Frank's sign
Spotted this recent post by Wuchereria in his new blog. I learnt a new sign - Frank's sign. He highlighted that this is a great sign to impress the examiner!
"I just got back from Hong Kong recently for a holiday.During a morning of breakfast, while I looked around I noticed this man who was sitting eating 'Tim Sum' and I am sure he has coronary artery disease.
There was obvious Frank's sign.
Frank's sign is a diagonal crease in the lobule of the auricle :
Grade 3 - a deep cleft across the whole earlobe
Grade 2a - crease more than halfway across the lobe
Grade 2b - crease across the lobe, but superficial
Grade 1 - lesser degree of wrinkling
Ear lobe creases are associated statistically with coronary artery disease in most of the population groups."
Ear creases are associated with increased risk of Cardiovascular disease in people selected by attending a cardiologists clinic. It does not hold true for an unselected population.
ReplyDeleteThe observation is now used mainly when teaching the pitfalls of reading a medical paper.
what's the pathophysiology association between ear creases with cardiovascular ds?
ReplyDeleteDr David, please continue to upload your clinical experiences on this blog! It is a real gem. Thank you very much!
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