There may be difficulties in the diagnosis of unilateral endocrine exophthalmos particularly in the differential diagnosis from orbital tumour. It is the purpose of this communication to show that endocrine ophthalmopathy is always bilateral, although its exophthalmic component is frequently unilateral in its early stages. This observation could be the basis of differential diagnosis between "u...

Neonatal uterine bleeding (NUB) occurs in approximately 5% of newborns and represents, similarly as menstrual bleeding, a progesterone (PG) withdrawal bleeding. While evident NUB is relatively rare, biochemical proofs of vaginal bleeding can be found in 25-61% of neonates, depending on different methods used to detect it. The anatomy of neonatal uterus (large cervix to corpus ratio) and the pre...

Part of the Dermatology Commons This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, a...

Mahadevan S, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220259 DESCRIPTION A 72-year-old man presented for general health check. He was asymptomatic except for hard of hearing and uses hearing aid for the last 4 years. Clinical examination revealed very prominent tortuous superficial temporal veins bilaterally, more on the left side (figure 1) with no bruit and a warm non-tender skull on pa...

A 72-year-old male with a history of bilateral rotator cuff tears presented to his primary care physician (PCP) with complaints of chronic shoulder pain and fatigue. Upon physical examination, a palpable mass was noted between his left shoulder and elbow, although he could not recall when the mass first appeared. Left arm cogwheel rigidity was also noted on physical examination. He denied any t...

UNLABELLED The "shrug sign" (inability to lift the arm to 90 degrees abduction without elevating the whole scapula or shoulder girdle) has been associated with a diagnosis of rotator cuff disease. Based on our clinical experience, we hypothesized the shrug sign is not a specific diagnostic sign for this condition, but rather is associated with various shoulder conditions and shoulder weakness a...

We inspected on about 110 patients of spinal tumors in the neurosurgical department of Loghman-e­Hakim Medical Center. According with our inspectation, we have considered the factors such as age, sex, pathology, clinical signs, radiology, kind of operation and…. cases were up to 16 years ( 15 % ) and the  17 ‏ others were adult. 62 (56%) were male and 38 (44%) were female. The most privalent ...

Several patients of Duchenne muscular dystrophy (DMD) do not demonstrate clinically remarkable calf hypertrophy. A new clinical sign visible behind the shoulders, which may be called 'valley sign', was tested for its utility in such cases as clinical diagnosis becomes difficult in these patients. Out of 142 DMD patients seen in the last 7 years, 12 were found to have inconspicuous calves. All t...