Cholesterol embolus in the fundus
209 Cholesterol embolus in the fundus Instruction Examine this patient’s fundus. Salient features History • Severe, acute and painless diminution or loss of vision • History of atherosclerosis • Risk…
Kaposi’s sarcoma
180 Kaposi’s sarcoma Instruction Look at this skin lesion. Salient features History • Determine whether the patient is immunocompromised (from HIV or from therapy following organ transplantation). • If the…
Pseudoxanthoma elasticum
176 Pseudoxanthoma elasticum Patient 1 Instruction Look at this patient’s fundus. Salient features History • Family history (either autosomal recessive, which is most common, or autosomal dominant; the gene for…
Lichen planus
159 Lichen planus Instruction Look at this patient’s skin. Salient features History • Itching • Medication history: thiazides, furosemide, beta-blockers, ACE inhibitors, phenothiazines, gold, organic mercurials, chloroquine, mepacrine, methyldopa, quinine,…
Tuberous sclerosis (Bourneville’s or Pringle’s disease)
200 Tuberous sclerosis (Bourneville’s or Pringle’s disease) Instruction Look at this patient who has a history of seizures and mental retardation. Salient features History • Family history (autosomal dominant inheritance…
Abdominal aortic aneurysm
123 Abdominal aortic aneurysm Instruction This patient presented with low-back pain; examine the abdomen. Salient features History • Vague abdominal pain • History of embolization • Family history of rupture…
Erythema ab igne
165 Erythema ab igne Instruction Examine this patient’s legs. Examine this patient’s abdomen. Salient features History • Ask the patient whether she exposed the affected area to heat. Examination •…
Marfan’s syndrome
226 Marfan’s syndrome Instruction Look at this patient. Examine this patient’s heart. Salient features History • Family history. Examination • Disproportionately long limbs compared with the trunk: the arm span…
