Radiotherapy marks
172 Radiotherapy marks Instruction Look at this patient’s chest. Patient 1 Salient features History • History of breast cancer • Ask about chemotherapy and schedule of radiotherapy. Examination • Telangiectasia…
Necrobiosis lipoidica diabeticorum
171 Necrobiosis lipoidica diabeticorum Instruction Look at this patient’s legs. Examine this patient’s back. Salient features History • History of diabetes (according to a recent study from Ireland only a…
Down’s syndrome
236 Down’s syndrome Instruction Look at this patient. Salient features History • Ask the mother at what age she delivered the child (it occurs once in 1550 live births in…
Xanthelasma
170 Xanthelasma Instruction Examine this patient’s eyes. Salient features History • Jaundice, generalized pigmentation, itching (primary biliary cirrhosis) • Family history of hyperlipidaemia • History of diabetes, hypertension. • Symptoms…
Jugular foramen syndrome
83 Jugular foramen syndrome Instruction Examine this patient’s cranial nerves. Salient features History • Clinical presentation reflects effects on a combination of the last four cranial nerves: • Hoarseness of…
Phlebitis migrans
163 Phlebitis migrans Instruction Look at this patient’s leg: he has had similar such lesions at different sites at intervals. Salient features History • Time course, pain and tenderness of…
Erythema multiforme
164 Erythema multiforme Instruction Perform a general examination. Salient features History • History of preceding sore throat or cold • Low-grade fever • Drug history: barbiturates, sulphonamides, phenytoin, penicillins •…
Raynaud’s phenomenon
161 Raynaud’s phenomenon Instruction Examine this patient’s hands. Salient features History • Ask the patient about the following: • Whether precipitated by cold, emotion and relieved by heat • The…
Hereditary haemorrhagic telangiectasia (Rendu–Osler–Weber disease)
156 Hereditary haemorrhagic telangiectasia (Rendu–Osler–Weber disease) Instruction Examine the patient’s face and obtain a relevant history. Perform a general examination. Look at this patient’s face. Salient features History • Does…
Ichthyosis
155 Ichthyosis Instruction Look at this patient. Examine this patient’s skin. Perform a general examination on this patient. Salient features History • Take a family history of the disorder. •…
