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Head

Xanthełasma^T Cranial nerve palsy/ ^ eye movements/ptosis

Neck

Carołid pulses 'T Bruits ^

ThyrokJ enlargement

Axllla m

AcanlhoSłS nlgricans A

Skin

Bullosis A Pigmentation ^m Granuloma annulare Vitiiigo

Hands

(see opposite) Dupuytrens contracture Carpal tunnel syndrom© Trigger finger/thumb Limited joint mobility Wastmg of smali muscles Sensory abnormality

Blood prcssurc

Insulin injection sites

(see opposite)

Abdomcn

Hepatomegaly

Legs

Musde wasting Sensory abnormality Hair loss Tendon reflexes

A Necrobiosis lipoidica

Feet (see opposite) Inspection Peripheral pulses Sensation

ANeuropathic foot ulcer

Obsorvation

•    Weight loss m insulin deficiency

•    Obesity in type 2 diabetes

•    MucosaJ candidiasis

•    Dehydration-dry mouth. itissue turgor

•    Air hunger-Kussmaul breathing in ketoacidosis

•    Hepatomegaly (fatty infiltration of

liver)_

© Elsevier. Boon et al.: Davidson's Principles and Practice of Medicine 20e - vmw.studentconsult.com