CAUSES OF INCREASED PIGMENTATION S: Systemic sclerosis H: Hemochromatosis 1* A: Alkaptonuria K: Kala azar A: Arsenicosis H: Hemochromatosis 2* A: Addison’s N: Nelson’s D: Drugs Amiodarone Busulfan Bleomycin Phenytoin Phenothiazine Psoralen SADDLE NOSE S: Sarcoid, Syphilis congenital, Sponastrine dysplasia, Steward granuloma (extranodal NK/T lymphoma, EBV+), Stickler syndrome (chromos 12 mutation, short nose,…
Tag: Clinical examination
Clinical Skills and Approaches 
New Ballard Score: How to use it correctly?
Assessment of gestational age can be made postnatally by either Dubowitz Score or New Ballard Scoring system. In sick infants, examination of Anterior lens canpsule vascularity with a +20D lens can be useful in assessing gestation and it needs to be carried out within 24 hours of birth. Dr Jeanne…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
JVP Mnemonics
Jugular venous pulse (JVP) waveforms a – Atrial contraction (RA) c – Closure and Curving of tricuspid valve into RA x – atrial relaXation v – Venous filling of right atrium (RA) y – atrial emptYing Distinguishing JVP from Internal carotid pulsation Mnemonic: POLICE Palpation: Non-palpable Occlussion: Readily occludable Location:…
Clinical Skills and Approaches 
Costovertebral or Renal angle tenderness
Synonyms: Murphy’s kidney punch, CVA tenderness (CVAT) Anatomy of Costovertebral angle or Renal angle: Costovertebral angle is formed by the junction of the 12th, or lowermost, rib with the paravertebral muscles, which run parallel to and on both sides of the vertebral column. Eliciting costovertebral angle tenderness: Position of patient:…
Clinical Skills and Approaches 
Murmurs Made Easy
Mnemonic: SSSS Stenotic lesion of Semilunar valve and Septal defect cause Systolic murmur. From this, you should also be able to remember that regurgitant lesions of semilunar valve causes Diastolic murmur. The stenotic lesions of atrio-ventricular valve causes diastolic murmur and regurgitant lesions cause systolic murmur. Causes of systolic murmur:…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Pediatric History Taking – Structured format and Guide
Identification (ID): Name Age/Date of Birth Sex Informant ( Reliability) Parent’s name, age, address, education, religion Chief Complaints (CC): Symptoms X Duration in Chronological order History of Presenting Illness (HPI): Symptoms: Location, quality, quantity, aggravating and alleviating factors Time course: Onset, duration, frequency, change over time Rx/Intervention: Medications, medical help…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Heart Sounds – Abnormal
The basic clinical examination of the Cardiac System is by Auscultation (listening to the sounds made by the heart). As explained in the previous article physiological sounds made in each cardiac cycle viz. S1 and S2 due to the closure of the Atrio-Ventricular Valves and Outlet Valve in synchrony. Please…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Developmental Milestones : Mnemonic
Principles of development Development proceeds from the head downward (cephalocaudal principle). Development proceeds from the center of the cody outward (proximodistal development). Development depends on maturation and learning. Development proceeds from the simple to the more complex. Growth and development is a sequential and continuous process. Growth and development proceed…