otosclerosis is an otic capsule disorder that leads to progressive conductive and/or sensorineural hearing loss due to stapes footplate fixation and cochlear bone involvement. the disorder is bilateral in 70% of patients and it usually starts between the third and fifth decade. one of its characteristic clinical findings is schwartze sign which refers to a reddish discoloration over the promont...

INTRODUCTION Clinical signs have been always of significant value in the diagnosis of appendicitis. Specific clinical signs are elicited coupled with routine laboratory and radiological investigations in making the diagnosis of acute appendicitis. L-sign in appendicitis is similar to the well known Rovsing's sign and is based on the same principle but is elicited on right side on the lateral ab...

background optimal use of the clinical examination aids physicians in identifying patients at risk for meningitis. the low specificity of the meningeal signs may be due to the presence of cervical arthritis and spondylosis. one of the most sensitive maneuvers in the diagnosis of meningitis is jolt accentuation of headache. patients and methods a descriptive research was performed on suspected a...

We report a case of Staphylococcus aureus infective endocarditis in a patient presenting with fever and rare cutaneous manifestations of Osler Nodes and Janeway Lesions. There had not been any distinct risk factors. His echocardiography subsequently revealed vegetation at the anterior mitral valve leaflet. As Staphylococcus aureus infective endocarditis is of utmost significance in morbidity an...

The palmomental reflex, an involuntary contraction of the mentalis muscle of the chin caused by stimulation of the thenar eminence, can be tested easily and rapidly. Its presence may alert the clinician to the possibility of cerebral pathology. However, the reflex is often present in normal people and may be absent in disease states. Testing merely for the presence or absence of the reflex ther...