Physical examination is the process of evaluating objective anatomic findings through the use of observation,

palpation, percussion, and oscultation. The information obtained must be thoughtfully integrated

with the patient's derived history and pathophiz.

Moreover, it's a unique situation in which both the patient and the physician actually realize

this interaction is supposed to help become something diagnostic and even therapeutic.

It turns out that in some cases the physical examination when thoughtfully performed should

actually give you about 20% of the data for patient diagnosis and

management. Without exception, medical history about the patient is available at

the time of the physical exam and there are so many findings that we find with this interaction that are unique and different and sometimes even weird.

Some are esoteric, some are things we've never thought of, and some are weirdly named after foods.

So ladies and gentlemen, I'm Dr. Niket Son Paul, your friendly neighborhood internist and

gastrointestinalologist, and what we're going to do today is go over some of the signs and symptoms that we see during the physical

exam that are weird, interesting, and esoteric, or even a little bit funny.

Kue that music, my man. Now I've always found it a little bit funny when patients come in and they have a very

straightforward way of describing something in a weird way like chest pain for example.

Why do patients come in and tell you that I have a ton of bricks sitting on my chest or an elephant sitting on my chest?

Where did they get these ideas from? Where do they even think of bricks? Have they ever had one brick on their stomach?

Have they had even a stuffed elephant, let's say for example, like a stuffed toy from FAO shorts, let

alone a real elephant? Where do these things come from? Well, data suggests that these

catchphrases that patients sometimes use are basically the faults of

Hollywood. That's right, they get it from TV and media, but there are other things

that patients have also said, like beer belly, the apple-shaped

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