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…
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…
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…
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…
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 •…
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…
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…
Constrictive pericarditis
31 Constrictive pericarditis Instruction Examine this patient’s cardiovascular system. Salient features History • Dyspnoea • Fatigue • Ankle or abdominal swelling • Nausea, vomiting, dizziness and cough. Examination • The…
