Physical Examination117 Videos

Neurologic Examination: Reflexes

REFLEX EXAMINATION Relaxation is critical during the reflex examination. Tendon reflexes are difficult to elicit when patients tense the muscles being tested. It is helpful to distract patients by engaging them in conversation while testing their reflexes. Tendon reflexes — The biceps, triceps, brachioradialis, knee (patellar), and ankle (Achilles) reflexes are the ones commonly tested. The joint […]

Murphy’s sign – clinical examination

Overview of gallstone disease in adults ●Clinical presentation •Asymptomatic The majority of patients with gallstones are asymptomatic and will remain so throughout their lives. Of those with incidental (asymptomatic) gallstones, approximately 15 to 25 percent will become symptomatic after 10 to 15 years of follow-up.    •Biliary colic Patients with symptomatic uncomplicated gallstone disease typically […]