Internal Medicine

Atlas of Adult Physical Diagnosis by Dale Berg MD, Katherine Worzala MD

By Dale Berg MD, Katherine Worzala MD

Written via famous physicians and educators at Thomas Jefferson collage, this completely illustrated text/atlas is the main finished advisor to actual exam recommendations and actual analysis. assurance of every anatomic web site contains a evaluation of anatomy, a common screening exam, and particular problem-oriented examinations, plus instructing issues for physicians who principle scientific scholars. quite a few concepts for every web site and challenge are proven, in order that readers can adapt the exam to the patient.

More than seven-hundred illustrations—139 in complete color—depict anatomic information, exam ideas, and demanding findings. Tables current the proof foundation for numerous concepts. Annotated bibliographies also are included.

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Tongue papilloma. Large exophytic ulcerating lesion on lateral tongue. Atrophic glossitis of B12 deficiency. Classic shiny, smooth surface of the tongue. 52. Geographic tongue. Migratory erythema of denuded epithelium with rims of white. 53. Black tongue. TIPS ■ Black tongue: black color on tongue surface, specifically on the fungiform and filiform papilla ■ Caused by colonization with Aspergillus niger or staining with black licorice, nicotine, bismuth, or charcoal Black tongue manifests with a black color to the surface of the tongue, specifically the fungiform and filiform papilla (Fig.

2. Ultraviolet light exposure to lips: actinic cheilitis may develop. 3. Angular stomatitis: most common underlying reason is ill-fitting dentures or being edentulous, Candida infection. 4. Painless ulcers, irrespective of color of lesion: think squamous cell carcinoma. for squamous cell carcinoma. , perlèche or angular stomatitis, which manifests with crusty fissures on the angles of the mouth (Fig. 44), most often results from Candida organisms or iron-deficiency states. Mucocele manifests with a non-tender, transilluminable blue-purple papule on the lip, on buccal lower lip, due to trauma to minor salivary gland in lip.

TIPS ■ Place a tongue blade on the mid pos- Torus palatinus manifests with a single nontender nodule in the hard palate covered with mucosa (Fig. 58). This is a benign, not uncommon bony exostosis. It is important to be able to recognize this variant of normal. No symptoms are associated with it and it is a problem only if the patient ever needs dentures. Cleft palate manifests with a defect in the midline of the hard and soft palate, so that the nasopharynx can be visualized (Fig. 59). Often a concurrent, albeit, surgically corrected, cleft lip.

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