Crepitus which results from movement of tendons or ligaments over bone:

Mrs. Smith, age 62, comes in c/o abdominal discomfort and decreased energy.  You note that she has a very protuberant and tense appearing abdomen.  There is tympany over the periumbilical area with dullness over the right and left sides when she is lying flat. When you turn her to her right side, the dullness shifts to the right. What is the possible cause of the shifting dullness?

Nancy, a 42 yo patient, presents with pain in her left calf. She denies known injury. She recently returned from vacation and the pain has been present for 5-6 days since. On exam, the back of her left lower leg is pink, warm and swollen. Nancy is otherwise healthy and her only medication is birth control pills. Based on this information Nancy most likely has:

Mr. Smith, a 40 yr old, obese, smoker c/o intermittent epigastric pain x 1 week especially after eating a big meal. He drinks 3-4 beers per night and sometimes more on weekends. States that he has a hx of acid stomach for which he takes Pepcid intermittently. He recently went on a trip to Mexico and states that the pain started a few weeks after he returned. Family hx is + for a father with CAD and a mother with GB disease. What are all the differential diagnoses you should consider for Mr. Smith?

Which of the following is/are the physical exam methods for determining the liver size?

According to the JNC 7 and JNC 8, a blood pressure of 135/84 is considered:

Lorabelle Leigh, 26 years old and married, comes to the ER complaining of pain in her belly for three days . States that the pain started as a dull ache, but is now so bad she can hardly stand it . Mrs. Leigh tells you that the pain started in the middle of her abdomen below the umbilicus, but now has localized to the right lower quadrant. Her appetite is poor and eating has no effect on her pain. States she started with a low grade fever yesterday. Her last period was four and a half weeks ago. She has no vaginal or rectal bleeding or discharge.Based on the above information, what are your TOP differential diagnoses? (i.e. are likely, based on the history, and must be assessed and ruled in or out)

What factors would help you differentiate a benign nevus from a melanoma?

Basal and squamous cell carcinomas are more likely to be seen in which area:

What is a common skeletal changes seen in osteoporosis in the elderly?