Tag Archives: examination

Introduction Table 1. Summary of general dermatological signs Dermatological sign Cardiac disorder Xanthomata Hyperlipidaemia Acanthosis nigricans Obesity, diabetes, hyperinsulinaemia, metabolic syndrome Male-pattern baldness Coronary heart disease Premature hair greying Coronary heart disease, hyperlipidaemia Earlobe crease Coronary heart disease Livedo reticularis Cholesterol embolisation syndrome, anti-phospholipid syndrome/systemic lupus erythematosus, endocarditis, rheumatic fever, diabetes Cyanosis Congenital heart disease, heart failure Clubbing Congenital heart disease, endocarditis, cardiac myxoma Cardiac cond

Findings on examination I looked at 75 consecutive referrals to a chest pain clinic; I noted the following distinguishing features. For angina: Predictable on exertion. Goes with rest. Rarely at rest. Same as previous proved ischaemic discomfort. Mechanical: Effected by movement or inspiration. Reproduced by movement, pressure or percussion on examination. Can last hours or days. Located to a specific structure or nerve root distribution. Could be severe and prolonged with normal electrocardiogram (ECG)/troponin. The most important finding on examination was reproduction of the symptoms by using passive movements of the cervical or thorac