162 Systemic lupus erythematosus Instruction Examine this patient’s face (usually a young woman). Salient features History • Fatiguability and tiredness: suggests anaemia • Joint symptoms: particularly small joints (90% of…
149 Scleroderma Instruction Look at these hands. Salient features History • Tight skin over face and joints • Raynaud’s phenomenon (Case 161, p. 587) • Puffy hands and feet •…
216 Swollen leg I Deep vein thrombosis Instruction Look at this patient’s leg. Salient features History • Recent history of immoblization including recent surgery, stroke, myocardial infarction • Whether onset…
249 Sickle cell disease Instruction Examine this patient’s hands who has recurrent episodes of abdominal pain, precipitated by infection. Salient features History • Bone pain • Past history of strokes,…
222 Lymphadenopathy Instruction Perform a general examination. Examine this patient’s neck. Salient features History and examination Use the mnemonic ALL AGES to approach a patient with lymphadenopathy: ALL: Age at…
223 Crohn’s disease Instruction These patients have chronic diarrhoea. Examine this patient’s face (Patient 3). Examine this patient’s abdomen (Patients 1 and 2). Comment on this patient’s perianal area (Patient…
199 Urticaria pigmentosa Instruction Look at this patient’s skin. Salient features History • Urticaria with pruritus on trauma, rubbing or heat: Darier’s sign • Headache • Diarrhoea • Itching. Examination…
207 Retinitis pigmentosa Instruction Examine this patient’s fundus. Examine this patient’s eyes. Salient features History • Family history of blindness (can be autosomal recessive, which is more severe, or autosomal…
204 Optic atrophy Instruction Examine this patient’s eyes. Examine this patient’s fundus. Salient features History • Visual loss: onset of symptoms depends on underlying aetiology • History of multiple sclerosis…
195 Seborrhoeic dermatitis Instruction Comment on this patient’s skin. Salient features History • History of itching • History of Parkinson’s disease, strokes and HIV. Examination • Greasy scales overlying erythematous…
