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The Reply

  • Junki Mizumoto
    Correspondence
    Requests for reprints should be addressed to Junki Mizumoto, MD, Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongou, Bunkyo-ku, Tokyo 113-0033, Japan.
    Affiliations
    Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
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      I would like to thank Uylas and Gundogdu for their important and thoughtful comment on our case report.
      • Mizumoto J
      Coffee bean sign detected by visual inspection.
      Patients with sigmoid volvulus should receive immediate treatment, and quick suspicion of this disease on visual examination and palpation may lead to good patient outcomes. Their comment highlighted that high-touch medicine may contribute to high-quality care rather than high-tech medicine, which relies too much on computed tomography or other imaging tests.
      • Fred HL
      Hyposkillia: deficiency of clinical skills.
      ,
      • Mizumoto J
      • Shimizu T
      Why-not-doing-high-tech-test Syndrome.
      I agree that von Wahl sign is a valuable physical finding and physicians should enhance their skills of physical examination.

      References

        • Mizumoto J
        Coffee bean sign detected by visual inspection.
        Am J Med. 2021; 134: e388-e389
        • Fred HL
        Hyposkillia: deficiency of clinical skills.
        Tex Heart Inst J. 2005; 32: 255-257
        • Mizumoto J
        • Shimizu T
        Why-not-doing-high-tech-test Syndrome.
        J Gen Fam Med. 2020; 22: 70-74