Signs you see

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FrustratedFamDoc

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A couple that are more true than they aren't from personal observation:

1. Positive ring sign: If a patient that is coming to see you has at least 1 ring on every finger, they're usually a little on the nutty side. Usually pleasant. Sometimes not. Typically a smoker and about 50% of the time is on some sort of benzo. Often times is accompanied with too much makeup and perfume.

2. Positive paragraph sign: The more a radiologist chooses to comment on imaging you got for your patient, the greater the likelihood of bright lights and cold steel in said patient's future. Had one of mine follow up with me from the ER last week for a distal radius fx. Ortho wanted a CT done prior to being seen. Rad wrote 3 paragraphs of everything that was wrong with this poor lady's wrist. She was in surgery the following morning.

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3. Sunglasses Sign - Wearing sunglasses in the exam room = nuts. This is 98% sensitive.
 
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3. Sunglasses Sign - Wearing sunglasses in the exam room = nuts. This is 98% sensitive.
Unless in an optho waiting room...

>10 allergies and comorbid personality disorder....
 
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4. Pain Sign - The more times back pain / chronic pain is written in a chief complaint or reason for visit; the less likely the patient is to now show to their appointment.
 
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