UPDATE A+ GRADED
Cap refill
Nail Splinter Haemorrhage
Trauma, endocarditis, meningococcal, sepsis
Schamroths Window
Pulmonary, cardiovascular, neoplastic, infectious, hepatobiliary, mediastinal, endocrine
and gastrointestinal disorders
Janeway Lesions and Osler Nodes
Bacterial Endocarditis, gonorrhoea, lupus, haemolytic anaemia, typhoid fever
Dupuytren's contracture
Excess alcohol, smoking, diabetes
Palmar erythema
idiopathic, pregnancy, liver disease, rheumatoid arthritis, COPD, brain cancer
Fine tremor
CVA, hyperthyroidism, salbutamol use, essential tremor, cancer, delerium tremens
Asterixis
Hepatic or other encephalopathy, CO2 retention
Radial pulse
Check both
Radial to radial delay
Idiopathic, AAA, atherosclerosis or stenosis, peripheral embolism
Collapsing pulse
Aortic regurgitation
Brachial pulse
Feel both
Virchow's Node
Left supraclavicular fossa, metastasised GI cancer
Lymph nodes
Infection, cancer
Eyes for jaundice/conjunctival pallor
Liver problems, anaemia
Corneal arcus
High cholesterol
Xanthalasmata
High cholesterol
Tracheal deviation
Pneumothorax, mass
Mouth for dental problems
Endocarditis
Accessory muscle use