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

1
General AppearanceYou are going to be
presented with clinical photographs. Answers will
be provided in the next slide
2
Your observations.
3

• My son the handsome devil.
• Normal healthy male

4
One on left 20 years old. Diagnosis?
5

• Stunted growth.
• Fanconi anemia

6
Observations. Diagnosis?
7

• Tall and thin
• Long limbs and fingers
• Span greater than height
• Marfan Syndrome

8
Doctors waiting room. No response to calls.
9

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

10
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
Findings on face. Diagnostic considerations.
15

• Drooping of left eye lid
• Horners syndrome
• Cancer left apex
• Pancoast tumor

16
Describe face. Diagnosis?
17

• Malar rash
• Butterfly rash
• Lupus

18
Your observations?
19

• Thin boy
• Surgical scar on right
• Past Lobectomy

20
Cannot lay head on pillow. Diagnosis?
21

• Inability to lay head on pillow
• Ankylosing spondylitis

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Your findings?
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• Upper body emaciation
• Protruberant abdomen
• Ascites
• Cirrhotic

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Extensive CXR Changes. Diagnosis?
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• Disparity beteween CXR and clinical appearnce.
• Extensive Lung changes
• Healthy looking
• Sarcoidosis

26
Slow thick voice. Diagnosis?
27

• Myxoedema
• Coarse dry hair
• Other not evident features
• Loss of hair outer eye brow
• Coarse skin

28
Nervous and jittery. Diagnosis?
29

• Wide eye stair
• Potentiation of sympathetic activity
• Thyrotocicosis

30
Fowl smelling. Diagnosis?
31

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

32
Possible diagnosis?
33

• On 2 liters of nasal oxygen
• Low flow and low FIO2
• Patient with COPD