Medicale- L-apprentissage Pratique D... - Semiologie

Dr. Rivière set down his cup. He walked with her to Room 12, said nothing, and simply watched M. Leblanc for a full minute. Then he asked one question: “Have you fallen lately, even a little?”

She looked at his face. The nasolabial fold was slightly flattened on the left. “Have you noticed any trouble smiling?” she asked. Semiologie medicale- L-apprentissage pratique d...

Dr. Rivière turned to Clara. “What do you think?” Leblanc for a full minute

She entered Room 12 with a clipboard full of questions. “Do you have chest pain? Shortness of breath? Fever?” M. Leblanc smiled tiredly. “No, no, and no,” he said. His hands rested on the white sheet, fingers slightly curled. “Have you noticed any trouble smiling

M. Leblanc was a retired baker, 68 years old, admitted for “general weakness.” His chart was thin—some anemia, mild hypertension, fatigue. The residents had labeled him “non-specific symptoms,” a dreaded phrase that meant we don’t know . Clara was assigned to take a history.

A Story of Learning to See What Others Overlook

Clara asked him to close his eyes and hold his arms out. His left arm drifted downward. A pronator drift. Her heart quickened. She checked his pupils—equal and reactive. But when she ran a finger up the sole of his left foot, the great toe extended upward. Babinski sign.