Introduction to 
Clinical Medicine II

Lorraine Stanfield, MD
& Wayne LaMorte, MD, PhD, MPH

Pathology Modules by 
Thomas King, MD 		© 2006 Boston University Radiology Modules by 
Priscilla Slanetz, MD, MPH

In order to play the videos for component of the physical exam, you must have  RealPlayer® installed on your computer. To download a free version click here and select the "Basic Player" for free. 		  
The links to the BUSM Pathology Labs require Flash Player. To interrupt a Flash module, use the "Back" button on your browser. Macromedia Flash Player Download Center
MIPEP: Patient Encounter Checklist

Meet the Patient

Interview

Perform PE

End the Encounter

Present Findings

 
Vital Signs by Dr. John Wiecha
Boston University School of Medicine

Dr. John Wiecha demonstrates how to measure pulse rate, blood pressure, and respiratory rate. 
Vital signs. (9:39)

For a review of relevant arterial anatomy and the physiology of blood pressure measurements by Dr. Todd Hoagland, click on Anatomy Review.

UCSD School of Medicine
    Vital Signs

Univ. Virginia Health Systems
    Vital Signs & Chest

      
 
Ophthalmologic Exam by Dr. John Gittinger
Boston University School of Medicine

Dr. Gittinger demonstrates how to perform a basic eye examination. 
Eye Exam. (10:55)

In this second video Dr. Gittinger explains digital photos illustrating common normal and pathologic findings on the funduscopic exam.
Funduscopic Exam (22:15)

Link to Dr. Todd Hoagland’s anatomy lecture on extraocular muscles & exam
(see slides 7-14).

UCSD School of Medicine
    Eye Exam 		     
 
ENT Exam by Dr. Anand Devaiah
Boston University School of Medicine

1) Introduction and review of systems (1:20)
2) The ENT exam. (10:47) 

UCSD School of Medicine
    Head and Neck Exam

Univ. Virginia Health Systems
    Head and Neck Exam

   BUSM Pathology Labs:
1) Thyroid Adenoma
2) Autoimmune Thyroiditis 		 
Oral Exam  
by Vikki Noonan, D.M.D., D.M.Sc.
      Assistant Professor of Oral Pathology
      Boston University School of Dental Medicine

 The oral exam. (10:10) This module illustrates a systematic examination of the oral cavity and illustrates some common normal variants that can be mistaken for disease.

The Oral Exam for Cancer 
by Dr. Sadru Kabani
     Professor of Oral Pathology
      Boston University School of Dental Medicine

 The oral exam for cancer. (12:23) This module focuses on physical findings suggestive of oropharyngeal cancer.

 
Abdominal Exam by Dr. Rob Lowe
Boston University School of Medicine

1) The Interview (3:39) 
2) The Abdominal exam (14:53)

 

UCSD School of Medicine
    Abdominal Exam

Univ. Virginia Health Systems
    Abdominal Exam

   BUSM Pathology Labs:
1) Viral Hepatitis
2) Colorectal Neoplasms 		 
The Acute Abdomen - by Dr. Suresh Agarwal
Boston University School of Medicine

A trauma surgeon gives some tips on how to distinguish voluntary and involuntary guarding.

1) True Guarding.     (1:08) 
2) Peritoneal Signs.  (2:38)

 

    BUSM Pathology Labs:
1) Acute Appendicitis 		 
 
Common Findings on Colonoscopy 
by Dr.  Kleanthis G. Dendrinos and Dr. Frank A. Farraye , 
Gastroenterology Section, Boston University School of Medicine

1) Colonoscopic findings. [Note: This video requires Flash Player to be installed on your computer. A free version can be obtained at Macromedia Flash Player Download Center.

 
Cardiac Exam by Dr. Sheilah Bernard
Boston University School of Medicine

1) Cardiac interview. (7:08) 
2) Cardiovascular exam. (17:30)

UCSD School of Medicine
    Cardiac Exam

Univ. Virginia Health Systems 
    Cardiac Exam

McGill University
  Cardiac Exam

Yale U. School of Medicine
    Cardiothoracic Imaging 		BUSM Pathology Labs:
1) Abdominal Aortic Aneurysm
2) Myocardial Infarction
3) Pulmonary Embolism
4) Aortic Dissection
5) Ruptured Papillary Muscle
6) Transplant Rejection 		Heart Sounds:
 1) Blaufuss.org   
2) Bioscience.org   
3) Littmann Stethoscopes
 4) eGeneralMedical.com 
5) University of Dundee  
 6) Stethoscope.com (download MP3 heart sounds for $0.99) 
 
