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  • Inter - M. Dr. Hayder. Upper & Lower Limb

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    زين العابدين محمد عويش مشري
    11 views52 pages
    This document summarizes various medical signs and symptoms seen on physical examination. It describes different types of tremors seen in conditions like Parkinson's disease and essential tremor. It also describes clubbing of the fingers seen in conditions like lung cancer. Various nail abnormalities are described such as leukonychia, splinter hemorrhages, and Beau's lines. Edema of the legs is summarized including grading of edema and causes such as liver disease, heart failure, and nephrotic syndrome. Rashes, ulcers, and other skin findings are briefly mentioned.

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    Inter_m. Dr. Hayder. Upper & Lower Limb

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    This document summarizes various medical signs and symptoms seen on physical examination. It describes different types of tremors seen in conditions like Parkinson's disease and essential tremor. It also describes clubbing of the fingers seen in conditions like lung cancer. Various nail abnormalities are described such as leukonychia, splinter hemorrhages, and Beau's lines. Edema of the legs is summarized including grading of edema and causes such as liver disease, heart failure, and nephrotic syndrome. Rashes, ulcers, and other skin findings are briefly mentioned.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    11 views52 pages

    Inter - M. Dr. Hayder. Upper & Lower Limb

    Uploaded by

    زين العابدين محمد عويش مشري
    This document summarizes various medical signs and symptoms seen on physical examination. It describes different types of tremors seen in conditions like Parkinson's disease and essential tremor. It also describes clubbing of the fingers seen in conditions like lung cancer. Various nail abnormalities are described such as leukonychia, splinter hemorrhages, and Beau's lines. Edema of the legs is summarized including grading of edema and causes such as liver disease, heart failure, and nephrotic syndrome. Rashes, ulcers, and other skin findings are briefly mentioned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 52

    Tremor

    Postural tremor—physiological
    ----drugs
    ----alcohol
    -----increase metabolite
    ------essencial tremor
    Resting tremor ---- Parkinson dis
    ---Drug induce Parkinson dis
    ----supranuclear pulsy
    Action tremor ----cerebellar tremor
    ---- multiple sclerosis
    ---- chronic alcohol abuse

    Clubbing of fingers
    g

    grade 4 clubbing – drum stik appearance


    Leukonechia
    Coilonechia
    Splinter hemorrhage- bacterial endocarditis

    Tea spoon appearance – iron deficiency anemia


    Pyonechia / pus on the sides of the nails
    Beau’s line-anemia- post acute illness
    Pitting nail- psoriasis

    Brown line- half and half


    Raynaud’s phenomena
    Dupuytren’s contracture- DM, chronic liver disease
    Palmar erythema –chronic liver disease
    Black nevus

    Bilateral leg odema- chronic liver dis


    - Renal dis-acute glomerulonephritis
    - Chronic renal dis – glomerulonephritis
    - Nephrotic syndrome
    - Fluid over load
    - Drug intake as steroid
    - Heart dis as congestive heart failure
    - Contrictive pericarditis
    - Cardiomyopathy in all types
    - Pericardial disease
    Menstrual cycle

    Grade one leg odema


    Grade 2 leg odema

    Unilateral leg odema non pitting- elephantiasis


    - Parasitic filariasis
    - Myxedema late stages
    - Lymphatic obstruction
    -

    Unilateral leg swelling – DVT


    - Rupture Backer cyst
    - Hematoma
    - Rupture head of gastronemus muscle
    - Disuse leg
    - Varicosity
    - Cellulitis
    - Erysipelas
    Inflammed bursa
    Swelling in bursa antirior to the joint, redness

    Prepatellar swelling
    Jaundice
    Three types - prehepatic as hemolytic anemia
    - Hepatic as in hepatitis
    - Post hepatic as in obstructive jaundice
    Atrophy of thinner and hypothenar muscles
    Pulse
    Blood pressure
    Temperature

    Boil
    pustule
    Bruise-ecchymosis
    Causes of bleeding tendancy
    Platelet cause- decrease no. or abnormal function – leukemia
    Clotting factors abnormalities - hemophelia
    Vascular causes snake bite
    Nodule
    Rhaumatoid nodule
    Heberdin nodule

    Rhaumatoid hand
    vitiligo
    Contracture of the upper limb
    Herpis zoster
    Dermatomal herpis zoster
    Henoch schonline purpura
    Petechial rash – bleeding tendancy

    You must check pallor and sign of low immunity


    Ulcer
    DM leg ulcer
    Gangrene leg
    Ischemic limb
    Venous ulcer with varicosity

    Ischemic ulcer
    cachexia
    Pyonachia
    Eczema

    done

    Good luck
    ‫د ﺣﯾدر اﻟﯾﺎﺳري‬

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