E. M exteremities

Question 1

concerning hands: 
1broad and fingers appears short and stuppy
2large broad and paw like 
3 slender and feminine 
4arachnodactly, asociated with what? 
5

Answer 1

1myoxdema
2acromegaly
3hypogonadism
4 marfan syndrome, congenital cardiac anomalies

Question 2

joints deformity
1_ulnar deviation
2_Heberdens nodes
3_Dupuytrens contracture

Answer 2

1 rehmatoid Arthritis
2 osteoarthrosis
3 inhereted, alcholic cirrohsis of liver.

Question 3

the fingers are taut and shiny, sometimes with telangiectases and the end are taperd

Answer 3

inflammatory vascular condition associated with a Raynaud phenomena, systemic sclerosis

Question 4

whats the causes of gangrene for:
toes..
fingers
fingers, forarm, or hole leg

Answer 4

Atheroma “diabetic gangerene
inflammatory vascular condition
drud addiction, through dirty syringes, intra artrial temazepam.

Question 5

clubbing of fingers and toes?

with hands abnormalities?

Answer 5

respiratory or cardiac disease.

nervous disease.

Question 6

Infective lesion of hands or feet can be compilicated by?

Answer 6

lymphangitis

Question 7

concerning nails: 
1_pitting, ribbing, brittlness 
2_short iiregular nails 
3_koilonychia
4_deformed, pitted, yellow 
5_yellow nails
6_leukonychia
7_splinter haemorrhages

Answer 7

1 sever illnes and malabsorption syndromes
2 instability of personality
3 iron defecieny anemia
4 psoriasis
5 lymphatic obstruction accompanied with plural effusion
6 chronic liver failure”hypoalbuminaemia
7 blood disease “emboli of bacterial endocarditis, small digital infracts in SLE

Question 8

Mention the causes of hand tremors.

Answer 8

1_neurological cause 
2_senility
3_thyrotoxicosis
4_alcoholism
5_co2 retention 
6_renal and hepatic failure.

Question 9

what’s the evidence for circulatory disease esp: pulmanory embolism?

Answer 9

tenderness in thigh and calf
homans sign
pitting odema

Question 10

what would be the signs for chronic impairment of venous return, and arterial ischemia in legs?

Answer 10

1_ varicous veins, eczema, ulceration,pigmentation over the lower part of the leg.
2_ pallor, cyanosis, coldness, loss of hair, anaesthesia and trophic changes as gangerene.

Question 11

hemorrhagic rash in the lower limb?

Answer 11

scurvy and other forms of purpura, erythema nodosum

Question 12

bones deformity esp, pes cavus

Answer 12

congenital neurological disorders, syringomyelia, hereditary ataxias