Head & Face General Examination

Muhammad Jabar

Head• Size

• Shape

• Localized swelling

Eye• Exopthalmus:• Thyrotoxicosis• COPD• Alcoholism

• Enopthalmus:Horner syndrome.• Periorbital oedema:• Nephrotic• Real failure• Glomerulonephritis

• Xanthomas.• Ptosis:Myasthenia gravis

ConjunctivaPallor:

AnemiaShockHeart failurehypopituitirism

Plethoric:PolycythemiaSuperior vena caval obstruction

Hemorrhage:TraumaHypertensionBleeding tendencies

Sclera & Lens Sclera:

Yellow(jaundice). Blue(osteogenesis imperfecta).

Lens: cataract Ulcer: herpetic keratitis. Archus senilis or lipidicus. Kayser flesher ring(Wilson)

Mouth & tongueTongue cyanosis.Frenulum pallor or yallowness.Gum hypertrophy:Epilepsy & Nifedipine.Petichae or echemosis.Leukoplakia.Tonsils:Enlarged Infected.Sjögren syndromeTeeth abscess

Nose & LipsNose:

Saddle-shaped (congenital syphilis)Parrot-peaked nose (scleroderma)

Lips:Hare lipCyanosisTalangiectasia or spidersPigmentation (Peutz-jagger syndrome)Herpes labialisAngular stomatitis ( Vit def)

Facial FeaturesHypothyroid faceThyrotoxic faceAcromegalic faceCushing faceThalacemic faceDown face (mongoloid).Anemic faceSclerodermic faceSturg Weber (facial hemangioma).

https://youtu.be/9qrR_1Y2Xdk?t=23

References:Macleod's Clinical Examination: With STUDENT

CONSULT Online Access, 13e, ISBN-13: 978-0702047282

Physical diagnosis: General Examination by: Dr. Mohammad Shaikhani

History Taking & General examination by: Dr. Sudhanshu Mishra

Thank You!