Appearance

Appearance : 

• Normal/itl looking/anxious

Face - What disease can be diagnosed?

1️⃣)Endocrine diseases :

•  Cushing's syndrome - moon face
  
• Acromegaly - protruded lower jaw 
• Myxoedema - puffy face 
• Cretinism - idiotic look 
• Thyrotoxicosis - bilateral exophthalmos, 

2️⃣Masked face - Parkinsonism, Depression, Scleroderma

3️⃣ Mongolian face - Thalassaemia, Down’s ndrome

4️⃣ Malar flush - Mitral stenosis 

5️⃣ Puffy face - Neshroi s ndrome Acute glomerulanephritis, Myxoedema

6️⃣ Butterfly rash - Systemic lupus erythematosus, Rosacea 

7️⃣ Bilateral ptosis - Tabes dorsalis 

8️⃣  Unilateral ptosis - 3rd nerve palsy .

9️⃣ Eye always open - 7th nerve palsy oS

1️⃣0️⃣ Saddle shaped face - Tertiary syphilis 

Abnormals facial expression :

1) Parkinson --Poverty of expression (দারিদ্র্য ভাব) 

2) Hyperthyroidism -- Startled Expression (ভয়ে চিৎকার করে উঠা এই রকম দেখতে) 

3) Hypothyroidism --- Apathy with pale & puffy skin 

4) Myotonic dystrophy --- Lugubrious expression with bileteral ptosis 

Information From Handshake :

1) Cold, sweaty hands-- Anxiety 

2) Cold, Dry hands --- Raynaud's Phenomenon 

3) Hot, Sweaty hands -- Hyperthyroidism 

4) Large, fleshy, sweaty hands --- Acromegaly 

5) Dry, Coarse Skin ---Hypothyroidism 

6)Delayad relaxation of grip --- Myotonic dysttophy

7)Deformity hands -- Dupuytren's contracture