face as a mirror of disease-murtagh lecture 1 w 2011
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Presented by Professor John Murtagh Department of General Practice School of Primary Health Care
The Face as a Mirror of Disease
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Source: Murtagh J. Murtagh’s general practice companion handbook. 5th edition. 2011: 5.
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Facies/facial appearance (similes & metaphors) i.e. colloquialisms
• Bird-like = scleroderma • Bulldog = congenital syphilis • Chipmunk = thalassaemia major • Elfin = William syndrome • Hatchet = dystrophia myotonia • Hippocratic or death mask = peritonitis; cholera • Narrow ‘funny’ face = fetal alcohol syndrome • Long face = fragile X syndrome • Mask = Parkinsonism • Monkey = hypopituitarism • Moon = Cushing syndrome • Racoon sign = basilar fracture of skull; amyloidosis
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Source: Wolff et al. Fitzpatrick’s color atlas & synopsis of clinical dermatology. 5th edition. 2005:605.
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42 year old man with hypertension and erectile dysfunction
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