Still’s disease
135 Still’s disease Instruction Examine this patient’s joints. Look at this patient. Salient features History • Maculopapular rash • History of fever in the initial stages of the disease •…
Pressure sores (bedsores)
248 Pressure sores (bedsores) Instruction Look at this leg. Salient features History • Prolonged bed rest • Diabetes mellitus • Anaemia • Malnutrition • General debility. Examination • Pressure sore…
Arteriovenous fistula
238 Arteriovenous fistula Instruction Look at this patient’s arms. Salient features History • History of trauma to the limb • History of haemodialysis and artificial arteriovenous fistula. Examination • Hypertrophy…
Herpes labialis
157 Herpes labialis Instruction Look at this patient’s mouth. Salient features History • Pain, itching, burning lasting several hours • Vesicles • Sore mouth • Fever • Gum swelling •…
Hypothyroidism
138 Hypothyroidism Instruction Obtain a history and perform relevant general examination. Salient features History • Dryness of skin • Hair dryness or loss (Fig. 138.1) • Cold intolerance • Change…
Old choroiditis
208 Old choroiditis Instruction Examine this patient’s fundus. Salient features History • Decreased vision, floaters, red eye • History of HIV, sarcoidosis, TB. Examination • Old or inactive retinochoroiditis appears…
Carpopedal spasm (post-thyroidectomy hypoparathyroidism)
141 Carpopedal spasm (post-thyroidectomy hypoparathyroidism) Instruction Look at this patient’s hands. Salient features History • History of thyroid surgery • Paraesthesias of fingers, toes and circumoral region • Muscle cramping,…
Bullous eruption
153 Bullous eruption Instruction Look at this patient. Salient features History • Onset and blisters • History of mucosal involvement (mouth ulcers) • Drug history: thiols (e.g. benzylpenicillin), ACE inhibitors,…
Maculopapular rash
150 Maculopapular rash Instruction Would you like to perform a general examination of this patient? Look at this patient. Salient features History • Ask whether or not the rash itches…
Pleural rub
98 Pleural rub Instruction This patient presented with sudden onset of lateral chest pain aggravated by deep inspiration and coughing. Listen to this patient’s chest. Examine her chest. Salient features…
