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…
Neurofibromatosis
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…
Macroglossia
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…
Charcot’s joint
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…
Carotid artery aneurysm
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…
Osteoporosis of the spine (dowager’s hump)
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…
