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 GENERAL EXAMINATION Parkinsonism (masking Hyperthyroidism Hypothyroidism Pallor Corneal archus Exophthalmos of facial expression) (exophthalmos) (pale or puffy skin) Jaundice Glossi...

 GENERAL EXAMINATION Parkinsonism (masking Hyperthyroidism Hypothyroidism Pallor Corneal archus Exophthalmos of facial expression) (exophthalmos) (pale or puffy skin) Jaundice Glossitis (IDA) Enlarged tongue Smooth tongue with Wasting and tobacco staining (acromegaly) angular stomatitis fasciculation tongue peripheral cyanosis central cyanosis Duputyren contracture Linear transverse Lueconychia Kilonychia injuries or scars (self- harm) Beau’s lines Muehrcke’s lines Yellow nails Nail pitting Onycholysis Lindsay’s nails 1  Onychomycosis Splinter hemorrhages telangiectasia Clubbing Vitiligo Albinism Hypercarotenaemia Hemosiderin hemochromatosis Facial plethora Phenothiazine induced cervical LN pigmentation Examine anterior Examine for the Examine the glandsin axillary LN axillary LN exam palpation of triangle LN scalene nodes epitrochlear LN palpation of inguinal Inflammation in Swollen right leg Lymphedema of the Angioedema Pitting edema glands Posterior auricular LN right arm 2  Down syndrome Brushfield spots in Single palmar crease in Turner’s syndrome Achondroplasia Klinefelter’s syndrome down syndrome down syndrome Marfan syndrome Blue sclera in Systemic sclerosis Myotonic dystrophy Atopic eczema in (tall stature, long fingers, high arched palate, osteogenesis (frontal balding and popliteal and ankle dislocation of the lens) imperfecta bilateral ptosis) Psoriasis of the knee Seborrheic dermatitis Basal cell ca (papules Acne vulgaris Pityriasis rosea Urticaria and telangiectasia) Necrobiosis lipodica Vasculitis Fungal infection Steven Johnson’s Malignant melanoma Chronic telangiectasia syndrome (hand, facial and oral lesions) 3  INTERNAL CVS Xanthelasmata corneal arcus Roths spot (IE) Splinter hemorrhage Janeway lesion (IE) Osler’s nodes (IE) (IE) tendon xanthomata Tobacco staining Ascites periorbital edema Pitting edema excavatum carinatum barrel chest Scar Dilated Vein Petechial hemorrhage Skin xanthomata AAA Distended neck veins Auscultation Gangrene of the foot Cardiomegaly (HF) (knee) 1  RS Horner syndrome SVC obstruction excavatum carinatum barrel chest Harrison’s sulcus (ptosis, Miosis anhydrosis) kyphosis scoliosis Kyphoscoliosis tracheal deviation Crico-sternal Tracheal tug distance chest expansion Tactile Vocal Percussion Metastatic skin nodes Fremitus of lung cancer NS Biceps reflex Brachioradiales Triceps reflex Knee reflex (patellar) Ankle reflex Jaw reflex reflex (Achilles) 2  Planter response Graphesthesia Stereognosis Extinction to double Two Point Snellen chart (Babinski) simultaneous Discrimination stimuli Visual field Fundoscopic Pupillary test Red reflux Ptosis Test Extraocular examination Movements Corneal reflex Weber-test Rianne-test Shrug shoulders Nystagmus rapid alternative movement Finger to nose Heel to shin Romberg sign III – Oculomotor palsy IV – Trochlear palsy VI – Abducent palsy Trigeminal –V palsy Facial –VII palsy X – Vagus palsy Hypoglossal –XII palsy 3  SURGERY GI aphthous ulcer lichen planus diverticular disease volvulus bird beak sign ascites Jaundice angular stomatitis glossitis beefy raw Goiter Affected Parotid gland appearance VIRCHOW NODE palmar erythema dupuytren contracture Tremor spider nivea Sunken Umbilicus Everted Umbilicus urinary retention Stoma Scars Striae= stretch marks (localized swelling) 1  Cullen sign Grey-Turner sign Ruddy erythema Erythematous skin Purtscher's Seborrheic wart nodules Retinopathy linea nigra erythema ab igne Petechiae Hemangiomas