Transillumination of the sinuses? shifting dullness? the puddle sign? In this episode we poke fun and debunk our favourite "useless" physical exam manoeuvres that we continue to teach our medical students.  We couldn't cover all of them in one go, so stay tuned for more... Try the app DxLogic on the iPhone to have a quick reference to the utility of many studied history features and physical exam manoeuvres. Also, check out JAMA's series of articles entitled "The Rational Clinical Exam".