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General Appearance You are going to be presented with clinical photographs. Answers will be provided in the next slide
My son the handsome devil. Normal healthy male
One on left 20 years old. Diagnosis?
Stunted growth. Fanconi anemia
Tall and thin Long limbs and fingers Span greater than height Marfan Syndrome
Doctors waiting room. No response to calls.
Slightly obese Sleeping in waiting room Sleep apnea syndrome
Cachectic Gibbus of spine Tb of Vertebra
Describe the facies. Diagnosis?
Leonine facies Diffusely enlarged lymph nodes B Cell Lymphoma
Findings on face. Diagnostic considerations.
Drooping of left eye lid Horner’s syndrome Cancer left apex Pancoast tumor
Describe face. Diagnosis?
Malar rash Butterfly rash Lupus
Thin boy Surgical scar on right Past Lobectomy
Cannot lay head on pillow. Diagnosis?
Inability to lay head on pillow Ankylosing spondylitis
Upper body emaciation Protruberant abdomen Ascites Cirrhotic
Extensive CXR Changes. Diagnosis?
Disparity beteween CXR and clinical appearnce. Extensive Lung changes Healthy looking Sarcoidosis
Slow thick voice. Diagnosis?
Myxoedema Coarse dry hair Other not evident features Loss of hair outer eye brow Coarse skin
Nervous and jittery. Diagnosis?
Wide eye stair Potentiation of sympathetic activity Thyrotocicosis
Fowl smelling. Diagnosis?
Three layered sputum Fowl smelling Top foam Middle liquid Bottom sediment Bronchiectasis
On 2 liters of nasal oxygen Low flow and low FIO2 Patient with COPD
1 What is this opacity: A:Pulmonary vessel B: Bronchus C. Mass like lymph node.
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