Hypothyroidism
138 Hypothyroidism Instruction Obtain a history and perform relevant general examination. Salient features History • Dryness of skin • Hair dryness or loss (Fig. 138.1) • Cold intolerance • Change…
Carpopedal spasm (post-thyroidectomy hypoparathyroidism)
141 Carpopedal spasm (post-thyroidectomy hypoparathyroidism) Instruction Look at this patient’s hands. Salient features History • History of thyroid surgery • Paraesthesias of fingers, toes and circumoral region • Muscle cramping,…
Old choroiditis
208 Old choroiditis Instruction Examine this patient’s fundus. Salient features History • Decreased vision, floaters, red eye • History of HIV, sarcoidosis, TB. Examination • Old or inactive retinochoroiditis appears…
Bullous eruption
153 Bullous eruption Instruction Look at this patient. Salient features History • Onset and blisters • History of mucosal involvement (mouth ulcers) • Drug history: thiols (e.g. benzylpenicillin), ACE inhibitors,…
Maculopapular rash
150 Maculopapular rash Instruction Would you like to perform a general examination of this patient? Look at this patient. Salient features History • Ask whether or not the rash itches…
Pleural rub
98 Pleural rub Instruction This patient presented with sudden onset of lateral chest pain aggravated by deep inspiration and coughing. Listen to this patient’s chest. Examine her chest. Salient features…
Deformity of a lower limb
59 Deformity of a lower limb Instruction Examine the lower limbs of this patient who has had this abnormality since childhood. Salient features History • History of trauma to the…
Dystrophia myotonica
57 Dystrophia myotonica Instruction Look at this patient’s face. Examine this patient’s cranial nerves. Salient features History • Onset usually in the third and fourth decade. However, if the mother…
