Henoch–Schönlein purpura
154 Henoch–Schönlein purpura Instruction Look at this patient’s legs. Salient features History • Ask the patient about the following: • Upper respiratory tract infection • Joint pains (knees and ankles…
Psoriatic arthritis
129 Psoriatic arthritis Instruction Examine this patient’s hands. Salient features History • Cutaneous psoriasis with itching in a fifth of the patients • Joint pain, joint stiffness worse in the…
Felty’s syndrome
120 Felty’s syndrome Instruction Examine this patient’s abdomen. Salient features History • Fever, weigh loss • Rheumatoid arthritis • Leg ulcers, hyperpigmentation. Examination • Mild to moderate splenomegaly • Rheumatoid…
Exophthalmos
137 Exophthalmos Instruction Examine this patient’s face. Perform a general examination of this patient. Salient features History • Obtain history of thyrotoxicosis (see p. 516) • History of smoking (opthalmopathy…
Splenomegaly
119 Splenomegaly Instruction Examine this patient’s abdomen. Salient features History • Fatigue (from anaemia) • Night sweats, low-grade fever: from hypermetabolic state caused by overproduction of white blood cells in…
Osteogenesis imperfecta
235 Osteogenesis imperfecta Instruction Look at this patient’s eyes. Salient features History • Ask about previous fractures • Ask whether or not the condition runs in the family. Examination •…
Paget’s disease
229 Paget’s disease Instruction Examine this patient’s face. Examine this patient’s legs. Salient features History • Ask the patient whether there is an increase in hat size • Bone pain…
Turner syndrome
233 Turner syndrome Instruction Look at this patient. Salient features Examination • Webbing of the neck in a female patient • Abnormal angulation of both elbows: increased carrying angle (cubitus…
