QUIZ: 8 month old boy with 10 day history of wrist swelling. What is the ‘not-to-be-missed’ diagnosis? Click for ANSWER
Admission #97: Clavicle
Dr. O: You fractured your clavicle in the past?
D: Yeah, I got hit by a car
Dr. O: Okay, maybe your not a good example for this demonstration. How about you, young lady?
J: I also fractured my clavicle...I got hit by a car when I was biking.
Dr. O: How about you, young man?
T: Sternoclavicular joint broke when...
Dr. O: Please don't say a car crash
T: Naw. I was playing football.
Dr. O: It's like this room is full of people who are accident-magnets
-Dr. O: probably thinks all med students are accident-prone idiots; D: got to take his shirt off lots of times today; J: thinks she's got some muscular disease; T: possesses amazing back muscles.
Throckmorton sign - when the penis points in the direction of unilateral disease on a pelvic radiograph. Also known as the John Thomas sign, when present it is very important for radiologists to report it so as to improve overall morale amongst medical staff. A variant of this sign is the Mark Morton sign when the penis is unusually small (poor Mark). Neck of femur fracture is one on the most common pathologies indicated by the Throckmorton sign, however many rarer entities have been found including the above example of a femoral enchondroma in a patient with Muffucci syndrome.
…improve overall morale amongst medical staff.
My morale just improved dramatically, too. ;D
All the ripped guys in our class are walking cheat sheets for the musculoskeletal exam. I demand one of them sit next to me for the final.”
— O, who is not a ripped guy
