyms: Iliofemoral triangle Position: The patient lies supine with the pelvis square, and the limbs in identical position. Points of the Bryant’s triangle: The Bryant’s triangle is a right angled formed by: Anterior Superior Iliac Spine (ASIS) Tip of Greater trochanter Junction of perpendiculars from the 2 points above (1st draw…
Category: Clinical Skills and Approaches
History taking and examination skills and Flowchart approaches to commonly encountered medical conditions and diseases.
Clinical Skills and Approaches 
Vestibular examination : Dix-Hallpike Maneuver for BPPV
Benign Paroxysmal Positional Vertigo (BPPV) is the commonest cause of episodic vertigo and is characterized by acute attacks of transient vertigo initiated by certain head positions, lasting seconds to minutes, accompanied by nystagmus that fatigues on repeated testing. Important terminologies linked with pathogenesis of BPPV: Otoconia: Calcium carbonate crystals released…
Clinical Skills and Approaches 
Examination of Gait
Definitions Gait: Gait is the cyclical pattern of musculoskeletal motion that carries the body forwards. It involves a cyclic loss and regaining of balance by a shift of the line of gravity in relation to the center of gravity. Normal gait is smooth, symmetrical and ergonomically economical. Gait cycle: The…
Clinical Skills and Approaches 
Examination of Facial Nerve (7th Cranial Nerve)
The anatomy of facial nerve has already been discussed in detail earlier. It is essential to have proper knowledge of anatomy to understand this section of clinical examination of facial nerve. A) Inspection: Observe: Face at rest for any facial asymmetry Any facial tics, symmetry of eye blinking or eye…
Clinical Skills and Approaches 
Hearing tests with Tuning fork
Tuning fork Parts of a tuning fork 1. Foot piece 2. Stem 3. Prongs How to use tuning fork? Hold the stem of the tuning fork between the index finger and thumb of your right hand without touching the prongs. Strike the junction of superior 1/3 and inferior 2/3 of the…
Clinical Skills and Approaches 
Uses of Fluorescein strips
Content: 1-2% fluorescein dye impregnated Method of use: Explain the procedure to the patient Ask the patient to look up Moisten the strip with a small amount of normal saline or anesthetic drops, without touching the dye impregnated end of the strip with dropper Gently touch the inside of the…
Clinical Skills and Approaches 
Radial Nerve Anatomy : Course and Innervation
Synonyms: Nervus radialis, Musculospiral nerve Recommended reading: Course 1. Origin: Terminal branch of Posterior cord of brachial plexus (Root value: C5, C6, C7, C8, T1) 2. Posterior axilla: It lies behind the axillary and upper part of the brachial arteries, passing anterior to tendons of subscapularis, lattisimus dorsi and teres…
Clinical Skills and Approaches 
Autonomous Sensory Zones of Peripheral Nerves
Synonym: Autonomous area Definition: These are the regions where single nerve roots supply distinct and non-overlapping areas of skin. By their nature the “autonomous zones” represent only a small portion of any dermatome and only a few nerve roots have such autonomous zones. The size of autonomous zone for a…