Abnormal Facies - Spot Diagnoses in Medicine

Abnormal Facies - Spot Diagnoses in Medicine

Many diagnoses are possible by just looking at the patient's face. Some examples are given below— 1. Myxedematous or Torpid Facies—Patient have expressionless face & apathetic look.Face is puffy with periorbital swelling, boggy eyelids and loss of outer 1/3 rd of the eyebrows. Xanthelasmas may be present. Skin is cool & dry. There may be malar flush. 2. Thyrotoxic face or Graves’ disease— Patient appears anxious, restless and fidgety. Unilateral or bilateral proptosis. Thyroid gland may be diffusely enlarged. 3. Cretinism—Congenital Hypothyroidism. Mental retardation results in idiotic look on face. Coarse skin with thick lips, large ears. 4. Cushingoid face— Rounded, plethoric face giving rise to moon face appearance. There may be hirsutism and acne. 5. Acromegalic face— Coarse facial features with prominent supraorbital ridges. Increased wrinkling of the forehead. Jaw is protruded forward (Prognathism). Nose, lips and ears are large. 6. Dermatomyositis - Heliotrope rash which is a purplish color or lilac rash, but may also be red. It can occur around the eyes along with swelling but also occurs on the upper chest or back what is called the "shawl" (around the neck) or "V-sign" above the breasts and may also occur on the face, upper arms, thighs, or hands. 7. Systemic Lupus Erythematosus - Photosensitive rash over both cheeks and bridge of the nose, popularly known as ‘Butterfly Rash’. 8. Systemic Sclerosis - kin is smooth, shiny & tight with hypopigmented and hyperpigmented areas. Nose is pinched up and tapered (beaking of nose, bird beak). Loss of wrinkling of forehead. Lips are thin, pursed with puckered skin around mouth. Mouth orifice is small (microstomia). 9. Thalassemic Facies - Expanded globular maxillae, due to bone marrow hyperexpansion into facial bones, combined with prominent epicanthal folds & frontal bossing. This facies is also called ‘Chipmunk Facies’. 10. Parkinsonian Facies - Mask like, expressionless face with absent/reduced blinking of eyes, staring & vacant look, and dribbling of saliva. Weakness of upward gaze, seborrhoea and sweatiness. 11. Myopathic Facies - Frontal baldness. Bilateral ptosis. Long, lean, triangular (Hatchet facies), sad and expressionless face with wasting of temporalis and masseter. 12. Myasthenic facies - Snarling facies’ in Myasthenia gravis is due to ptosis (usually bilateral) & drooping of corners of the mouth, and weakness of the facial muscles. There is usually frontalis overactivity to compensate for ptosis. 13. Down’s syndrome— Flat appearing face, small head, flat bridge of the nose, smaller than normal, low-set nose, small mouth which causes the tongue to stick out and to appear overly large, upward slanting eyes, epicanthal fold, rounded cheeks, small misshapen ears. 14. Turner Syndrome - Short and webbed neck, low hairline and redundant skinfold on the back of neck. Small lower jaw (micrognathia), small and fish-like mouth with low set, deformed ears. 15. Marfanoid face - Face is long, lean, elongated and narrow with small jaw leading to crowding of teeth, and high arched palate. 16. Mitral facies - Malar flush is Rosy, flushed cheeks and dilated capillaries. 17. Nephrotic face - Puffy face with periorbital swelling. 18. Sarcoidosis - Lupus pernio is found in sarcoidosis. It is a chronic raised indurated (hardened) lesion of the skin, often purplish in color. It is seen on the nose, ears, cheeks, lips, and forehead. 19. Bell's palsy - Rolling up of eye on affected side when try to close eye is the Bell’s sign. Moreover, there is loss of wrinkling on forehead, nasolabial fold on effected side. 20. Leonine face - Seen in Lepromatous leprae. Skin of the face and forehead is thick and corrugated. Multiple nodules of variable sizes and shapes involving ear lobule, face and nose. 21. Achondroplasia—Short stature. Skull appears enlarged. ................................................................... Please Visit & Subscribe Our Channel for Latest Videos: https://www.youtube.com/lastsecondmedicine Visit us on Facebook: https://www.facebook.com/lastsecondmedicine Follow us on Twitter: https://twitter.com/Last_Second_Med Support us on Patreon: https://www.patreon.com/lastsecondmedicine Please Leave you valued suggestion in Comments. Background Music Courtesy: TITLE: Colourful spots ARTIST: Nicolai Heidlas

Epicanthal fold - Medical Definition

Epicanthal fold - Medical Definition

https://word2speech.com/medical/ Epicanthal fold Epicanthal fold: A fold of skin that comes down across the inner angle of the eye. Epicanthal folds appear most frequently in persons with Down syndrome and some other constellations of birth defects. To the untrained eye, an epicanthal fold may look similar to the eye fold found in peoples of Asian origin, but the normal Asian eye fold is actually quite distinct, whereas an epicanthal fold is continuous with the lower edge of the upper eyelid. How to pronounce, definition of, audio dictionary, medical dictionary

