Cirrhosis of the liver
113 Cirrhosis of the liver Instruction Examine this patient’s abdomen. Salient features History • History of fatigue, weight loss, jaundice • History of alcohol abuse • History of hepatitis B,…
Expressive dysphasia
49 Expressive dysphasia Instruction Ask this patient a few questions. Salient features History • Patient has difficulty in finding the appropriate words. Examination • Assess the patient’s ability to find…
Hepatomegaly
112 Hepatomegaly Instruction Examine this patient’s abdomen. Salient features History • Shortness of breath, leg oedema (heart failure) • History of alcohol ingestion, cirrhosis • History of malignancies (secondaries in…
Homonymous hemianopia
41 Homonymous hemianopia Instruction Examine this patient’s eyes. Examine this patient’s visual fields. Salient features History • Patient bumps into things on one side and may have a history of…
Argyll Robertson pupil
39 Argyll Robertson pupil Instruction Examine this patient’s eyes. Salient features History • Ask the patient about lancinating pains • History of multiple sclerosis, sarcoidosis or syphilis • Difficulty in…
Central scotoma
43 Central scotoma Instruction Examine this patient’s visual fields. Salient features History • Sudden onset usually • Patient notices a ‘hole’ in the vision while reading a poster or looking…
Parkinson’s disease
45 Parkinson’s disease Instruction Examine this patient. Salient features History • Tremor: usually unilateral at onset; usually starts in upper limbs. Also seen in the legs and jaws • Rigidity:…
Holmes–Adie syndrome
40 Holmes–Adie syndrome Instruction Examine this patient’s eyes. Salient features History • The patient is usually a young woman • Impaired sweating • Onset may be acute. Examination • The…
Absent radial pulse
30 Absent radial pulse Instruction Examine this patient’s pulses. Salient features History • Past history of insertion of an arterial line for blood gases or arterial pressure • Systemic symptoms…
