-
As a Masaryk University graduate of the Czech cohort of General medicine programme I would like to share my experience as a junior doctor (Junior Clinical Fellow) in Whiston Hospital, St Helens and Knowsley Teaching Hospitals NHS Trust (STHK) and…
-
Chest Topography
Thorax is relatively large space containing many organs and anatomical structures. An ability to precisely pinpoint specific area is important in physical examination, diagnosis and writing clinical notes.
-
How I passed USMLE Step 2 CS
Some time ago while in medical school I had an idea to pass all USMLEs, get an ECFMG certificate and match into residency program. This is another part of the story.
-
Examination of Neck Veins – Venous Waveform
Inspection of neck veins is an important part of cardiopulmonary examination. Physician should examine neck veins for two reasons: first, to estimate venous pressure and second, to detect venous waveform abnormalities. Skillful bedside examination estimates abnormalities accurately compared to measured…
-
Examination of Neck Veins – Venous Pressure
Inspection of neck veins is an important part of cardiopulmonary examination. Physician should examine neck veins for two reasons: first, to estimate venous pressure and second, to detect venous waveform abnormalities. Skillful bedside examination estimates pressure abnormalities accurately compared to…
-
Lung Auscultation – Vocal Resonance
Vocal resonance is the sound of the patient’s voice detected through the stethoscope. Unlike breath sounds it’s generated in the patient’s larynx. In certain diseases it can be abnormally transformed giving valuable clue to the diagnosis.
-
Lung Auscultation – Adventitious Breath Sounds
Adventitious breath sounds are abnormal sounds heard during the auscultation. That represents all the sounds other than normal breath sounds or vocal resonance. Their nomenclature is very ambiguous and confusing and vary greatly from physician to physician. This can lead…
-
Lung Auscultation – Normal Breath Sounds
Despite the advancements in chest investigation methods, auscultation remains the fundamental part of the physical examination. There is no other more readily available and cost-effective diagnostic method that can be repeated as often as necessary. Modern stethoscopes convey sounds better…
-
Percussion
Percussion is one of the fundamental examination techniques, along with inspection, palpation and auscultation. After more than two centuries of its use in modern medicine it still has invaluable place in diagnosis of chest disorders, pleural effusion in particular. The…