Dupuytren’s contracture
219 Dupuytren’s contracture Instruction Look at this patient’s hands. Salient features History • Family history (there is a genetic predisposition) • Cigarette smoking (J Bone Joint Surg 1997;79B:206–10) • Alcohol…
Malignant melanoma
194 Malignant melanoma Instruction Look at this skin lesion. Salient features History • Age (<50 and location on trunk has better prognosis) • Family history (a patient with a dysplastic…
Diabetic foot
215 Diabetic foot Instruction Examine this patient’s legs. Examine this patient’s feet. Neuropathic foot Salient features History • Whether there is pain (usually painless neuropathy, but may be painful) •…
Sturge–Weber syndrome (encephalotrigeminal angiomatosis)
183 Sturge–Weber syndrome (encephalotrigeminal angiomatosis) Instruction Look at this patient’s face. Salient features History • Obtain history of seizures (focal or generalized) • Hemiparesis, hemisensory disturbance • Ipsilateral glaucoma •…
Cholesterol embolus in the fundus
209 Cholesterol embolus in the fundus Instruction Examine this patient’s fundus. Salient features History • Severe, acute and painless diminution or loss of vision • History of atherosclerosis • Risk…
Kaposi’s sarcoma
180 Kaposi’s sarcoma Instruction Look at this skin lesion. Salient features History • Determine whether the patient is immunocompromised (from HIV or from therapy following organ transplantation). • If the…
Pseudoxanthoma elasticum
176 Pseudoxanthoma elasticum Patient 1 Instruction Look at this patient’s fundus. Salient features History • Family history (either autosomal recessive, which is most common, or autosomal dominant; the gene for…
Lichen planus
159 Lichen planus Instruction Look at this patient’s skin. Salient features History • Itching • Medication history: thiazides, furosemide, beta-blockers, ACE inhibitors, phenothiazines, gold, organic mercurials, chloroquine, mepacrine, methyldopa, quinine,…
Tuberous sclerosis (Bourneville’s or Pringle’s disease)
200 Tuberous sclerosis (Bourneville’s or Pringle’s disease) Instruction Look at this patient who has a history of seizures and mental retardation. Salient features History • Family history (autosomal dominant inheritance…
Abdominal aortic aneurysm
123 Abdominal aortic aneurysm Instruction This patient presented with low-back pain; examine the abdomen. Salient features History • Vague abdominal pain • History of embolization • Family history of rupture…
