DrKhalil Alsoutary Assist ant Professor Balqa applied University A personal system for performing physical Examination Information from hand shake Abnormal facial expression Diagnosis ID: 930181
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Slide1
Physical Examination
June 2019
Dr.Khalil
Alsoutary
Assist ant Professor
Balqa
applied University
Slide2Slide3Slide4A personal system for performing physical Examination
Slide5Information from hand shake
Slide6Abnormal facial expression `
Diagnosis
Features
Parkinsonism
Poverty of expression
Hyperthyroidism
Startled Expression
Depression
Apathy with poverty of expression
Hypothyroidism
Apathy with pale and puffy skin
Anxiety,hyperthyroidism,Hypermania
Agitated expression
Myotonic
dystrophy
Bilateral
ptosis
Slide7Slide8Conjunctival
Pallor
Slide9Types of Polycythemia
Primary
Polycythemia
rubra
Vera
Secondary
Hypoxemia
Chronic lung disease
Cyanotic Congenital heart disease
High Altitude
Excess
Erythropoetin
Adult polycystic kidney disease
Renal Cancer
Ovarian cancer
Slide10Medical Alert Bracelet
Slide11Think of
Hypothyroidism,Addison
disease and pernicious anemia (B12 def
)
Slide12Erythema ab igne
(Reticular
hyperpigmentation
due to heat exposure in elderly
Slide13Hyperkeratinemia of the hands,note yellow discoloration
Slide14Mechanism
Condition
Underproduction
Vitiligo
Albinism
Hypopituitarism
Overproduction
Adrenal Insufficiency
Nelson Syndrome
Cushing`s Syndrome
Slide15Blue sclera in OsteogenesisImperfecta
Slide16Telangiectasia around the mouth inhereditary hemorrhagic telangiectasia
Slide17Dystrophia myotonica withbilateral
ptosis
and frontal baldness
Slide18A:Splinter Hemorrhage B: Onycholysis with pitting in psoriasis
Slide19White nails(leukonychia) is a sign of hypoalbuminemia
e.g:Nephrotic
syndrome and chronic liver disease
Slide20Koilonychia: in Iron deficiency anemia
Slide21The tongue as diagnostic tool smooth red tongue of Iron def(Lt) Large tongue of
acromegaly
(
Rt
),
Slide22Down Syndrome: trisomy of 21 chromosome
Boy with Down syndrome
Girl with Down
syndron
Slide23
Slide24Slide25Examination of the supraclavicular,axillary and epitrochlear
LN
Slide26Features to note in any lump examination Features
Size
Position
Attachments
Consistency
Edge
Surface and shape
Pulsations,thrills
and bruits
Inflammation (
Redness,tenderness
)
Transillumination
Slide27Obesity Physical Examination:Look forL.Ledema? for violet
striae
Slide28Marfan`s
syndrome : Note long
arms,high
arched palate, and
lense
dislocation
Slide29Marfans syndrome –Aut
Dominant
)Long
fingers
2)
Lense
dislocation
Slide30Slide31Slide32Slide33Slide34Slide35Slide36Slide37Slide38Slide39Slide40Slide41Slide42Slide43Slide44