Tina Zhu
And with this, each day Dr. HPK would invite us into his office during the free moments between patients or after clinic and, with a mysterious twinkle in his eyes, he would pull out pictures of curious physical exam findings and ask us for our diagnosis. The photos portrayed the patients' chief complaints and sometimes also contained clues for associated findings, although we might have to look closely to find them. Each photo series would then segway into a short discussion of the patient's presentation, diagnosis and management plans. So far I have seen presentations of pretibial myxedema due to Grave's disease, bilateral ear erythema and edema from recurrent bilateral chondritis, skin findings of cutaneous T-cell lymphoma and many many more. Although these sessions can sometimes get intense when we can't figure out the diagnosis, they have always led to great learning. It is certainly true what they say, "A picture is worth a thousand words." I really appreciated being able to see the findings that I have read about in texts, so much so that I believe I will start my own picture collection for my own reference and maybe future teaching sessions.
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