Jerky nystagmus
47 Jerky nystagmus Instruction Examine this patient’s eyes. Test the patient’s eye movements. Salient features History • Obtain a history regarding cerebellar syndrome: multiple sclerosis, alcohol, etc. (case 46) •…
Palpitations
10 Palpitations Instruction This patient has palpitations: would you like to ask her a few questions? Salient features History • How old are you? Supraventricular tachycardias (SVT), particularly ones that…
Cerebellar syndrome
46 Cerebellar syndrome Instruction Examine this patient, who presented with a history of falling to one side. Demonstrate the cerebellar signs. Salient features History • History of falls, wide-based gait,…
Tunnel vision
44 Tunnel vision Instruction Examine this patient’s eyes. Examine this patient’s visual fields. Salient features • Intact central vision with constriction of the peripheral fields • Proceed by examine for…
Bitemporal hemianopia
42 Bitemporal hemianopia Instruction Examine this patient’s eyes. Examine this patient’s visual fields. Salient features History • Insidious onset of defects in visual field. Involvement of the macula is late…
Eisenmenger syndrome
28 Eisenmenger syndrome Instruction Examine this patient’s heart. Examine this patient’s cardiovascular system. Salient features History • Symptoms may not appear until early late childhood or early adulthood • Cyanosis…
Slow pulse rate
11 Slow pulse rate Instruction Examine this patient’s pulse. Salient features History • Drug history: beta-blockers, digoxin, verapamil • Ask whether the patient is an athlete • Symptoms, which are…
Hemiplegia
37 Hemiplegia Instruction Carry out a neurological examination of this patient. Salient features History • Obtain history of headache, seizures and loss of consciousness (more common in subarachnoid haemorrhage or…
Mitral valve prolapse
20 Mitral valve prolapse Instruction Examine this patient’s heart. Salient features History • Palpitations associated with mild tachyarrhythmias • Increased adrenergic symptoms • Chest pain • Anxiety or fatigue. Examination…
Atrial fibrillation
9 Atrial fibrillation Instruction Examine this patient’s pulse. Salient features History • Palpitations • Pre-syncope, dizziness • Fatigue • Dyspnoea • Asymptomatic and atrial fibrillation (AF) is discovered incidentally •…
