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…
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…
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…
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…
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…
60 Multiple sclerosis Patient 1 Instruction Examine this patient’s eyes. Salient features History • Remissions and relapses: visual loss, diplopia. Examination • Optic atrophy • Nystagmus. • Internuclearophthalmoplegia (see Fig….
126 Chronic lymphocytic leukaemia Instruction Perform a general examination of this patient. Salient features History • Asymptomatic in 70% of patients • Palpable lymph nodes or left upper quadrant abdominal…
136 Graves’ disease Instruction Look at this patient. Determine this patient’s thyroid status. Salient features • Patient is fidgety and restless. History • Easy irritability, nervousness, insomnia • Fatigue •…
139 Pretibial myxoedema Instruction Look at this patient’s legs. Salient features History • As in patients with thyrotoxicosis (p. 137) Examination • Red thickened swellings above the lateral malleoli (peau…
244 Haemophilia A Instruction Examine this patient’s knee (or elbow) joint; he has a bleeding disorder. Salient features History • Family history of bleeding (X-linked recessive disorder): draw the family…