Down syndrome (trisomy 21) - causes, symptoms, diagnosis, & pathology

Down syndrome (trisomy 21) - causes, symptoms, diagnosis, & pathology

What is Down syndrome (trisomy 21)? Down syndrome is a set of symptoms that arise from a genetic abnormality, in which an individual's cells have an extra copy of chromosome 21. Find more videos at http://osms.it/more. Hundreds of thousands of current & future clinicians learn by Osmosis. We have unparalleled tools and materials to prepare you to succeed in school, on board exams, and as a future clinician. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways, and more when you follow us on social media: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Our Vision: Everyone who cares for someone will learn by Osmosis. Our Mission: To empower the world’s clinicians and caregivers with the best learning experience possible. Learn more here: http://osms.it/mission Medical disclaimer: Knowledge Diffusion Inc (DBA Osmosis) does not provide medical advice. Osmosis and the content available on Osmosis's properties (Osmosis.org, YouTube, and other channels) do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.

Fetal Alcohol Syndrome

Fetal Alcohol Syndrome

Fetal Alcohol Syndrome Instructional Tutorial Video CanadaQBank.com Video: http://youtu.be/xd3yRKfzlOY

What Is Pseudoesotropia?

What Is Pseudoesotropia?

Note the cross eyed appearance of right eye in top image that corrects with elimination prominent epicanthal fold 14 oct 2015 pseudoesotropia is a condition which alignment eyes straight (also known as orthotropic); However, they appear to be crossed 30 sep 2014. Pseudostrabismus diagnosis, treatment and preventiondefinition of pseudoesotropia by medical dictionarypseudo esotropia is the false impression that eyes are crossed. Pseudostrabismus san antonio eye center. Googleusercontent search. When the eyes are actually crossed or not completely aligned with one another it is called in pseudoesotropia, appear to be but straight. This illusion of crossing is caused by the infant's facial appearance where folds skin while less common than pseudoesotropia, it also often due to structures. This is a common condition in infants and young children generally due to their pseudostrabismus the false appearance of crossed eyes. Pseudoesotropia, pseudostrabismus atlas of ophthalmology. Pseudostrabismus refers to a false appearance of strabismus caused by pseudo esotropia is the impression that eyes are crossed. Pseudoesotropia background, pathophysiology, epidemiologypseudoesotropia clinical presentation history, physical, causespseudostrabismus in children & infants what is pseudostrabismus? Eye vision sharecare. Children with widely set eyes can appear as if their are drifting out diagnosis pseudoesotropia, pseudostrabismus. The light reflext are symmetrically centered in both pupils 1 nov 2008 the child has pseudostrabismus (pseudoesotropia) false appearance of strabismus when, fact, eyes orthotropic pseudoexotropia like pseudoesotropia, certain morphological features face can result a to be drifted outwards simple cover test each eye separately will elicit no movement uncovered eye, confirming diagnosis pseudoesotropia related epicanthal folds is where appears turning inwards and may due wide bridge nose or small distance between. Pseudoesotropia background, pathophysiology, epidemiology pseudoesotropia epidemiology emedicine. Comment to photo patient is referred for esotropia. Medscape article 1199610 overview url? Q webcache. This common condition in infants and young children is generally due to facial 2 nov 2002 because there more white space visible on the outside half of eyes, eyes appear turn inward (pseudoesotropia). This illusion of crossing is caused by the infant's facial appearance where folds skin [pdf] pseudostrabismus san antonio eye center. 14 oct 2015 pseudoesotropia is a condition in which the alignment of the eyes is straight (also known as orthotropic); However, they appear to be crossed. Pseudostrabismus (pseudoesotropia) pseudostrabismus medigoo health medical tests and online common types of strabismus ncbi nih. However, light a vertical fold of skin on either side the nose, sometimes covering inner canthus; A normal characteristic in persons certain races, but anomalous what is pseudostrabismus? Strabismus medical term for any

How Specialized Ptosis Surgery and Epicanthoplasty Can be Performed Simultaneously, but with Caveats

How Specialized Ptosis Surgery and Epicanthoplasty Can be Performed Simultaneously, but with Caveats

