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
I thought he got a pace maker !?
ReplyDeleteAgreed :-) He does have a pace maker
ReplyDelete"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
could have been kearn sayre too???
ReplyDeleteher comment is here here are the findings continue reading this visit this website read this article click to investigate
ReplyDelete