By Franklin B. Saksena

This short consultant to visible prognosis is helping the beginner improve -- and the veteran refresh -- the most important abilities which can spare the sufferer pointless checking out and convey the health care provider one step towards a correct analysis.

Dr Saksena attracts on his years of expertise in instructing and coaching to teach you the actual indicators of heart problems that may be noticed by means of visible exam. for every signal, a colour photo is paired with explanatory textual content that:

  • describes the numerous positive aspects of the signal
  • explains its use in prognosis
  • identifies the likeliest causes

The e-book offers corroboration of actual indicators and different diagnostic details at any time when attainable and gives huge references for additional research.

After a gap bankruptcy on normal observations, the writer describes indicators that may be present in the face, ear, mouth and nostril, neck, hand, top extremity, thorax and again, stomach, and reduce extremity. An appendix covers rarer syndromes linked to heart problems.

Whether you're simply constructing your diagnostic talents or are looking to be higher in a position to establish symptoms of heart problems, you could anticipate this atlas for in charge suggestion.

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Additional resources for Color Atlas of Local and Systemic Manifestations of Cardiovascular Disease

Example text

Angioid streaks and retinal hemorrhages are found in the eyes (Figure 30). It is associated with mitral valve prolapse, hypertension, peripheral vascular disease, and premature CAD [141]. The latter being a common cause of early death [141]. Neck 49 Figure 93 Pseudoxanthoma elasticum: yellow papules (arrows) are present over the entire neck (mitral valve prolapse, CAD). (Reprinted with permission from Elsevier. Copyright 1995) Figure 94 Pseudoxanthoma elasticum. The skin folds over the axilla are lax.

Figure 46 Scleroderma: the face is masklike with mat or rectangular shaped telangiectasia. She had pulmonary hypertension with a mean pulmonary artery pressure of 48 mm Hg. 26 CHAPTER 2 Figure 47 Sclerodema: the skin over the dorsum of the hands and fingers is taut. 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).

Nail beaking is not associated with cardiac disease. Patients with acroosteolysis exhibit a somewhat flattened and bulbous shape of the distal digits due to soft tissue collapse as a result of necrosis of the distal phalanges. The nail-bed angle is however normal [156, 165] (Figures 112 and 113). (b) Edema: Edema of the hand may be seen in superior vena cava syndrome (Figure 153). Raynaud’s disease or thoracic outlet syndrome in which venous obstruction of the upper extremity is present [142] (Figures 114 and 115), but trauma and infection may also produce hand edema [166].

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