Arterial leg ulcer
188 Arterial leg ulcer Instruction Look at this patient’s leg. Salient features History • Intermittent claudication • History of underlying cardiovascular or cerebrovascular disease • Pain in the distal foot…
Venous ulcer
187 Venous ulcer Instruction Look at this patient’s leg. Salient features History • Varicose veins; ask about duration • Past history of venous thromboembolism • Duration of ulceration and whether…
Atopic dermatitis (eczema)
186 Atopic dermatitis (eczema) Instruction Look at this patient’s skin. Salient features History • Pruritus: this an important symptom because it affects the quality of life • Tell the examiner…
Dermatitis herpetiformis
178 Dermatitis herpetiformis Instruction Look at this patient’s skin, who in the past had chronic diarrhoea. Salient features History • History of diarrhoea • History of gluten intolerance (although these…
Peutz–Jeghers syndrome
181 Peutz–Jeghers syndrome Instruction Look at this patient’s face. Salient features History • Pain in the abdomen as a result of intestinal intussusception • Haemorrhage in the upper GI tract…
Hairy leukoplakia
179 Hairy leukoplakia Instruction Look at this patient’s tongue. Salient features History • Usually asymptomatic • Patients may complain of pain or voice changes • Tell the examiner that you…
Tendon xanthomata
173 Tendon xanthomata Instruction Look at this patient’s hands. Salient features History • Family history of hyperlipidaemia • History of premature coronary artery disease. Examination • Tendon xanthomata seen on…
Eruptive xanthomata
174 Eruptive xanthomata Instruction Examine this patient’s skin. This uncontrolled diabetic has developed a profuse eruption; what are these lesions? Salient features History • Duration and treatment of diabetes •…
Palmar xanthomata
175 Palmar xanthomata Instruction Examine this patient’s hands. Salient features History • Family history of hyperlipidaemia and coronary artery disease. Examination • Yellowish-orange discolorations over the palmar and digital creases…
