Transcript Case Presentation - Ain Shams University

Eye Signs for Diagnosis…..???
By Bahaa Al-Deen Ewees
Professor of Anesthesiology and ICU
1. External Features
A. Look
1. Earthy
1. External Features
A. Look
1. Earthy
2. Plethoric
1. External Features
A. Look
1. Earthy
2. Plethoric
3. Stare Gaze
1. External Features
A. Look
1. Earthy
2. Plethoric
3. Stare Gaze
4. Apparent deformity…..e.g. muscle
1. External Features
B. Color
1. Jaundice
1. External Features
B. Color
1. Jaundice
2. Cyanosis
Central
1. External Features
B. Color
1. Jaundice
2. Cyanosis
Peripheral
1. External Features
C. Teeth & Gums
1. Hypertrophy
1. External Features
C. Teeth & Gums
1. Hypertrophy
2. Lost teeth in middle aged patients
1. External Features
D. Skin
1. Sweaty
1. External Features
D. Skin
1. Sweaty
2. Hypercholesterolemia
1. External Features
D. Skin
1. Sweaty
2. Hypercholesterolemia
3. Scleroderma
1. External Features
D. Skin
1.
2.
3.
4.
Sweaty
Hypercholesterolemia
Scleroderma
Scars
1. External Features
D. Skin
1.
2.
3.
4.
5.
Sweaty
Hypercholesterolemia
Scleroderma
Scars
Thick Cold skin
1. External Features
D. Skin
1. Sweaty
2. Hypercholesterolemia
3. Scleroderma
4. Scars
5. Thick Cold skin
6. Others:
e.g. Extrahepatic manifestations (spider
nevi)
2. Obesity
1. Abdominal
2. Obesity
1. Abdominal
2. Chest Wall
2. Obesity
1. Abdominal
2. Chest Wall
3. Buttocks
3. Respiratory System
1. Working Ala nasi
2. Tachpnea
3. Dyspnea
(breath holding)
4. Chest wall abnormalities
4. CVS
1. Supra sternal pulsations
2. Congested neck Veins
Unilat
3. Head nodding
Bilat
5. Neurological
A. Speech
Slurred Monotonous Sluggish
5. Neurological
B. Tone
Sharp
Hoarseness
Recent
Old
5. Neurological
C. Gate
D. Any skeletal
deformities
6. GIT
1. Contour
2. Dilated vein walls
3. Scratch marks
4. Ascitis