Erythema ab igne
165 Erythema ab igne Instruction Examine this patient’s legs. Examine this patient’s abdomen. Salient features History • Ask the patient whether she exposed the affected area to heat. Examination •…
Marfan’s syndrome
226 Marfan’s syndrome Instruction Look at this patient. Examine this patient’s heart. Salient features History • Family history. Examination • Disproportionately long limbs compared with the trunk: the arm span…
Hypertensive retinopathy
202 Hypertensive retinopathy Instruction Examine this patient’s eyes. Examine this patient’s fundus. Salient features History • Usually no ocular symptoms • History of hypertension. Examination • Arteriovenous nipping (Fig. 202.1)…
Subhyaloid haemorrhage
206 Subhyaloid haemorrhage Instruction Examine this patient’s fundus. Salient features History • Sudden, painless loss of vision • Sudden appearance of floaters and black spots with or without flashing lights…
Mycosis fungoides (cutaneous T-cell lymphoma)
198 Mycosis fungoides (cutaneous T-cell lymphoma) Instruction Look at this patient’s skin. Salient features History • Age (usually fifth and seventh decade) • Pruritus. Examination • Itchy, brownish-red plaques on…
Retinal vein thrombosis
205 Retinal vein thrombosis Instruction Examine these patient eyes, including the fundus. Salient features History • Age: central retinal vein occlusions arise in 0·1–0·4% and branch retinal vein occlusions in…
Alopecia areata
185 Alopecia areata Instruction Examine this patient’s scalp. Salient features History • Young adult (75% of patients are below the age of 40 years) • History of atopy • Ask…
Pyoderma gangrenosum
182 Pyoderma gangrenosum Instruction Look at this patient’s skin. Salient features History • Diarrhoea (inflammatory bowel disease) • Joint pains (rheumatoid arthritis) • Leukaemia, multiple myeloma. Examination • Necrotic ulcer…
