general Flashcards
Fine Hair sign of?
Hyperthyroidism
Course Hair sign of?
Hypothyroidism
Tiny white Ovoid granules sign of?
nits (lice eggs)
Scalp Redness sign of?
Eczema
Scalp Redness with plaques sign of?
Psoriasis
Soft lumps on the scalp sign of?
pilar cysts
Pigmented Nevi (moles) sign of?
May raise concern for melanoma
Facial Expression Asymmetry sign of ?
Bells palsy
Hirsutism may occur in women with?
polycystic ovary syndrome
Moon Face Red Cheeks Excessive Hair Growth
signs of ?
Cushings Syndrome
Swelling around the eyes Pale looking Puffy face signs of?
Nephrotic Syndrome
Discharge from the ear sign of?
Acute Otitis Extern and acute / chronic otitis media with performation – yellow / green discharge. ruptured tympanic membrane
fracture- csf leak
tophi on the ear helix sign of?
Gout due to uric acid deposits
eye brow hair loss sign of ?
SLE, hypothyroidism
ptosis sign of?
horners syndrome and myasthenia gravis
eye lid retraction sign of?
hyperthyroidism, graves disease
dry eyes a sign of?
Sjogren’s, RA, SLE, Scleroderma
Yellow Eyes – Sclera a sign of?
Sign of Jaundice
Usually associated with Liver disease
Grey / White ring, common in elderly
a sign of?
called Arcus Senilis
sign of lipids deposit
Brown Ring around the eye
sign of?
called a Kayser- Fleisher Ring
caused by copper deposits
sign of wilsons disease
Pale Conjunctiva sign of?
Anaemia, Hypotensive Shock
lack of a red light reflex is a sign of?
Absence caused by opacities (dense cataracts = white reflex), retinal detachment
Hyperpigmented Gums (and other mucosa)
a sign of?
Addison’s – adrenal failure causing secondary ^ACTH which also over stimulates melanocytes
enlarged thyroid sign of?
Goitre
Tracheal deviation that Deviates away from affected side sign of?
Tension Pneumothorax
Pleural Effusion
Large Mass
Tracheal deviation Towards affected side sign of?
Atelectasis (collapsed lung)
Pleural fibrosis
tender/enlarged lymph nodes (lymphadenopathy) sign of?
Usually related to Infection e.g. URTI, Mononucleosis (EBV), Tonsillitis
Occasionally related to tumour e.g. metastases or Leukaemia or Lymphoma
elevated jvp a sign of?
Can suggests R sided heart failure
Nailbed trauma (subungual haematoma) sign of?
Consider melanoma if doesn’t grow out
Most commonly cause by trapping/crushing
Onycholisis
Painless separation of nail sign of?
psoriasis, but also with fungal infections
Splinter Haemorrhages in the nail sign of?
Vasulitis
infective endocarditis,
SLE,
RA and Psoriatic arthritis
nail pitting a sign of?
Psoriatic Arthritis
psoriasis,
reactive arthritis (Reiter’s)
Autoimmune diseases such as sarcoidosis, SLE
clubbing of the fingernails sign of?
Lung cancer, chronic pulmonary suppuration, infective endocarditis, cyanotic heart disease, congenital, HIV, IBS, malignancies
Café au lait spots larger than 1.5 cm or more than 5 sign of
neurofibromatosis
Small weak/thready pulses sign of?
Heart failure; hypovolemia; aortic stenosis
Large, bounding pulses sign of?
Fever; anaemia; hyperthyroidism; aortic regurgitation; AV fistula; patent ductus arteriosus, atherosclerosis
normal jvp measurement from sterna angle?
3-4cm
normal bp value?
<120/80mm Hg
pre-hypertensive bp?
> 120/80 to 140/90
stage 1 hypertension bp?
> 140/90 to 160/100
stage 2 hypertension bp?
> 160/>100
Causes of acute Dyspnoea?
Pneumothorax
Pneumonia
PE (pulmonary embolism)
Asthma
COPD
Acute respiratory distress
Airway obstruction (foreign object, hypersensitivity)
Causes of chronic Dyspnoea?
Asthma
COPD
Emphysema
Lung cancer
Bronchiectasis
Cystic fibrosis
Pulmonary fibrosis
Causes of Wheezing?
Caused by narrowing of the airways
Asthma, COPD, Bronchiectasis, Cystic Fibrosis
normal breathing rate?
Normal 14-18 per minute approximately
causes of Diaphragmatic paralysis?
Very uncommon cause of dyspnoea
“C3,4 and 5, keeps your diaphragm alive”
Paralysis (unilateral or bilateral) means accessory muscles have to do all the work
Muscles fatigue
damage to the phrenic nerve
Hyperresonant Sounds of the lung a sign of?
hyperinflation of the lung
COPD, acute asthma attack, pneumothorax
lowed voice sounds a sign of?
consolidated lung such as in pneumonia