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General and endocrine symptoms and physical signs 

General and endocrine symptoms and physical signs

General and endocrine symptoms and physical signs

Huw Llewelyn

, Hock Aun Ang

, Keir Lewis

, and Anees Al-Abdullah

Page of

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date: 20 August 2017

General principles - Fingernail abnormality - Clubbing - Terry’s lines: dark pink or brown bands on nails - Vasculitic nodules on fingers - Hand arthropathy - Lumps around the elbow - Neck stiffness - Hair loss in a specific area - Diffuse hair loss - External ear abnormalities - Painful ear - Discharging ear - Striking facial appearance - Proptosis of eye(s) or exophthalmos - Red eye - Iritis (anterior uveitis) - Clinical anaemia - Fever - Low body temperature - Mouth lesions - Red pharynx and tonsils - ‘Parotid’ swelling - Lump in the face (non-parotid lesion) - Submandibular lump—not moving with tongue protrusion or on swallowing - Anterior neck lump—moving with tongue protrusion and swallowing - Neck lump—moving with swallowing but not with tongue protrusion - Bilateral neck mass—moving with swallowing but not with tongue protrusion - Solitary thyroid nodule - Lump in anterior triangle of neck - Lump in posterior triangle of neck - Supraclavicular lump(s) - Galactorrhoea - Nipple abnormality - Breast lump(s) - Gynaecomastia - Axillary lymphadenopathy - Hirsutism in a female - Abdominal striae - Obesity - Pigmented creases and flexures (and buccal mucosa) - Spider naevi - Thin, wasted, cachectic - Purpura - Generalized lymphadenopathy - Localized groin lymphadenopathy - Pressure sores

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