Post on 30-Oct-2014
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Preface
The aim of this atlas is to help the medical students in the detection and interpretation of the physical signs of various medical diseases.
I have no authority for any of these slides but I had collected them from different websites and added my notes.
(cont.)
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Preface The title of the slide has been hidden for
self assessment. To reveal the title click on the slide.
Assist. prof. Safaa AliFICMS (med.)College of Medicine / Kufa University2009
drsafaa65@gmail.com
Lid retraction[Thyrotoxicosis]
5
Lid lag[Thyrotoxicosis]
6
Exophthalmos[Grave’s disease]
7
Puffy apathetic face with coarse hair
[Hypothyroidism, before and after treatment]
8
Moon face with hirsutism[Cushing syndrome]
9
Coarse features of the face and bulky hands
[Acromegaly]
10
Proganthism (protrusion of lower jaw)
[Acromegaly]
11
Puffy eyes[nephrotic syndrome,
hypothyroidism]
12
Xanthelasma [hypercholesterolemia]
13
Heliotrope rash (purple discoloration on the upper
eyelids) [dermatomyositis]
14
Pallor of conjunctiva[anemia]
15
Yellowish discoloration of the sclera and skin
[jaundice]
16
Kayser fleischer ring[Wilson’s disease]
17
Kayser fleischer ring[Wilson’s disease]
18
Red painful eye(anterior uveitis) [Behcet disease, Reiter's syndrome,
IBD]
19
Infiltration of lower eye lid [Lymphoma]
20
Discoid lupus lesion[SLE]
21
Saddle nose[Wegner granulomatosis]
22
Ulcer with rolled borders[basal cell carcinoma]
23
Hyperpigmented elevated lesion[malignant melanoma]
24
Papules, pustules and comedones [Acne vulgaris]
(adolescence, steroid therapy)
25
Whitehead and blackhead
comedones[Acne vulgaris]
(adolescence, steroid therapy)
26
Melasma (symmetric brown patches on the
face)[pregnancy, oral contraceptive]
27
erythematous plaque over the nose (butterfly rash)
[SLE]
28
Papules, pustules and telangiectasia on erythematous
plaque[acne rosacea]
29
Multiple angiofibroma[tuberous sclerosis]
30
Maculopapular rash[measles, drug eruption]
31
Maculopapular rash behind the ear[measles]
32
Erythema and edema of the face[Erysipelas / streptococcal infection ]
33
Periorbital edema[angioedema, hereditary or IgE
dependent]
34
Unilateral ptosis[Congenital, Myasthenia gravis]
35
Bilateral ptosis{before and after edrophonium
(tensilon) test} [Myasthenia gravis]
36
Ptosis, divergent squint and dilated pupil
[Oculomotor nerve palsy]
37
Enophthalmos, ptosis and meiosis [Horner’s syndrome]
38
Inability to elevate the left eyebrow and incomplete closure of left eye with Bell’s
phenomena. Right side deviation of the mouth
[left LMN facial nerve palsy (Bell’s palsy)]
39
Flat nasolabial fold and inability to show teeth in the right side
[right UMN facial nerve palsy]
40
Chvostek's sign [hypoparathyroidism]
41
Scattered hemorrhage, yellow exudates and new vessels formation near optic disc
[proliferative diabetic retinopathy]
42
Scattered hemorrhage and cotton wool spots (retinal infarcts)[hypertensive retinopathy]
43
Massive retinal hemorrhage [central retinal vein occlusion]
44
Papilloedema [raised intracranial pressure]
45
Optic atrophy[optic neuropathies]
46
Pallor of the lips[anemia]
47
Bluish discoloration of the lips[central cyanosis]
