Hairy leukoplakia
179 Hairy leukoplakia Instruction Look at this patient’s tongue. Salient features History • Usually asymptomatic • Patients may complain of pain or voice changes • Tell the examiner that you…
Eruptive xanthomata
174 Eruptive xanthomata Instruction Examine this patient’s skin. This uncontrolled diabetic has developed a profuse eruption; what are these lesions? Salient features History • Duration and treatment of diabetes •…
Radiotherapy marks
172 Radiotherapy marks Instruction Look at this patient’s chest. Patient 1 Salient features History • History of breast cancer • Ask about chemotherapy and schedule of radiotherapy. Examination • Telangiectasia…
Palmar xanthomata
175 Palmar xanthomata Instruction Examine this patient’s hands. Salient features History • Family history of hyperlipidaemia and coronary artery disease. Examination • Yellowish-orange discolorations over the palmar and digital creases…
Tendon xanthomata
173 Tendon xanthomata Instruction Look at this patient’s hands. Salient features History • Family history of hyperlipidaemia • History of premature coronary artery disease. Examination • Tendon xanthomata seen on…
Necrobiosis lipoidica diabeticorum
171 Necrobiosis lipoidica diabeticorum Instruction Look at this patient’s legs. Examine this patient’s back. Salient features History • History of diabetes (according to a recent study from Ireland only a…
Down’s syndrome
236 Down’s syndrome Instruction Look at this patient. Salient features History • Ask the mother at what age she delivered the child (it occurs once in 1550 live births in…
Xanthelasma
170 Xanthelasma Instruction Examine this patient’s eyes. Salient features History • Jaundice, generalized pigmentation, itching (primary biliary cirrhosis) • Family history of hyperlipidaemia • History of diabetes, hypertension. • Symptoms…
Erythema multiforme
164 Erythema multiforme Instruction Perform a general examination. Salient features History • History of preceding sore throat or cold • Low-grade fever • Drug history: barbiturates, sulphonamides, phenytoin, penicillins •…
Phlebitis migrans
163 Phlebitis migrans Instruction Look at this patient’s leg: he has had similar such lesions at different sites at intervals. Salient features History • Time course, pain and tenderness of…
