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Physical Findings in General Examination

Dr. ALI A. YOUNIS

Acromegaly

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Fleshy, plump nose

and lip
Prognathism

Acromegaly

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Large nose and thik

Supraorbital ridges
Disproportionately
Large nose
Overgrown lower jaw


Acromegaly
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Cushing's syndrome

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A rounded,moon face and plethora

Cushing's syndrome
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Th eadipose 'necklace'of

Cushing's syndrom
Supraclavicular adipose deposits


Cushing's syndrome
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Cushing's syndrome

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Cushing's syndrome

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Cushing's syndrome

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Graves disease

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Upper lid retraction

Proptosis with
periorbitaloedema
Normal orbit
Axial protrusion of
The eye ball

Hypothyroidism

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Clinical features of hypothyroidis

Hypothyroidism:hair loss
Hypothyroidism: malarflushand
Noncommunicative affec



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Partial and unequal

ptosis
Complete right ptosis
Left proptosis
Viewed from above


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Conjuctival pallor (anaemia)

jaundice


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Parotid enlargement
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Xanthelasma

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Hereditary Hemorrhagic Telangiectasia

Angioedema
Herpes Simplex (Cold Sore, Fever Blister)
Angular Cheilitis

Central cyanosis

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Gingival Hyperplasia

Acute Necrotizing Ulcerative Gingivitis


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Candidiasis

Hairy Tongue
Fissured Tongue
Aphthous Ulcer (Canker Sore)



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Aphthous Ulcer (Canker Sore)

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Large,square tongue

Normal,triangular tongue
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Atrophic glossitis

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Multinodular goitre

A nodular goitre on
The right side and
enlarged lymp h
nodes in the left
anterior cervical
triangle.Note
Associated wasting


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Spider angiomas

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Palmar erythema

Raynaud's
Phenomena:
Vasospasm causing
Pallor of the
Finger tip after
Immersion in tepid water
Raynaud's disese:
Tapering fingertips
With gangrenous
Areas in the pulp
Vitiligo:


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Wasting affecting principally

the lateral aspect of hand


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The ulnar clawh and affecting principally

the fourth and fifth fingers. Note
wasting of the muscles supplied by the ulnar nerve


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Normal hand against two hands with periungual

erythema
Turner's syndrome:a
Shorter right fourth
finger
Dupuytren's contracture with Palmar erythema
Cystic fibrosis with clubbing of the finger



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Dupuytren's contracture

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Clubbing:thickened nail bed raising the root of the nail which is in a straight linewith the finger
Clubbing: curved nails obtusely set at the proximal nail fold


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Psoriasis:discrete, multiple pits with distal onycholysis
Distal onycholysis
Subungual hyperkeratosis with separation of the nail plate


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koilonychia

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Splinter haemorrhage

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Beau's lines

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half and half nails

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Leuconychia

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Nicotine-stained nails in a patient with COAD




رفعت المحاضرة من قبل: هشام كردي
المشاهدات: لقد قام 24 عضواً و 341 زائراً بقراءة هذه المحاضرة








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