Physical Findings in General Examination
Dr. ALI A. YOUNISAcromegaly
Fleshy, plump nose
and lipPrognathism
Acromegaly
Large nose and thik
Supraorbital ridgesDisproportionately
Large nose
Overgrown lower jaw
Acromegaly
Cushing's syndrome
A rounded,moon face and plethora
Cushing's syndromeTh eadipose 'necklace'of
Cushing's syndromSupraclavicular adipose deposits
Cushing's syndrome
Cushing's syndrome
Cushing's syndrome
Cushing's syndrome
Graves disease
Upper lid retraction
Proptosis withperiorbitaloedema
Normal orbit
Axial protrusion of
The eye ball
Hypothyroidism
Clinical features of hypothyroidis
Hypothyroidism:hair lossHypothyroidism: malarflushand
Noncommunicative affec
Partial and unequal
ptosisComplete right ptosis
Left proptosis
Viewed from above
Conjuctival pallor (anaemia)
jaundiceParotid enlargement
Xanthelasma
Hereditary Hemorrhagic Telangiectasia
AngioedemaHerpes Simplex (Cold Sore, Fever Blister)
Angular Cheilitis
Central cyanosis
Gingival Hyperplasia
Acute Necrotizing Ulcerative GingivitisCandidiasis
Hairy TongueFissured Tongue
Aphthous Ulcer (Canker Sore)
Aphthous Ulcer (Canker Sore)
Large,square tongue
Normal,triangular tongueAtrophic glossitis
Multinodular goitre
A nodular goitre onThe right side and
enlarged lymp h
nodes in the left
anterior cervical
triangle.Note
Associated wasting
Spider angiomas
Palmar erythema
Raynaud'sPhenomena:
Vasospasm causing
Pallor of the
Finger tip after
Immersion in tepid water
Raynaud's disese:
Tapering fingertips
With gangrenous
Areas in the pulp
Vitiligo:
Wasting affecting principally
the lateral aspect of handThe ulnar clawh and affecting principally
the fourth and fifth fingers. Notewasting of the muscles supplied by the ulnar nerve
Normal hand against two hands with periungual
erythemaTurner's syndrome:a
Shorter right fourth
finger
Dupuytren's contracture with Palmar erythema
Cystic fibrosis with clubbing of the finger
Dupuytren's contracture
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
Psoriasis:discrete, multiple pits with distal onycholysis
Distal onycholysis
Subungual hyperkeratosis with separation of the nail plate