Pulmonary Exam by Dr. Helen Hollingsworth
Boston University School of Medicine
 
1) Pulmonary interview. (1:10) 
2) Pulmonary exam. (12:21)

UCSD School of Medicine
    Pulmonary Exam

Univ. Virginia Health Systems
    Vital Signs & Chest

Breath Sounds
 1) Colorado State Univ. 
     Auscultation Lab
2) UC Davis

Pulmonary X-Ray/ CT
 1) Dr. Slanetz's slides 
2) Loyola University
3) McGill University
4) Virtual Stethoscope
5) Yale 
    Cardiothoracic Imaging

 BUSM Pathology Labs
 1) Lung Cancer 		 
 
GYN Exam by Dr. Dick Brown
Boston University School of Medicine
  
1) The breast exam. (3:44)                
2)  The pelvic exam: an excellent article and video produced by the New England Journal of Medicine.
3) Also see Dr. Brown's PowerPoint file summarizing key points for the Breast Exam and the Pelvic exam.

University of Florida
    Breast Exam Outline
    Pelvic Exam Outline 		Breast Imaging 
 1) Dr. Slanetz's slides 		BUSM Pathology Labs
 1) Cervical Neoplasia
 2) Breast Cancer
 
Neurological Exam by Dr. Janice Wiesman
Boston University School of Medicine

1) Comments: neurological history of present illness. (0:51) 
2) Neurological review of symptoms. (1:40)
3) Mental status exam.   (5:14)
4) Cranial Nerve exam.   (13:42)
5) Motor exam. (6:55)
6) Sensory exam. (8:00)
7) Deep tendon reflexes. (8:06)
8) Cerebellar & gait exam. (3:08)

UCSD School of Medicine
  1) Mental Status Exam
  2) Neurological Exam

Univ. Virginia Health Systems
    Neurological Exam

   BUSM Pathology Labs
 1) Bacterial Meningitis
2) Multiple Sclerosis
3) Prion Disease 		 
 
Vascular Exam 
by Dr.  Palma Shaw , 
Section of Vascular Surgery, Division of Surgery
Boston University School of Medicine

1) The Vascular Exam. [Note: This video requires Flash Player to be installed on your computer. A free version can be obtained at Macromedia Flash Player Download Center.]

 
Musculoskeletal System
 by Dr.  Gail G. Brown, Jr., 
Boston University School of Medicine

[Note: These videos require Flash Player to be installed on your computer. A free version can be obtained at Macromedia Flash Player Download Center.]

1) The Interview. (4:10) 
2) Shoulder - Inspection and Palpation. (7:20)
3) Shoulder - ROM and Exam.   (19:59)
4) Lumbar Spine Exam. (11:22)
5) Knee Exam.   (19:13)
6) Lower Extremity Exam. (12:59)
UCSD School of Medicine
  1) Upper Extemity Exam
  2) Lower Extremity Exam
  3) (Musculo-skeletal Exam

Univ. Virginia Health Systems
  1) Upper Extremity Exam
  2) Upper Extremity Exam
 

      
 
Pediatric Exam  
COMSEP  
(Council on Medical Student Education in Pediatrics)
Pediatric Exam 		  BUSM Pathology Labs
 1) Pediatric Germ Cell Tumors 		 
 
Evaluation of Pediatric Obesity  - 
An interactive module
by Dr. Carine Lenders and Gita Rao, (BUSM MD-MPH candidate)
Nutrition and Fitness for Life
Department of Pediatrics, Boston University School of Medicine

1) Evaluating pediatric obesity. [Note: This video requires Flash Player to be installed on your computer. A free version can be obtained at Macromedia Flash Player Download Center.

 
Dermatology  

 
Logical Images.com - Interactive Dermatology Tutorial

    (Shorter PowerPoint version) 		  BUSM Pathology Labs
 1) Lupus Erythematosus 		 
 
Male Genito-urinary System  
1) UCSD School of Medicine
  Male Genital/Rectal Exam 		 
2) Seminoma of the testis 		 
 
Interactive Clinical Cases  

A Case of Fever
A real case from BMC. (This takes time to load.)

Trauma Cases
A series of adult & pediatric trauma cases from BMC

An Immovable Object
A case of blunt abdominal trauma with videos of surgical anatomy narrated by a trauma surgeon.

 
 
 
Other General Resources from UC San Diego School of Medicine:

"A Practical Guide to Clinical Medicine"
(http://medicine.ucsd.edu/clinicalmed/introduction.htm)

Introduction Putting It All Together Outpatient Clinics
History of Present Illness Write Ups Inpatient Medicine
The Rest of the History The Oral Presentation Clinical Decision Making
Commonly Used Abbreviations Medical Links References
A Few Thoughts