53 Seventh cranial nerve palsy Lower motor neuron type Instruction Look at this patient’s face. Examine the cranial nerves. Salient features History • Onset: whether abrupt followed by worsening over…
76 Carpal tunnel syndrome Instruction Examine this patient’s hands. Salient features History • Ask the patient about nocturnal pain (commonest cause of hand pain at night). Often the pain wakes…
72 Subacute combined degeneration of the spinal cord Instruction Carry out a neurological examination of the patient’s legs. Salient features History • Family history of pernicious anaemia • History of…
130 Painful knee joint Instruction Examine this patient’s leg. Examine this patient’s joints. Examine this patient’s knee joint. Salient features History • Painful knee joint • Take a history of…
125 Abdominal masses Patient 1 Instruction Examine this patient’s abdomen. Salient features Examination There is an epigastric mass. Diagnosis Differential diagnosis: • Carcinoma of the stomach: look for supraclavicular lymph…
124 Unilateral palpable kidney Instruction Examine this patient’s abdomen. Salient features History • Nephrectomy • Congenital absence of kidney • History of azotaemia, dialysis. Examination • One kidney is palpable…
122 Transplanted kidney Instruction Examine this patient’s abdomen. Salient features History • History of chronic renal failure: determine duration, aetiology (diabetes, hypertension, glomerulonephritis) • History of haemodialysis • History of…
121 Polycystic kidneys Instruction This patient gives a history of intermittent haematuria, obtain a brief history and examine this patient’s abdomen. Salient features History • Acute loin pain and/or haematuria…
117 Primary biliary cirrhosis Instruction Examine this patient’s abdomen. Salient features History • Pruritus: affecting half of affected patients, more common in men • Fatigue: commonest symptom • Lethargy and…
26 Dextrocardia Instruction Examine this patient’s precordium. Listen to this patient’s heart. Salient features History • Asymptomatic • Obtain history of cough with purulent expectoration (bronchiectasis) and sinusitis. Examination •…
