General examination – eyes and facial dysmorphism

General examination – eyes and facial dysmorphism Clinically examination is guided by the symptoms. Unless the history is not correlated with findings, important diagnostic possibilities may be missed. Clinical examination starts off with a focused general examination followed by a detailed examination of the cardiovascular system. Relevant points in other systems like basal crepitations, hepatosplenomegaly and neurological deficits should be looked for. Examination strategy should be fitting to the clinical situation. When a patient presents to the emergency room, it should be a short but focused examination to permit early initiation of emergency management. Examination in the floor should be a detailed examination, unearthing all possible differential diagnoses to plan further investigations and management. General Examination General appearance of the person will give you an idea on whether emergency management is needed or not. Do not wait for detailed evaluation if the person is moribund. Start resuscitatory measures along with your assessment. General examination can proceed in a head to foot order so that important points are not missed. Examination of eyes As part of general examination, eyes have a lot of information in relation to cardiovascular disorders. Look for pallor, jaundice, cyanosis, and polycythemia. Last two are seen in congenital cyanotic heart disease. Squint with ocular muscle weakness, a feature of Kearns-Sayre syndrome may be associated with ...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: HBC Source Type: blogs

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Source: Journal of Toxicology and Environmental Health Part A - Category: Environmental Health Authors: Source Type: research
Conclusions: The study ’s findings support the efficacy of tube weaning based on the published “Graz model of tube weaning” for children born with EA/TEF and indicate the necessity of specialized tube weaning programs for these patients.What is Known:• Children with esophageal atresia/tracheoesophageal fistula often suffer from feeding problems and tube dependency.• Different tube weaning programs and outcomes have been published, but not specifically for children with EA.What is New:• Evaluation of a large sample of children referred for tube weaning after EA repair.• Most children wi...
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research
Publication date: Available online 10 October 2020Source: Journal of American Association for Pediatric Ophthalmology and StrabismusAuthor(s): Mary-Grace Reeves, Angeline Nguyen, Benjamin Erickson
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Publication date: Available online 9 October 2020Source: Journal of American Association for Pediatric Ophthalmology and StrabismusAuthor(s): Xi Chen, Ryan Imperio, Kai R. Seely, Christian Viehland, Joseph A. Izatt, S. Grace Prakalapakorn, Sharon F. Freedman, Cynthia A. Toth
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Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
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Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
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Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
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Source: World Journal of Hepatology - Category: Gastroenterology Tags: World J Hepatol Source Type: research
Authors: Tsujioka S, Nozoe M, Kawano Y, Suematsu N, Kubota T Abstract A 70-year-old woman with situs inversus totalis underwent catheter ablation for atrial fibrillation and atrial flutter. Although her morphologic left atrium (LA) was enlarged, we performed cryoballoon ablation and liner radiofrequency ablation of the cava-tricuspid isthmus without mapping atrial arrhythmias. However, a different form of atrial tachycardia (AT) recurred. We performed catheter ablation a second time using a three-dimensional electroanatomic mapping system. AT was not terminated by the liner ablation at the roof of morphologic LA an...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Authors: Suoh M, Hagihara A, Yamamura M, Maruyama H, Taira K, Enomoto M, Tamori A, Fujiwara Y, Kawada N Abstract An 82-year-old man with hepatocellular carcinoma presented with upper abdominal pain, vomiting, and jaundice. He had been taking a standard lenvatinib dose for three months. Although acute cholangitis was suggested, imaging studies failed to detect the biliary obstruction site. An endoscopic examination following discontinuation of lenvatinib and aspirin revealed multiple duodenal ulcers, one of which was formed on the ampulla of Vater and causing cholestasis. Endoscopic biliary drainage and antibiotics ...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
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