48
Confluent vesicles on the lips [Herpes simplex infection]
49
Dark brown spots on the lips[Peutz- Jegher’s disease]
50
Aphthous ulcer[idiopathic, Behcet disease, IBD, HIV
infection]
51
Swelling of the lip[angioedema, hereditary or IgE
dependent]
52
Gum hyperpigmentation[Addison’s disease]
53
Gum hypertrophy[calcium channel blockers,
Phenytoin therapy and AML M5]
54
Buccal hyperpigmentation[Addison’s disease]
55
Multiple aphthous ulcers[idiopathic, Behcet disease, IBD, HIV
infection]
56
White patches of oral mucosa [Candida albicans infection]
57
Tonsillar enlargement [Tonsillar abscess]
58
Dry tongue[dehydration]
59
Swelling of the tongue[angioedema, hereditary or IgE
dependent]
60
Atrophic glossitis[B12 and iron deficiency]
61
Herpes glossitis [Herpes simplex infection]
62
White patches on the tongue [Candida albicans infection]
63
White plaques on the tongue [Leukoplakia /Epstein Barr virus
infection]
64
High arched palate [Marfan syndrome]
65
Unequal lower teeth [fracture mandible]
66
Left parotid enlargement[Sjogren’s syndrome]
67
Right parotid enlargement[mumps]
68
Cervical lymph node enlargement[lymphoma]
69
Supraclavicular lymph node enlargement
(Virchow's node)[gastric cancer]
70
Multinodular goiter[simple multinodular goiter]
71
Multinodular goiter[simple multinodular goiter]
72
Clubbing and cyanosis[cyanotic congenital heart
diseases]
73
Clubbing [bronchogenic cancer]
74
Koilonychia (spooning of nail)[iron deficiency anemia]
75
Beau’s lines[chemotherapy, transient medical
illness]
76
Central nail canal[peripheral vascular disease]
77
Nail beading[DM, endocrine disorders]
78
Nail pitting[psoriasis]
79
Leukonychia (white nail)[liver cirrhosis, CRF]
80
Yellow nail[yellow nail syndrome](pleural effusion and
bronchiectasis)
81
Splinter hemorrhage[trauma, vasculitis, bacterial
endocarditis]
82
Paronychia [bacterial or fungal infection]
83
Swelling of the right hand[angioedema, hereditary or IgE
dependent]
84
Fingers cyanosis[Raynaud’s phenomena]
85
Digital infarction[DIC, vasculitis, sever Raynaud’s
disease]
86
Palmar erythema[liver disease, thyrotoxicosis, pregnancy and
fever]
87
Depigmentation of skin[vitiligo with possible associated autoimmune
diseases]
88
Palmar xanthoma[familial hypercholesterolemia]
89
Tendon xanthoma of thumb[familial hypercholesterolemia]
90
Tuberous xanthoma[familial hypercholesterolemia]
91
Carpal spasm[hypocalcemia]
92
Trousseau's signs[hypocalcemia]
93
Thick tight skin[scleroderma]
94
Flexion contractures[scleroderma]
95
Limited extension of fingers[scleroderma, DM]
96
Dupuytren's contracture [alcoholic liver disease, DM, idiopathic
fibrosis]
97
Hypermobility of the joints[Ehlers - Danlos syndrome]
98
Long fingers (arachnodactyly)[Marfan syndrome]
99
Long arm span[Marfan syndrome]
100
Heberden's nodes[osteoarthritis]
101
Swan neck deformity[rheumatoid arthritis]
102
Boutonniere deformity[rheumatoid arthritis]
103
Z-deformity of the thumb[rheumatoid arthritis]
104
Rheumatoid nodule[rheumatoid arthritis]
105
Warts [Papillomavirus infection]
106
Extradactyly and syndactyly [Laurence –Moon- Biedl syndrome]
107
Short fourth metacarpal bone [Pseudohypoparathyroidism]
108
Erythematous plaques with adherent silvery scale.
