The tell-tale thigh

A tell tale handshake

Myotonic dystrophy is a group of inherited disorders called muscular dystrophies. Clinical presentation of this disease is characterised by progressive muscle weakness with myotonia, cataracts, infertility (in males) and cardiac conduction defects. We present a case of a 35 year old male with lung abscess, later diagnosed to be a case of myotonic dystrophy. Lung abscess is an uncommon presentat...

The buttons tell the tale: documentation matters.

Subscribers can access back issues and web extra content at hfma.org/rcs. Plus, download the latest newsletter self-study lesson on audits and denials at hfma.org/newsletterselfstudy. Day Egusquiza loves buttons. Not the fasteners that join two parts of a garment, but the round, flat badges that pin onto a shirt or coat and feature a slogan or logo. Day’s buttons say things like “Frickin Free!”...

Progress in protrusion: the tell-tale scar.

The crawling movement of a cell involves protrusion of its leading edge, in coordination with the translocation of its cell body, and depends upon a cytoplasmic machinery able to respond to signals from the environment. Protrusion is now understood to be driven by actin polymerization, and signalling from membrane receptors to actin has been shown to be mediated by the Rho family of GTPases. Ho...

Tell-Tale Rhythms: Embodiment and Narrative Discourse

Tell tale of tablets in bronchus.

Foreign body (FB) aspiration is an emergency of concern at all ages. However, in adults, it can present with atypical symptoms such as shortness of breath, wheezing or rarely cyanosis. Aspiration of oral medications is seen in the elderly population with impairment of protective airway mechanism. Treatment of choice is endoscopic removal of the foreign body. We report such a case of foreign bod...