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…
Rheumatoid hands
127 Rheumatoid hands Instruction Examine this patient’s hands. Salient features History • Painful swollen joints • Morning stiffness. Examination • Ask the patient for permission to examine her hands and…
Osteoarthrosis
131 Osteoarthrosis Instruction Look at this patient’s hands. Examine this patient’s joints. Salient features History • Age • Pain in the joints • Stiffness after a period of inactivity •…
Klinefelter syndrome
245 Klinefelter syndrome Instruction Examine this patient and give us your diagnosis. Salient features History • Infertility (commonest cause of male infertility) • Mentally subnormal • Ask about sensation of…
Late congenital syphilis
237 Late congenital syphilis Instruction Look at this patient. Salient features History • Hearing loss • Arthritis from Clutton’s joints • Eye pain (from intersititial keratitis). Examination • Collapsed bridge…
Still’s disease
135 Still’s disease Instruction Examine this patient’s joints. Look at this patient. Salient features History • Maculopapular rash • History of fever in the initial stages of the disease •…
Retro-orbital tumour
240 Retro-orbital tumour Instruction Examine this patient’s eyes. Salient features History • History of atherosclerosis • History of hypertension • History of diabetes • History of trauma to the eye…
Pressure sores (bedsores)
248 Pressure sores (bedsores) Instruction Look at this leg. Salient features History • Prolonged bed rest • Diabetes mellitus • Anaemia • Malnutrition • General debility. Examination • Pressure sore…
Arteriovenous fistula
238 Arteriovenous fistula Instruction Look at this patient’s arms. Salient features History • History of trauma to the limb • History of haemodialysis and artificial arteriovenous fistula. Examination • Hypertrophy…
Herpes labialis
157 Herpes labialis Instruction Look at this patient’s mouth. Salient features History • Pain, itching, burning lasting several hours • Vesicles • Sore mouth • Fever • Gum swelling •…
