By Franklin B. Saksena
Chapter 1 basic 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 higher 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 resources for Color Atlas of Local and Systemic Signs of Cardiovascular Disease
Reprinted with permission from Humana Press. Copyright 2006) Figure 53 Hypertrophic cardiomyopathy in LEOPARD syndrome. There is a diamond-shaped systolic murmur maximum at the left lower sternal border. Same patient as in Figure 20. Figure 54 Myotonia dystrophica: (a) this 50-year-old female had an expressionless face, facial weakness, a smooth forehead, and drooping eyelids. (b) A 32-year-old female with frontal baldness and premature graying of hair (heart block). (Reprinted with permission from Elsevier.
G. Guerrero, unpublished case) Face 33 Figure 66 LAMB syndrome: brown red conﬂuent macules are seen over mandibular area and periorbital area. (Copyright 1995. Clinical Cardiology Publishing Company. All rights reserved) Figure 67 LAMB syndrome. Same patient as in Figure 66, showing a large left atrial Myxoma. LA, left atrium; LV, left ventricle; RA, right atrium. (Copyright 1995. Clinical Cardiology Publishing Company. All rights reserved) 34 CHAPTER 2 Figure 69 Amyloidosis: hemorrhagic papules on upper eyelids (cardiomyopathy).
Same patient as in Figure 45. Figure 48 Mixed connective tissue disorder: there is depigmentation of the malar area (corresponding to the malar butterﬂy eruption seen in Caucasians with disseminated lupus erythematosus). The skin over the face is tight and smooth Radial perioral furrowing is well seen (scleroderma). Rheumatoid arthritis is seen in the hands (Figure 97). (Reprinted with permission from Humana Press. Copyright 2006) Face 27 Figure 49 Down syndrome: there is upslanting of the palpebral ﬁssures, epicanthal folds, a vacant and unhappy expression, short stubby ﬁngers, a Simian crease and strabismus incidental ﬁnding is a portwine stain on the face.