70 Neurofibromatosis Instruction Examine this patient. Salient features History • Presents in childhood with cutaneous features including café-au-lait spots, axillary freckles and neurofibromas • Obtain history of learning disabilities (about…
246 Macroglossia Instruction Examine this patient’s mouth. Salient features History • Ask whether there is any difficulty in breathing or swallowing • Look for an underlying cause such as hypothyroidism…
134 Charcot’s joint Instruction Examine this patient’s joints. Examine the locomotor system in this patient. Salient features History • History of diabetes (Medicine 1972;51:191–210) • Gait deformity • Loss of…
239 Carotid artery aneurysm Instruction Examine this patient’s neck. Salient features History • History of hypertension • History of diabetes • History of smoking • History of transient ischaemic attacks…
247 Osteoporosis of the spine (dowager’s hump) Instruction Examine this patient’s spine. Salient features History • History of back pain (usually the onset is sudden with severe pain in the…
245 Klinefelter syndrome Instruction Examine this patient and give us your diagnosis. Salient features History • Infertility (commonest cause of male infertility) • Mentally subnormal • Ask about sensation of…
127 Rheumatoid hands Instruction Examine this patient’s hands. Salient features History • Painful swollen joints • Morning stiffness. Examination • Ask the patient for permission to examine her hands and…
131 Osteoarthrosis Instruction Look at this patient’s hands. Examine this patient’s joints. Salient features History • Age • Pain in the joints • Stiffness after a period of inactivity •…
237 Late congenital syphilis Instruction Look at this patient. Salient features History • Hearing loss • Arthritis from Clutton’s joints • Eye pain (from intersititial keratitis). Examination • Collapsed bridge…
240 Retro-orbital tumour Instruction Examine this patient’s eyes. Salient features History • History of atherosclerosis • History of hypertension • History of diabetes • History of trauma to the eye…
