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General Appearance You are going to be presented with clinical photographs. Answers will be provided in the next slide

General Appearance You are going to be presented with clinical photographs. Answers will be provided in the next slide. Your observations. My son the handsome devil. Normal healthy male. One on left 20 years old. Diagnosis?. Stunted growth. Fanconi anemia. Observations. Diagnosis?.

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General Appearance You are going to be presented with clinical photographs. Answers will be provided in the next slide

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  1. General AppearanceYou are going to be presented with clinical photographs. Answers will be provided in the next slide

  2. Your observations.

  3. My son the handsome devil. Normal healthy male

  4. One on left 20 years old. Diagnosis?

  5. Stunted growth. Fanconi anemia

  6. Observations. Diagnosis?

  7. Tall and thin • Long limbs and fingers • Span greater than height • Marfan Syndrome

  8. Doctors waiting room. No response to calls.

  9. Slightly obese Sleeping in waiting room Sleep apnea syndrome

  10. Observations. Diagnosis?

  11. Cachectic Gibbus of spine Tb of Vertebra

  12. Describe the facies. Diagnosis?

  13. Leonine facies Diffusely enlarged lymph nodes B Cell Lymphoma

  14. Findings on face. Diagnostic considerations.

  15. Drooping of left eye lid Horner’s syndrome Cancer left apex Pancoast tumor

  16. Describe face. Diagnosis?

  17. Malar rash Butterfly rash Lupus

  18. Your observations?

  19. Thin boy Surgical scar on right Past Lobectomy

  20. Cannot lay head on pillow. Diagnosis?

  21. Inability to lay head on pillow Ankylosing spondylitis

  22. Your findings?

  23. Upper body emaciation Protruberant abdomen Ascites Cirrhotic

  24. Extensive CXR Changes. Diagnosis?

  25. Disparity beteween CXR and clinical appearnce. Extensive Lung changes Healthy looking Sarcoidosis

  26. Slow thick voice. Diagnosis?

  27. Myxoedema Coarse dry hair Other not evident features Loss of hair outer eye brow Coarse skin

  28. Nervous and jittery. Diagnosis?

  29. Wide eye stair Potentiation of sympathetic activity Thyrotocicosis

  30. Fowl smelling. Diagnosis?

  31. Three layered sputum Fowl smelling Top foam Middle liquid Bottom sediment Bronchiectasis

  32. Possible diagnosis?

  33. On 2 liters of nasal oxygen Low flow and low FIO2 Patient with COPD

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