Deformity of a lower limb
59 Deformity of a lower limb Instruction Examine the lower limbs of this patient who has had this abnormality since childhood. Salient features History • History of trauma to the…
Dystrophia myotonica
57 Dystrophia myotonica Instruction Look at this patient’s face. Examine this patient’s cranial nerves. Salient features History • Onset usually in the third and fourth decade. However, if the mother…
Acromegaly
142 Acromegaly Instruction Examine this patient’s face. This patient complains of excessive sweating; examine him. Examine this patient’s hands. Salient features History • Ask the patient about old photographs of…
Facioscapulohumeral dystrophy (Landouzy–Déjérine syndrome)
64 Facioscapulohumeral dystrophy (Landouzy–Déjérine syndrome) Instruction Perform a neurological examination of this patient’s cranial nerves and upper limbs. Salient features History • Age of onset (usually between 10 and 40…
Myasthenia gravis
66 Myasthenia gravis Instruction This patient complains of drooping of the eyelids in the evenings; examine this patient. Salient features History • Weakness in muscles is more marked in the…
Friedreich’s ataxia
68 Friedreich’s ataxia Instruction Perform a neurological examination of this patient’s legs. Salient features History • Age of onset (usually the same in each family and ranges from 8 to…
Wasting of the small muscles of the hand
62 Wasting of the small muscles of the hand Instruction Examine this patient’s hands. Ask the patient whether her hands are painful. Salient features History • Rheumatoid arthritis • Painful…
Ankylosing spondylitis
128 Ankylosing spondylitis Instruction Examine this patient’s back. Examine this patient. Salient features History • Back stiffness and back pain: worse in the morning, improves on exercise and worsens on…
