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They are American. What more need I say? Lots of physical signs have nice titles that seem completely useless nowadays. The strawberry gallbladder. The eosinophil (Right, that tells you so much about its function!) and the multitudes of eponyms. (Which Paget's disease? Bone skin or nipple?) Best wishes, Rowley Cottingham [log in to unmask] http://www.emergencyunit.com