Friday, 6 June 2008

exam question



look at this patient's face.
describe your findings.
what is your diagnosis?

if you picked the diagnoses,proceed as follow:
1-shake hands
2-inspect face carefully,note balding/wasting/ptosis/cataract
3-examin upper limbs/lower limbs:wasting and decrease reflexes
4-perform percusion myotonia
5-tell the examiner that you would like to examine for:gynaecomastia/testiculr atrophy.
6-ask the patient about dysphagia/recurrent chest infection/FHx
7-request investigations



3 comments:

  1. I thought he got a pace maker !?

    ReplyDelete
  2. Agreed :-) He does have a pace maker
    "PACES IS ALL ABOUT BEING A GOOD OBSERVANT"
    Bilat ptosis in the exam is the give away,,,Remember the causes:
    Myasthenia gravis
    Myotonia dystrophica
    Bilat 3rd nerve Palsy
    Bilat horner

    ReplyDelete
  3. could have been kearn sayre too???

    ReplyDelete