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;;;Physical exam reasons

Test Diseases Physiology


Hands - Nails
Cap refill, peripheral
cyanosis
Splinter haemorrhage Infective In certain conditions (esp. inf.
endocarditis, SLE, Endocarditis) Clots migrate from
others affected heart valvedamaged cap.
N.B not sensitive (5/6 people with inf.
Endo. will not have it)
Not specific can be caused by trauma
etc.
Clubbing Lung dz, hf Chronic hypoxia thought cause it.
Koilonychia (spoon Anaemia
nails) (hypochromic iron
def)
Leukonychia
Hands
Palmar erythema Liver: Cirrhosis,
RA
Dupuytrens Heavy N.B this is a very poor sign and the
smoking/drinking causes are not understood
Pulses, BP
Eyes
Pallor conjunctivae Anaemia
Upper sclera Jaundice Bilirubin causes yellowness

Xanthelesmata Atheromatous dz Raised cholesterol causes deposits

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