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General Appearance You are going to be presented with clinical photographs. Answers will be provided in the following slide.
What are your observations?
This is my son, the handsome devil. This is my son, the handsome devil. He’s a normal healthy male. He’s a normal healthy male.
Patient on the left is 20 years old. What’s the diagnosis?
Stunted growth Stunted growth Fanconi anemia Fanconi anemia
What are your observations? Diagnosis?
Tall & thin Tall & thin Long limbs & fingers Long limbs & fingers Span > than height Span > than height Marfan Syndrome Marfan Syndrome
Patient’s in physician’s waiting room with no response to calls. Diagnosis?
Slightly obese Slightly obese Sleeping in waiting room Sleeping in waiting room Sleep apnea syndrome Sleep apnea syndrome
What are your observations? Diagnosis?
Cachectic Cachectic Gibbus of spine Gibbus of spine TB of vertebra TB of vertebra
Describe the facies. Diagnosis?
Leonine facies Leonine facies Diffusely enlarged lymph nodes Diffusely enlarged lymph nodes B cell lymphoma B cell lymphoma
Observe findings on patient’s face. Diagnostic considerations?
Drooping of left eyelid Drooping of left eyelid Horner’s syndrome Horner’s syndrome Cancer left apex Cancer left apex Pancoast tumor Pancoast tumor
Describe patient’s face. Diagnosis?
Malar rash Malar rash Butterfly rash Butterfly rash Lupus Lupus
Thin young male Thin young male Surgical scar on right Surgical scar on right Past lobectomy Past lobectomy
Patient cannot lay head on pillow. Diagnosis?
Inability to lay head on pillow Inability to lay head on pillow Ankylosing spondylitis Ankylosing spondylitis
Upper body emaciation Upper body emaciation Protruberant abdomen Protruberant abdomen Ascites Ascites Cirrhotic Cirrhotic
Extensive CXR changes seen. Diagnosis?
Disparity between CXR & clinical appearance Disparity between CXR & clinical appearance Extensive lung changes seen Extensive lung changes seen Looks healthy Looks healthy Sarcoidosis Sarcoidosis
Patient has a slow, thick voice. Diagnosis?
Myxedema Myxedema Coarse dry hair Coarse dry hair Other not evident features Other not evident features Loss of hair outer eye brow Loss of hair outer eye brow Coarse skin Coarse skin
Patient appears nervous and jittery. Diagnosis?
Wide eyed stair Wide eyed stair Potentiation of sympathetic activity Potentiation of sympathetic activity Thyrotoxicosis Thyrotoxicosis
Fowl smelling specimen. Diagnosis?
Three layered sputum Three layered sputum Fowl smelling Fowl smelling Top foam Top foam Middle liquid Middle liquid Bottom sediment Bottom sediment Bronchiectasis Bronchiectasis
What are your observations? Diagnosis?
On 2 liters of nasal oxygen On 2 liters of nasal oxygen Low flow & low FIO2 Low flow & low FIO2 Patient with COPD Patient with COPD
General Appearance You are going to be presented with clinical photographs. Answers will be provided in the next slide.
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