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Physical Examination

eScreening Exam:         Diagnositic: Screening Physical Exam (17 min Video)  (Links only for Mercer)
Skin and Nail Exam:    DeGowin's Diagnostic: Skin and Nail Exam (15 min Video)            (Links only for Mercer)
Lymphatic Exam:         DeGowin's Diagnostic: Lymph Node Exam (13 min Video)              (Links only for Mercer)
Head and Neck Exam: DeGowin's Diagnostic: Head and Neck Exam (Multiple short Video) (Links only for Mercer)
Chest Exam:                DiGowin's Diagnostic: Chest and Vascular Exam (Video 50min)       (Links only for Mercer)
                                     Fundamentals of Lung Auscultation NEJM 2014 (with audio of Lung Sounds)
                    CVS:        Kussmaul's Sign NEJM
                                    Cervical Aortic Arch and Neck Pulsation NEJM
Abdominal/ Anus and Rectum Exam:         
                                     DeGowin's Diagnostic: The Abdomen, Perineum, Anus, and Rectosigmoid                           (Links only for Mercer)
Spine and Extremities:DeGowin's Examination of the Spine and Extremities                         (Links only for Mercer)
Thyroid Examination   Thyroid Exam (Stanfrod 25)

Neurology Examination
    Harrison's Online Neurology Examination Video Lectures (Links only for Mercer/MHUMC): 
            Video e42-1 (Neuro Screening Exam) 
            Video e43-1 - Video e43-7 (Detailed Neurological Examination)
    Cranial Nerve Exam
  • CN 2 and CN 3: Traumatic Left Optic Neuropathy, and Complete Left eye opthalmoplagia, and ptosis due to left third eye damage

    DeGowin's Diagnostic Examination: Chapter 14.  The Neurologic Examination (Links only for Mercer/MHUMC)
    Fundoscopic Exam:          Stanford 25 (Text and Video)
    Pupillary Response:         Stanford 25 (Text only)
    Involuntary Movements:   Stanford 25 (Text only)
    Internal Capsule Stroke:   Stanford 25 (Text only)
  • Cerebellar Signs:(Video e43-7) and Standford 25 (Video)
    • Axial 
      • Scanning Speech
    • Nystagmus : fast phase toward side of cerebellar lesion
    • Appendicular: 
      • Upper Extremity: 
        • Eyes closed and Rapidly touching the nose with alternating finger 
        • Finger-to-Nose Test: Side to side tremor, which gets worse nearer and nearer to the target
        • Mirror Test for dysmetria (inability to measure distances)
        • Rebound Phenomenon 
        • Finger Tapping Test or Miller-Fischer Test (3 different findings and interpretation)
          • Accurate but slow due to weakness: Pyramidal Tract Disorder 
          • First movement is good, but then it sticks and gets glued, and cannot move it further: Extrapyramidal Disorder like PD 
          • Fast but inaccurate : Cerebellar ataxia 
        • Rapid Alternating movement: Dysdidekokinesia
          • Slap on the knees fast
          • Turn the lights in the ceilings 
      • Lower Extremity: 
        • Heel-knee-shin test 
    • Test for Tone (Decreased tone in cerebellar disease) 
      • Externally rotated legs 
      • Arm swing 
      • Pendular knee jerks (>4)
    • Gait and Stance 
      • Look for arm movement
        • Stress gait; Will bring out the movement disorder of arm if any 
          • on heels
          • on toes
          • Tandel Walk: Ultimate Stress gait 
        • Wide based unbalanced gait 

Musculoskeletal Examination    
    Knee :  
            Dr. Mark Hutchinson's knee exam
           Knee-exam (Rheumtutor.com)
                              3-Minute Primary Care Low Back Exam (Part II) (Explanation of Tests; You Tube Video)  
    Neck Pain

    ENT Exam:                American Academy of O-HNS  
    BP Measurement:     Blood-Pressure Measurement NEJM 2009
    Pelvic Exam:             Pelvic Examination NEJM 2007