[psoriasis]
109
Pathergy test[Behcet’s disease]
110
Lipodystrophy[insulin therapy]
111
Eruptive xanthoma[hypertriglyceridemia]
112
Hyperpigmented lesions[diabetic dermopathy]
113
Purpura [thrombocytopenia, Henoch-Schönlein
purpura]
114
Erythema nodosum[ TB, streptococcal infection, IBD,
sarcoidosis, OC]
115
Erythema ab igne[local heat effect]
116
Necrobiosis lipoidica diabeticorum[DM]
117
Pyoderma gangrenosum[idiopathic, IBD, chronic active hepatitis,
RA, CML]
118
Swelling and redness of the right leg
[acute DVT]
119
Swelling and redness of the left leg[extensive DVT]
120
Hoffman’s sign[acute DVT]
121
Swelling and redness of the leg[cellulitis]
122
Bilateral leg edema[heart failure, nephrotic syndrome, liver
cirrhosis]
123
Unilateral leg edema[lymphatic obstruction]
124
Swelling behind the right knee [Baker cyst /RA]
125
Varicose veins[primary or secondary to deep venous
insufficiency ]
126
Swelling and redness of the varicose vein
[superficial thrombophlebitis]
127
Stasis dermatitis with ulcer[chronic venous insufficiency]
128
Foot ulcer and amputation of toes[DM]
129
Blisters and ulcer of the foot[DM]
130
Dry gangrene[DM]
131
Bony abnormality and nail infection[DM]
132
Interdigital infection[DM]
133
Swelling and redness of 1st MP joint
[acute gouty arthritis]
134
Skin hyperpigmentation[Addison's disease]
135
Achilles tendon xanthoma [familial hypercholesterolemia]
136
Hammer toe[DM]
137
Pes cavus (high arched foot)[Friedreich's Ataxia, Charcot-Marie-Tooth
neuropathy, muscular dystrophy]
138
Spider nevi[chronic liver disease]
139
Purplish striae[Cushing syndrome, recent weight
gain]
140
Velvety hyperpigmentation of axilla (Acanthosis nigricans)
[obesity, acromegaly, insulin resistance, GI malignancy]
141
Gynecomastia [puberty, liver disease, drugs like
cimetidine, digoxin and spironolactone]
142
Loss of male hair distribution[hypogonadism: hypothalamic-pituitary disorders, testicular
disease, liver cirrhosis]
143
Dilated superficial veins[superior vena cava obstruction]
144
Pectus carinatum[congenital, Marfan syndrome]
145
Pectus excavitum[congenital, Marfan syndrome]
146
Barrel chest[chronic obstructive lung diseases]
147
Scoliosis [congenital, Marfan syndrome]
148
Ascites [liver cirrhosis, nephrotic syndrome,
heart failure, TB peritonitis, malignancy]
149
Caput medusa(dilated peri-umbilical veins)
[liver cirrhosis with portal hypertension]
150
Dilated superficial veins with upwards flow
[inferior vena cava obstruction]
151
Purplish abdominal striae[Cushing syndrome]
152
Maculopapular rash[viral infections like measles, drug
allergy]
153
vesicular eruption of variable stages
[Varicella (chicken pox)]
154
Unilateral vesicular eruption[Herpes zoster(shingles)]
155
Urticaria [drug allergy, physical urticaria, hereditary urticaria and vasculitis ]
156
Blisters over the abdomen[Bullous pemphigoid ]
157
Erythema multiformi[drug allergy, herpes and Mycoplasma
infection ]
158
Scaly lesion with central healing and peripheral inflammation[Tinea (ring worm) /fungal
infection]
159
Erythematous papules in the trunk[cherry hemangioma]
160
Neurofibromas and café au lait spots
[neurofibromatosis type 1] (Von Recklinghausen's disease)
161
Lipoatrophy [local complication of insulin
injection]
162
Wasting of face and neck muscles/frontal baldness
[myotonic dystrophy]
163
Gower’s sign[Duchenne muscular dystrophy]
164
A
B
C
D
Muscle wasting and contracture[Duchenne muscular dystrophy]
165
Short stature and obesity[Cushing syndrome in children]
166
Dwarfism [achondroplasia]
167
Gigantism [GH excess before puberty]
168