Jugular foramen syndrome
83 Jugular foramen syndrome Instruction Examine this patient’s cranial nerves. Salient features History • Clinical presentation reflects effects on a combination of the last four cranial nerves: • Hoarseness of…
Raynaud’s phenomenon
161 Raynaud’s phenomenon Instruction Examine this patient’s hands. Salient features History • Ask the patient about the following: • Whether precipitated by cold, emotion and relieved by heat • The…
Hereditary haemorrhagic telangiectasia (Rendu–Osler–Weber disease)
156 Hereditary haemorrhagic telangiectasia (Rendu–Osler–Weber disease) Instruction Examine the patient’s face and obtain a relevant history. Perform a general examination. Look at this patient’s face. Salient features History • Does…
Constrictive pericarditis
31 Constrictive pericarditis Instruction Examine this patient’s cardiovascular system. Salient features History • Dyspnoea • Fatigue • Ankle or abdominal swelling • Nausea, vomiting, dizziness and cough. Examination • The…
Ichthyosis
155 Ichthyosis Instruction Look at this patient. Examine this patient’s skin. Perform a general examination on this patient. Salient features History • Take a family history of the disorder. •…
Ehlers–Danlos syndrome
133 Ehlers–Danlos syndrome Instruction Do a general examination. Examine this patient’s joints. Salient features History • Family history (JAMA 1997;278:1284–5) • Hypermobile joints (Fig. 133.1) • Fragile skin with impaired…
Carcinoid syndrome
147 Carcinoid syndrome Instruction Look at this patient who was told by her GP that she has a ‘nervous bowel’. Salient features History • Confirm a history of chronic intermittent…
Multinodular goitre
140 Multinodular goitre Instruction Examine this patient’s neck. Salient features History • Stridor: trachea must be narrowed to 20–30% for this symptom • Hoarseness of voice (caused by pressure on…
