Virchow's node

Overview Virchow’s node (or signal node) is an enlarged, hard, left supraclavicular lymph node which can contain metastasis of visceral (abdominal) malignancy. Clinical significance Malignancies of the internal organs can reach an advanced stage before giving symptoms. Stomach cancer, for example, can remain symptomless while metastatizing. One of the first […]

Wrist and hand pain

Overview The wrist contains eight carpal bones. These bones are aligned by a sequence of ligaments and cartilaginous connective tissue. Though pain and numbness is a frequent presentation, carpal tunnel syndrome is the most common diagnosis. Diagnosis Physical Examination Extremities Tinel’s sign Positive when pain occurs if anterior wrist is […]

Yellow sclera

Differential Diagnosis In alphabetical order. [1][2] Congenital non-hemolytic jaundice Crigler-Najjar Syndrome Dubin-Johnson Syndrome Hepatopathy Obstruction of the bile ducts Quinacrine Vitamin A deficiency Vitamin B12 deficiency References ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016 ↑ Kahan, Scott, Smith, Ellen […]

Vocal fremitus

Vocal fremitus is described as a vibration in the chest wall that is felt on palpatation and is produced when speaking. Differential Diagnosis Increased Atelectasis Bronchiectasis Congested lung Pneumonia Decreased Emphysema Obstructive atelectasis Pleural Effusion Pneumothorax References ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir […]

Wide pulse pressure

Overview A wide pulse pressure is defined as a difference between the systolic blood pressure and the diastolic blood pressure that exceeds 60 – 70 mm Hg. Causes Life Threatening Causes Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. Aortic […]

Vulvar pruritus

Overview Vulvar pruritus is defined as vulvar itching. Causes Causes in Alphabetical Order [1][2] Atopic Dermatitis Atrophic Vaginitis Bacterial Vaginosis Beta-hemolytic streptococcus Contact Dermatitis Escherichia coli Hidradenitis suppurativa Herpes Simplex Virus Human Papillomavirus Infections Lichen planus Lichen simplex Lichen sclerosis Molluscum contagiosum Pediculosis pubis Paget’s Disease of the Vulva Pinworm […]

Nausea and vomiting overview

Overview Nausea (Latin: Nausea, Greek: Ναυτεία, “sea-sickness”) is the sensation of unease and discomfort in the stomach with an urge to vomit. Nausea is not a sickness, but rather a symptom of several conditions, many of which are not related to the stomach. Nausea is often indicative of an underlying […]