pulses careful examination of both upper and


Pulses

Careful examination of both upper and lower limb pulses is useful in detecting coarctation, and other arterial stenosis. The carotid arteries should be checked for stenosis and bruit.

Fundus

A detailed fundus examination would show the changes upon which grading of the intensity of hypertension can be made.

General

In general examination, one should look for:

• Oedema: suggestive of heart failure and renal failure.

• Round face, truncal obesity, bufallo hump: in Cushing's syndrome.

• Obesity, rough skin, bradycardia, puffy face: in myxoedema.

• Tremors, exophthalmos: in thyrotoxicosis.

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Biology: pulses careful examination of both upper and
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