The hand is the mind's window into the world. It gives thoughts shape and color, and gifts matter with spirit.

Abdominal Aortic Aneurysm (AAA) is characterized by a triad of Ssx:

- Severe abdominal pain
- pulsatile abdominal mass
- hypotension (especially orthostatic, even when the supine is normal)

It can be misdiagnosed in about 16% of cases (usually diagnosed as a renal colic). But the history (like smoking history, which is the most important risk factor) and physical exam should point you to the right diagnosis.

بالمُنى ألقى حبيبًا ضَنَّ عني باللقاء

Leonardo da Vinci's anatomy of the human smile

Mona Lisa's smile in the making

I could never believe there was another man born in this world who knew as much as Leonardo, and not only of sculpture, painting and architecture, and that he was truly a great philosopher.

- Francis I, King of France

I even began to appreciate the genius inherent in his designs left unexecuted and masterpieces left unfinished. By skirting the edge of fantasy with his flying machines and water projects and military devices, he envisioned what innovators would invent centuries later. And by refusing to churn out works that he had not perfected, he sealed his reputation as a genius rather than a master craftsman. He enjoyed the challenge of conception more than the chore of completion.