This week at VA Morning Report, Dr. Kazi gave us a fantastic overview of how to think about lymphadenopathy. Below is a slideshow from a CPC he gave several years ago that summarizes his key points.
Knee complaints are common and the knee exam is the most important way to address these complaints.
Here is a classic video of Dr. Kazi demonstrating the ‘Bulge Sign‘, and a short description:
The bulge test is used to determine the presence of fluid in the knee joint. It is useful when only a little fluid is present in the joint. The suprapatellar bursa is first emptied of fluid by squeezing distally from about 15 cm above the patella. The medial compartment of the knee join is emptied by pressing on the side of the joint with the free hand. The hand is then lifted away and then the lateral side is sharply compressed. If the test is positive, a ripple is seen on the flattened, medial surface.
Here is a link to the Stanford Knee exam.
Thanks to Christina Mosher for sending over.