By Franklin B. Saksena
Chapter 1 normal Observations (pages 1–8):
Chapter 2 Face (pages 9–39):
Chapter three Ear (pages 40–41):
Chapter four Mouth and nostril (pages 42–47):
Chapter five Neck (pages 48–49):
Chapter 6 Hand (pages 50–68):
Chapter 7 top Extremity (pages 69–72):
Chapter eight Thorax again (pages 73–82):
Chapter nine stomach (pages 83–87):
Chapter 10 reduce Extremity (pages 88–97):
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Extra info for Color Atlas of Local and Systemic Signs of Cardiovascular Disease
Reprinted with permission from Elsevier. Copyright 1997) (Reference*: Wynne-Davis R. Acetabular dysplasia and familial joint laxity: two etiologic factors in congenital dislocation of the hip. A review of 589 patients and their families. ) Figure 96 Ehlers–Danlos syndrome: the skin is hyperextensible. The “India rubber man” of circus fame had hyperextensible joints and skin. (Reprinted with permission from Elsevier. Copyright 1997) Figure 97 Rheumatoid arthritis of hands: same patient as in Figure 48.
The Holt–Oram syndrome consists of an extra phalanx in the thumb (ﬁngerized thumb) (Figure 100), or absence of the thumb and is associated with a secundum ASD [148–151]. An extra digit (Figure 101) is seen in secundum ASD, Ellis–van Crevard syndrome , and Laurence–Moon–Biedl syndrome . A radially curved ﬁfth ﬁnger is seen in Hurler’s syndrome (multivalvular involvement, cardiomyopathy, CAD) . Absence of the ﬁfth middle phalanges, hypoplastic proximal, and distal ﬁfth phalanges are seen in the Char syndrome (persistent ductus arteriosus, facial dysmorphism)  (Figure 102).
Copyright 2006) Figure 32 Temporal arteritis: the superﬁcial temporal artery is prominent, thickened, painful, and associated with visual impairment in the right eye. (Reprinted with permission from Elsevier. Copyright 1997) Face 21 Figure 33 Myxedema: elderly woman who had stopped her thyroid medication for about 1 year. She had coarse hair, dry skin, and a pasty colored face. Figure 34 Myxedema: the patient had periorbital pufﬁness almost closing his eyes, which has disappeared since thyroxine therapy (pericardial effusion).