A gentleman had Asian double eyelid surgery before. He does not like the droopy eyelid look. He wants to know if ptosis surgery and epicanthoplasty can be done simultaneously. Ptosis means drooping of the eyelid in terms of its position relative to the center of the eye called the pupil. When Dr. Amiya Prasad, an oculofacial plastic surgeon, does ptosis surgery it involves a muscle called the levator muscle. When he does the procedure, he lets the patients cooperate for the most critical part which is getting the right height, position and contour. The surgery has its own set of risks and benefits. Although he has been doing this for over 20 years, he still has occasional patients who need enhancements if the eyelid is too high or too low. The levator muscle is very sensitive to any adjustment so the patient must be prepared for a second procedure. Epicanthoplasty is another procedure that involves the epicanthal fold which defines the Asian eyelid anatomy. Some people want that fold reduced to make the eyes look closer together, wider apart and more open. However, even done with experienced hands, there is a possibility of scarring. This is because epicanthoplasty involves several very small incisions in the inner corner skin of the epicanthal fold. Even if it's flat, it might be visually perceptible. So that requires evaluation of skin quality and the discussion about the predictability of what kind of scars the patient is willing to accept. Although there are many procedures that can be combined with ptosis surgery including an epicanthoplasty, the patient really needs a physical exam to get an opinion that will be of any value. It is possible that ptosis surgery and epicanthoplasty can be done simultaneously, but the patient must understand that there is a possibility that he may need enhancement after the surgery. Dr. Prasad recommends that he meet with specialist such as an oculoplastic cosmetic surgeon who does a lot of Asian eyelid surgery and is experienced with epicanthoplasty. For more information, visit our website: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/eyelid-ptosis-surgery/

How Ptosis (Drooping Eyelid) can Develop Over Time and after Previous Double Eyelid Surgery

How Ptosis (Drooping Eyelid) can Develop Over Time and after Previous Double Eyelid Surgery

A man had Asian blepharoplasty when he was 17. However, he feels that her eyelid has begun to droop over the past years. He wants to know the type of procedure he would need. Based on the single photo he submitted, oculoplastic surgeon Dr. Amiya Prasad says that he does have some degree of ptosis. Ptosis means drooping of the eyelid or the position of the eyelid margin relative to the center of the pupil. There’s a certain level that’s normal, and below that, based on the number of millimeters, is the degree of ptosis. Before determining what kind of surgery to perform, it is important for patients to at least see an ophthalmologist or oculoplastic surgeon to diagnosis ptosis. New onset of ptosis should involve some kind of medical workup. There are neurologic and other causes of ptosis that should be eliminated before moving forward with the surgery. It is more likely that this man may have some degree of ptosis that was congenital or he was born with it. Over these past few years, the eyelid drooped a little further to the point that it is apparent to him. Dr. Prasad respectfully disagrees that taking away skin in her upper eyelids would make his eyelid look more open. This is a very common difference between specialists in eyelid surgery and non-specialists. A lot of plastic surgeons would see this as common excess skin, but when patients look at the eyelid margin and imagine taking away a little excess skin or even rolling up the skin, they would see the eyes don’t look more open. In Dr. Prasad’s practice, once he has established the diagnosis of ptosis related to the levator muscle, he performs ptosis surgery. Ptosis surgery is performed under local anesthesia with LITE ™ intravenous sedation. This type of surgery is very tricky because the muscle is very sensitive. Getting the right contour, height, shape and symmetry are very challenging. Dr. Prasad routinely lets his patients sit up during these procedures and have them look up and down during the surgery. Of course, they don’t feel anything but with their cooperation, he is able to get a better sense of what the contour will be when all of the anesthetic and everything else has worn off. He’ll even have the patient look at a mirror so that they see how open their eyes look. Dr. Prasad suggests that this man get a proper examination. He must have the eyelid and the muscle function measured as part of a ptosis evaluation. Once this is established, there is a discussion about the type of ptosis surgery involved and he can now move forward with a procedure to open his eyes more. Prior to doing that, he must get at least a formal opinion of a specialist about the cause of his ptosis. For more information about Asian eyelid surgery, please visit our website: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/asian-eyelid-surgery/ To learn more about ptosis surgery, please visit: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/eyelid-ptosis-surgery/

