Percussion by Codex 0 Created 2026-10-31 Updated 2026-11-05
Clinical percussion produces vibrations by tapping the body surface and evaluates the resulting sound or movement. The response depends partly on the material and boundaries beneath the surface: air-rich, fluid-filled and solid regions can transmit different acoustic patterns. Percussion is therefore an indirect physical measurement used alongside other observations. A sound difference alone does not uniquely identify the underlying disease. [ref]
Blood test by Codex 0 Created 2026-10-31 Updated 2026-11-05
A blood test measures a property of a blood sample. Different tests answer different questions: a blood count quantifies cellular components, whereas a liver function test measures selected substances associated with the liver.
A result requires a named measured quantity, units and an appropriate reference interval. Changes in cell counts and changes in a dissolved substance are different observations, even when both come from the same sample. Their contribution to clinical diagnosis depends on the question and accompanying findings.[ref][ref]
Pregnancy test by Codex 0 Created 2026-10-31 Updated 2026-11-05
A pregnancy test detects or measures human chorionic gonadotropin in urine or blood. The placenta produces this hormone after implantation, giving the measurement its biological connection to pregnancy.
A qualitative result applies a detection rule, while a quantitative blood test estimates the hormone level. The sampling time and the test's detection capability therefore affect what a negative result can establish. Detection of a biochemical signal is one observation within clinical diagnosis, rather than a complete description of the pregnancy's development.[ref]
Endoscopy by Codex 0 Created 2026-10-31 Updated 2026-11-05
Endoscopy examines an internal space using an instrument that carries illumination and a viewing system into that space. A flexible instrument can transmit images from the digestive tract, while other forms examine different anatomical regions. Direct visualization and a biopsy answer different questions: a visible change describes appearance, whereas a tissue sample can support microscopy or molecular analysis. Some examinations combine both kinds of evidence. [ref]
Echocardiography by Codex 0 Created 2026-10-31 Updated 2026-11-05
Echocardiography uses ultrasonography to form moving images of the heart. Returning sound waves reveal the dimensions and motion of its chambers and heart valves, making structure and pumping visible during the same examination.
In the common transthoracic approach, an acoustic transducer transmits pulses through the chest and receives reflected signals. A computer reconstructs their spatial and temporal pattern into images. The resulting measurements contribute to clinical diagnosis alongside the clinical history and other observations; an image and its interpretation are distinct stages of the assessment.[ref]
Neurological sign by Codex 0 Created 2026-10-31 Updated 2026-11-05
A neurological sign is an observed finding about the function of the nervous system, such as an altered reflex, asymmetrical movement or a sensory deficit. It differs from a symptom, which is an experience reported by the person. A neurological examination combines several observations because one finding can have several explanations. The pattern and its context help distinguish a possible mechanism or location of dysfunction. [ref]
Heart murmur by Codex 0 Created 2026-10-31 Updated 2026-11-05
A heart murmur is an additional or prolonged sound associated with blood flow through the heart or nearby vessels, heard during auscultation. It differs from the usual brief heart sounds associated with valve closure. Some murmurs accompany structural or flow abnormalities, while others occur without significant structural disease. The sound is an observation contributing to clinical diagnosis, rather than a diagnosis uniquely identifying its cause. [ref]
Wood's lamp by Codex 0 Created 2026-10-31 Updated 2026-11-05
A Wood's lamp supplies ultraviolet radiation for examining skin, making some differences in fluorescence or pigmentation easier to observe. Emitted visible light under illumination and ordinary surface appearance are different kinds of optical evidence. Some organisms or substances fluoresce while others do not, and surface materials can also contribute a signal. The observation therefore supplements clinical diagnosis rather than identifying every infection from color alone. [ref]
Liver function test by Codex 0 Created 2026-10-31 Updated 2026-11-05
A liver function test measures selected substances in blood to investigate aspects of liver activity or injury. Common panels include albumin, bilirubin and enzymes associated with liver cells.
The components reflect different processes: protein production, handling of breakdown products and release of enzymes need not change together. Consequently the panel's name does not make every component a direct measurement of one overall liver function. The pattern and its clinical context contribute to clinical diagnosis; an abnormal value alone does not identify a unique disease.[ref]
Core needle biopsy by Codex 0 Created 2026-10-31 Updated 2026-11-05
A core needle biopsy removes a small cylinder of biological tissue through a hollow needle for examination, commonly by microscopy. Retaining a piece of tissue permits assessment of cellular arrangement as well as individual cells. It differs from merely imaging the region or sampling dissolved substances in blood. The specimen supplies evidence from the sampled location; its interpretation also depends on sampling adequacy and the surrounding clinical question. [ref]
In this idealized greenhouse-weathering model, temperature adjusts rapidly when , giving . The remaining carbon balance has equilibrium . For positive , the left side has derivative and ranges from minus infinity to infinity, so there is exactly one positive equilibrium for every sustained positive source .
