Breast lump
242 Breast lump Instruction Examine this patient’s breasts. Salient features History • History of weight loss • History of a palpable mass in breast and/or axilla • Breast pain (present…
Achondroplasia
241 Achondroplasia Instruction Look at this patient. Salient features History • Family history (autosomal dominant inheritance; however, 80% are new mutations) • Paternal age (increases in frequency with increasing age…
Yellow nail syndrome
234 Yellow nail syndrome Instruction Look at this patient’s hands. Salient features History • Ask about past history of sinusitis • History of chronic cough, bronchiectasis, pleural effusion, recurrent lung…
Collapsed lung
111 Collapsed lung Instruction Examine this patient’s chest. Salient features History • Sudden onset of breathlessness • History of cough • History of asthma, TB, lung cancer. Examination • Trachea…
Nephrotic syndrome
227 Nephrotic syndrome Instruction Look at this patient. Salient features History • History of diabetes (N Engl J Med 1998;338:1202–11) • Hypertension • History of acute glomerulonephritis, streptococcal sore throat…
Ebstein’s anomaly
35 Ebstein’s anomaly Instruction Listen to this patient’s heart. He was told he had an innocent murmur during a school medical examination many years ago but now has a large…
Tabes dorsalis
73 Tabes dorsalis Instruction Examine this patient with lightning pains (lightning denotes that the pains are fleeting and does not necessarily mean they are excruciating). Salient features History • ‘Lightening…