Down Syndrome

Down Syndrome

ABNORMALITIES General. Hypotonia with tendency to keep mouth open and protrude the tongue, diastasis recti, hyperflexibility of joints, relatively small stature with awkward gait, increased weight in adolescence. Central Nervous System. Intellectual disability. Craniofacial. Brachycephaly; mild microcephaly with upslanting palpebral fissures; thin cranium with late closure of fontanels; hypoplasia to aplasia of frontal sinuses, short hard palate; small nose with low nasal bridge and tendency to have inner epicanthal folds. Eyes. Speckling of iris (Brushfield spots) with peripheral hypoplasia of iris; fine lens opacities by slit lamp examination (59%); refractive error, mostly myopia (70%); nystagmus (35%); strabismus (45%); blocked tear duct (20%); acquired cataracts in adults (30% to 60%).Ears. Small; overfolding of angulated upper helix; sometimes prominent; small or absentearlobes; hearing loss (66%) of conductive, mixed, or sensorineural type; fluid accumulation in middle ear (60% to 80%). Dentition. Hypoplasia, irregular placement, fewer caries than usual, periodontal disease. Neck. Short with loose folds of skin. Hands. Relatively short metacarpals and phalanges; hypoplasia of midphalanx of fifth finger (60%) with clinodactyly (50%), a single crease (40%), or both; simian crease (45%); distal position of palmar axial triradius (84%); ulnar loop dermal ridge pattern on all digits (35%). Feet. Wide gap between first and second toes, plantar crease between first and second toes, open field dermal ridge patterning in hallucal area of sole (50%). Pelvis. Hypoplasia with outward lateral flare of iliac wings and shallow acetabular angle. Cardiac. Anomaly in approximately 40%; endocardial cushion defect, ventricular septal defect, patent ductus arteriosus, auricular septal defect, and aberrant subclavian artery, in decreasing order of frequency; mitral valve prolapse with or without tricuspid valve prolapse and aortic regurgitation by 20 years of age; risk for regurgitation after 18 years of age. Skin. Cutis marmorata, especially in extremities (43%); dry, hyperkeratotic skin with time (75%); infections in the perigenital area, buttocks, and thighs that begin as follicular pustules in 50% to 60% of adolescents. Hair. Fine, soft, and often sparse; straight pubic hair at adolescence.Genitalia. Relatively small penis and decreased testicular volume; primary gonadal deficiency is common and progressive from birth to adolescence and is definitely present in adults. Although rare, cases of fertility in females have been reported; no male has reproduced

What is TELECANTHUS? What does TELECANTHUS mean? TELECANTHUS meaning, definition & explanation

What is TELECANTHUS? What does TELECANTHUS mean? TELECANTHUS meaning, definition & explanation

What is TELECANTHUS? What does TELECANTHUS mean? TELECANTHUS meaning - TELECANTHUS pronunciation - TELECANTHUS definition - TELECANTHUS explanation - How to pronounce TELECANTHUS? Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/by-sa/3.0/ license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6UuCPh7GrXznZi0Hz2YQnQ Telecanthus refers to increased distance between the medial canthi of the eyes, while the inter-pupillary distance is normal. This is in contrast to hypertelorism, where the inter-pupillary distance is increased. The distance between the inner corner of the left eye and the inner corner of the right eye, is called intercanthal distance. In most people, the intercanthal distance is equal to the distance between the inner corner and the outer corner of each eye, that is, the width of the eye. The average interpupillary distance is 60–62 millimeters (mm), which corresponds to an intercanthal distance of approximately 30–31 mm. The situation, where intercanthal distance is intensely bigger than the width of the eye, is called telecanthus (tele= Greek ???? = far, and Greek ?????? = thorn). This can be an ethnic index or an indication for hypertelorism or hypotelorism, if it is combined with abnormal relation to the interpupillary distance (A D STEAS). Traumatic Telecanthus refers to telcanthus resulting from traumatic injury to the nasal-orbital-ethmoid (NOE) complex. The diagnosis of traumatic telecanthus requires a measurement in excess of those normative values. The pathology can be either unilateral or bilateral, with the former more difficult to measure. Telecanthus is often associated with many congenital disorders. Congenital disorders such as Down syndrome, fetal alcohol syndrome, Cri du Chat syndrome, Klinefelter syndrome, Turner syndrome, Ehlers-Danlos syndrome, Waardenburg syndrome often present with prominent epicanthal fold and if these folds are nasal (most commonly are) they will cause telecanthus.

How to Understand Down Syndrome | Baby Development

How to Understand Down Syndrome | Baby Development

Watch more Newborn & Baby Development videos: http://www.howcast.com/videos/506167-How-to-Understand-Down-Syndrome-Baby-Development Down syndrome is also known as trisomy 21. It's a genetic defect in the baby. Parents always want to know what is the prognosis of Down syndrome, and every Down syndrome baby has a different course. There are some common features to Down syndrome. The babies usually have wonderful personalities, and they're very warm as children. Down syndrome babies have typical facial features. They can have epicanthal folds over their eyes. They can have a large tongue. They often have a simian crease along their hands. They can have an extra wide space between their toes. Some Down syndrome babies have clinodactyly, which is a curvature of the fifth digit on each finger, and sometimes on the toes as well. Not all Down syndrome babies have the same findings. More importantly than the physical features are the heart defects. Many Down syndrome babies have congenital heart defects. The most common one is a VSD, ventricular septal defect. And another one that is very common in Down syndrome is an endocardio cushion defect. It is imperative, if you have a baby with Down syndrome, that you have a cardiology visit once a year. Babies with Down syndrome are also at increased risk for leukemias. Your pediatrician will be very well-versed in taking care of a Down syndrome baby and making sure that your baby is kept up to date as far as screenings for leukemia, heart defects, and other problems including low tone and physical therapy that the baby might need throughout their life.

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