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General Appearance

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  1. General Appearance You are going to be presented with clinical photographs. Answers will be provided in the following slide.

  2. What are your observations?

  3. This is my son, the handsome devil. • He’s a normal healthy male.

  4. Patient on the left is 20 years old. What’s the diagnosis?

  5. Stunted growth • Fanconi anemia

  6. What are your observations?Diagnosis?

  7. Tall & thin • Long limbs & fingers • Span > than height • Marfan Syndrome

  8. Patient’s in physician’s waiting room with no response to calls.Diagnosis?

  9. Slightly obese • Sleeping in waiting room • Sleep apnea syndrome

  10. What are your observations?Diagnosis?

  11. Cachectic • Gibbus of spine • TB of vertebra

  12. Describe the facies.Diagnosis?

  13. Leonine facies • Diffusely enlarged lymph nodes • B cell lymphoma

  14. Observe findings on patient’s face. Diagnostic considerations?

  15. Drooping of left eyelid • Horner’s syndrome • Cancer left apex • Pancoast tumor

  16. Describe patient’s face. Diagnosis?

  17. Malar rash • Butterfly rash • Lupus

  18. Your observations?

  19. Thin young male • Surgical scar on right • Past lobectomy

  20. Patient cannot lay head on pillow. Diagnosis?

  21. Inability to lay head on pillow • Ankylosing spondylitis

  22. Your findings?

  23. Upper body emaciation • Protruberant abdomen • Ascites • Cirrhotic

  24. Extensive CXR changes seen. Diagnosis?

  25. Disparity between CXR & clinical appearance • Extensive lung changes seen • Looks healthy • Sarcoidosis

  26. Patient has a slow, thick voice. Diagnosis?

  27. Myxedema • Coarse dry hair • Other not evident features • Loss of hair outer eye brow • Coarse skin

  28. Patient appears nervous and jittery. Diagnosis?

  29. Wide eyed stair • Potentiation of sympathetic activity • Thyrotoxicosis

  30. Fowl smelling specimen.Diagnosis?

  31. Three layered sputum • Fowl smelling • Top foam • Middle liquid • Bottom sediment • Bronchiectasis

  32. What are your observations?Diagnosis?

  33. On 2 liters of nasal oxygen • Low flow & low FIO2 • Patient with COPD

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