A brief Presentation of Salient points to be considered while taking history and genaral examination.

1. History Taking

3. Complaint: In the patient’s own words & duration

8. Pain (cont .) 8- Aggravating factors : e.g. swallowing in esophagitis 9- Relieving factors: e.g. stop walking in ischemic pain 10-Associated phenomena: e.g. marked swaeting in cardiac pain

9. General Examination

11. Radial Artery

12. Pulse Examination

13. Sphygmomanometer cuff

14. Length of the cuff

15. Stethoscope

16. Brachial Artery

17. BP measurement

18. Temperature Normal: 36 .5 - 37.2 0 c -Diurnal variation -Age -Menstrual cycle variation Fever: T> 37.4 0 c -Infection -Tissue injury

25. Cyanosis

26. Body Built 1 Body Built (weight & Hight) BMI = BW (kg) / Ht (m 2 ) >40 30-40 25-30 20-25 Morbid Obesity Obese Over weight Normal

29. Tri Pod position Patient with emphysema bending over in Tri-Pod Position

30. Examination of the HEAD & FACE

32. Facial swelling causing asymmetry Facial swelling

33. Facial swelling:Rt periorbital

34. Normal Eye

35. Jaundice

36. Jaundice2

37. Eye Lids Edema Xanthelasma Dark ring Ptosis 3rd nerve paralysis - Horner’s syndrome Myathenia gravis Congenital retraction Thyrotoxicosis

38. Edema of the eye lids

41. Horner syndrome

44. Conjunctivitis

46. Scleritis

47. Nodular Episcleritis in a patient with CD

50. Unilaterally enlarged parotid

54. Normal oral cavity

55. Left peritonsillar abscess

57. Tooth abscess Tooth Abscess

64. Thyroid gland:anatomy Isthmus

65. Palpation of the thyroid gland:posterior approach

66. Palpation of the thyroid gland: anterior approach

67. Neck veins Jugular Vein Carotid Artery No pulsations palpable. Palpable pulsations. Pulsations obliterated by pressure above the clavicle. Pulsations not obliterated by pressure above the clavicle. Level of pulse wave decreased on inspiration; increased on expiration. No effects of respiration on pulse. Usually two pulsations per systole (x and y descents). One pulsation per systole. Prominent descents. Descents not prominent. Pulsations sometimes more prominent with abnominal pressure. No effect of abdominal pressure on pulsations

68. Cervical lymph nodes

70. Examination of the axilla 1

71. Axillary lymphadenopathy

72. Examination of the axilla 2

74. Epitrochlear LN

75. Examination of the Upper Limbs:Edema

76. DVT of the right arm

77. Cellulitis of the upper limb Examination of upper limbs:Cellulitis

78. Cellulitis of the upper limb 2

80. Acromegaly

81. Peripheral Vascular Disease of the UL

82. Wasting of the thenar eminance

83. Nicotine staining

84. Wrist: Ganglion

91. Telangiectasia

95. Examination of the Lower Limbs

96. Peripheral pulsation :Dorsalis pedis

97. Peripheral puls ations :Dorsalis pedis 2

98. Peripheral pulsations :post tibial artery

99. Peripheral pulsations : posterior tibial artery 2

100. Popliteal artery

101. Acute vascular insufficiency: mottled appearance

102. Chronic arterial insufficiency

103. Digital gangrene

104. Chronic Venous Insufficiency

105. Neuropathic ulcer in a diabetic patient

108. LL edema

109. Pitting edema of the lower limb

110. Erythema nodosum

111. Onychomycosis

113. Rheumatoid arthritis

114. RA: boutonniere finger

115. Rheumatoid arthritis 2

116. Heberdens nodes Heberdens nodes

117. Gout: MCP joints

118. Leprosy