caput medusa Dilated tortuous veins Sister Mary Joseph’s McBurney’s Point Appendicitis nodule (gastric CA) Murphy’s Sign Hepatomegaly test Splenomegaly test Bimanual exam Renal angle tenderness 2  shifting dullness Transmitted thrills Auscultation Hernias Right inguinal hernia Incisional hernias Syphilis (in the penis) Transillumination Cystic DRE PVD Aneurysm blue toes syndrome Raynaud’s Progressive radial pulse brachial pulse phenomenon Raynaud’s ulceration or gangrene femoral pulse popliteal pulse posterior tibial pulse dorsalis-pedis pulse DVT Upper limb DVT 3 varicose veins Venous ulcer Arterial ulcer Neurogenic ulcer Pitting edema Bakers cyst MSS Goniometer Swan neck deformity Cubitus valgus Cubitus varus Genu valgum Genu varum (RA) lordosis Rounded kyphosis Knuckle kyphosis with Scoliosis (Adam bending forward test) Reduplication of great gibbus toes Reduplicated thumb club feet Lobster claw Burn of the upper Residual left calf Ruptured biceps extremity atrophy tendon 4 Swelling over the mid Olecranon bursitis Osteoarthritis of the Rheumatoid arthritis Osteomyelitis of the Osteogenic sarcoma clavicle (non union knee of the hand forearm fracture ) (quadriceps wasting) Congenital absent of Proximal femoral focal Trendelenburg gait Scissoring gait Short leg limb High stepping gait extremities deficiency Hand knee gait Flexion and Extension Abduction & Adduction Rotation & Plantar Flexion & Pronation & Circumduction DorsiFlexion Supination Inversion & Eversion Straight leg raise Thomas test Limitation of Hypermobility in the Movements Joints 5 Anterior drawer test Posterior drawer test Lachman test Apley's test Conventional radiology X-Ray (CT) Arthroscopy (MRI) NECK EXAM Goiter Brachial cyst Thyroglossal cyst Dermoid cyst Cystic hygroma Mumps Submandibular Parotid gland Exophthalmos Thyroid acropachy Pretibial myxoedema Carotid artery swelling enlargement aneurysm BREAST Simple skin dimpling In drawing of the skin Lymphedema Eczema of the nipple Nipple retraction Gynecomastia 6  PEDIATRICS Dehydrated baby desquamation Hemangioma petechiae urticaria impetigo erythema multiforme Meningococcal ITP eczema psoriasis tinea capitis disease Coloboma Brusfield spot (down) Nasal polyp Follicular tonsillitis Webbing neck syndactyly (turner) clubfoot Barlow & ortolani In-toeing, out-toeing Spina bifida Hydrocele Head Circumference test (transilluminate) 1 Brudzinski's sign Hypertelorism Micrognathia Low set ears Frontal bossing Up-slanting of the palpebral fissures General discoloration of the skin acrocyanosis Vernix Caseosa Mongolian spots Desquamation Physiological Jaundice Milia Erythema toxicum Benign Pustular Neonatal acne melanosis Salmon batch Melanocytic naevi Subcutaneous fat port wine stains Infantile impetigo Central cyanosis necrosis 2 Stork beak mark Caput succedaneum Cephalhematoma hydrocephalus Microcephaly Normal eye Eyelid edema Dysconjugate eye Sub-conjunctival Congenital glaucoma Congenital cataract Normal ear movements hemorrhage Normal nose Dislocated nasal Tongue tie Oral thrush Macroglossia Micrognathia septal cleft lip cleft palate Epstein pearls Normal umbilical Meconium stained omphalocoele cord umbilical cord 3 Gastroschisis imperforated anus substernal retraction Vernix caseosa Male genitalia Hypospadias (labia) Chordee Hypotonic Hypertonic frog-like posture Erb’s palsy Klumpke’s palsy Moro reflex Suckling reflex Rooting Reflex Palmar grasp reflex Stepping reflex Placing reflex Tonic neck Parachute reflux Galant reflux Babinski sign Crawl reflux Landau reflex 4  OBS & GYN Fundal height 1 grip (Fundal grip) st 2 grip (lateral grip) nd 3rd grip 4th grip Fetal heart sound auscultation Bimanual Bivalve speculum Sims speculum 1