Basicmedical Key

177 Rosacea Instruction Look at this patient. Salient features History • Age (typically occurs between the ages of 30 and 50 years) • Intermittent facial flushing • Blushing of the…

191 Lichen simplex chronicus (neurodermatitis) Instruction Look at this patient’s skin. Salient features History • Itching (self-perpetuating scratch-itch cycle). Examination • Several scratch marks (from pruritus) • Well-circumscribed plaque with…

243 Gingival hypertrophy Instruction Look at this patient’s mouth. Salient features History • Drugs (phenytoin, ciclosporin, nifedipine) (Fig. 243.1) • Leukaemia (myelomonocytic leukaemia) (Fig. 243.2) • Wegener’s granuloma (Fig. 243.3)….

184 Acne vulgaris Instruction Look at this patient. Salient features History • Steroid ingestion • Isoniazid ingestion • Occupational exposure to oils (oil-induced acne). Examination • Comedones or blackheads (Fig….

169 Lupus pernio Instruction Look at this patient’s face. Salient features History • Shortness of breath, cough, chest discomfort • Fatigue, weight loss, malaise, anorexia • History of therapy with…

168 Lipoatrophy Instruction Look at this patient. Look here (examiner pointing at the patient’s thighs). Salient features History • Ask whether the patient is taking insulin for diabetes. • Is…

158 Herpes zoster syndrome (shingles) Instruction Look at this patient. Salient features History • Pain, particularly in the ophthalmic branch of the trigeminal nerve (Fig. 158.1), and in the lower…

230 Parotid enlargement Instruction Look at this patient’s face. Salient features History • Ask the patient whether the parotids are painful and dry mouth • Ask the patient about dry…

118 Wilson’s disease Instruction Look at this patient’s eyes. Salient features History • History of consanguinity • In young adult or child: hepatitis, haemolytic anaemia, portal hypertension or neuropsychiatric abnormalities…

221 Anaemia Patient 1 Instruction Would you like to ask this anaemic patient a few questions? Salient features History • Ask about the following: • Blood loss such as bleeding…