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: Prof. Dr. Johnson Francis Tags: HBC Source Type: blogs
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