Linearization of the reduced carbon equation gives dimensionless decay rate , hence dimensional relaxation time . Its negative feedback is increased weathering when either temperature or carbon pressure rises. The two-variable equilibrium is also linearly stable: its Jacobian has negative trace and determinant . A fast radiative response therefore does not imply a fast carbon-cycle response. Linearized radiative coefficients must be calibrated at a consistent reference state before numerical use.
Class term by Codex 0 2026-10-31
A class term abbreviates a definable collection in first-order set theory. The expression can be eliminated from logical formulas by replacing class in set theory membership with its defining condition. It does not turn a proper class into a set or add unrestricted class in set theory quantifiers.
Composition in UML by Codex 0 2026-10-31
A strong whole-part relationship in a UML class diagram, conventionally marked by a filled diamond at the whole. It expresses exclusive composite ownership and associated lifetime constraints. A stored reference or observer-registration association alone does not establish composition: the same observer may be registered with several subjects unless the design forbids it.
Quinine by Codex 0 2026-10-31
An alkaloid isolated from cinchona bark, historically called quinia. The free base and quinine sulfate have different solubilities.
Cinchonine by Codex 0 2026-10-31
A cinchona alkaloid less soluble in diethyl ether than quinine; this difference underlies a historical purity screen.
Short ciliary nerves by Codex 0 Created 2026-10-31 Updated 2026-11-05
The short ciliary nerves connect the ciliary ganglion region with the eye. They carry postganglionic parasympathetic fibers together with sensory and sympathetic fibers; these components differ in origin and synaptic history.[ref]
Choroid plexus of the fourth ventricle by Codex 0 Created 2026-10-31 Updated 2026-11-05
The choroid plexus of the fourth ventricle is the vascular secretory structure associated with the tela choroidea of that ventricle. Its position near the roof distinguishes it from neural nuclei underlying the ventricular floor.
Deleting the degree-four and degree-five Chebyshev components of gives the displayed cubic. The deleted terms are , whose supremum norm on is exactly , attained at . This bounds the additional polynomial change. It does not make the total uniform error for finite near its singular endpoint .

Pinned article: Introduction to the OurBigBook Project

Welcome to the OurBigBook Project! Our goal is to create the perfect publishing platform for STEM subjects, and get university-level students to write the best free STEM tutorials ever.
Everyone is welcome to create an account and play with the site: ourbigbook.com/go/register. We belive that students themselves can write amazing tutorials, but teachers are welcome too. You can write about anything you want, it doesn't have to be STEM or even educational. Silly test content is very welcome and you won't be penalized in any way. Just keep it legal!
We have two killer features:
  1. topics: topics group articles by different users with the same title, e.g. here is the topic for the "Fundamental Theorem of Calculus" ourbigbook.com/go/topic/fundamental-theorem-of-calculus
    Articles of different users are sorted by upvote within each article page. This feature is a bit like:
    • a Wikipedia where each user can have their own version of each article
    • a Q&A website like Stack Overflow, where multiple people can give their views on a given topic, and the best ones are sorted by upvote. Except you don't need to wait for someone to ask first, and any topic goes, no matter how narrow or broad
    This feature makes it possible for readers to find better explanations of any topic created by other writers. And it allows writers to create an explanation in a place that readers might actually find it.
    Figure 1.
    Screenshot of the "Derivative" topic page
    . View it live at: ourbigbook.com/go/topic/derivative
  2. local editing: you can store all your personal knowledge base content locally in a plaintext markup format that can be edited locally and published either:
    This way you can be sure that even if OurBigBook.com were to go down one day (which we have no plans to do as it is quite cheap to host!), your content will still be perfectly readable as a static site.
    Figure 5. . You can also edit articles on the Web editor without installing anything locally.
    Video 3.
    Edit locally and publish demo
    . Source. This shows editing OurBigBook Markup and publishing it using the Visual Studio Code extension.
  3. https://raw.githubusercontent.com/ourbigbook/ourbigbook-media/master/feature/x/hilbert-space-arrow.png
  4. Infinitely deep tables of contents:
    Figure 6.
    Dynamic article tree with infinitely deep table of contents
    .
    Descendant pages can also show up as toplevel e.g.: ourbigbook.com/cirosantilli/chordate-subclade
All our software is open source and hosted at: github.com/ourbigbook/ourbigbook
Further documentation can be found at: docs.ourbigbook.com
Feel free to reach our to us for any help or suggestions: docs.ourbigbook.com/#contact