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Examination of a patient

Some diseases are accompanied by depression of consciousness - from the stupor until coma (see) any patients can be in varying degrees of excitation: euphoria, delirium, hallucination (see Hallucinatory syndromes).
The development of the subcutaneous fat layer can be normal, to varying degrees higher or lower. Excessive development of the subcutaneous fat layer (see Obesity can be caused by several reasons: excess diet, sedentary lifestyle, dysfunction of endocrine glands (pituitary gland, sexual glands, thyroid gland).
The lowering of total body condition may be related to constitutional features (asthenic type), malnutrition and debilitating diseases. The extreme degree of decline in the overall fatness is cachexia (see).
At survey can be found General or local swelling, elephantiasis, varicose veins, visible ripple arteries. When inspecting the muscles determine their development, hypertrophy, atrophy, and so on
Lymph nodes can be detected during the inspection only when significant increase (with leukemia, cancer metastasis, tularemia, limfosarkomatoze and others).
When viewed pay attention to color, elasticity, skin moisture, various rashes and scars. Pale color of the skin is observed in case of anemia, spasm of skin vessels. Excessively severe flushing of the skin may be associated with polycythemia (see), the extension of skin vessels with infections (such as pneumonia), solar irradiation. Bluish coloration of the skin cyanosis (see) is observed in the lung and heart failure, congenital heart diseases; yellowish color of skin - jaundice (see) - at diseases of liver, biliary tract or blood. A sharp increase in the pigmentation of the nipples and peripapillary areas, the appearance of age spots on the face and the white line of the abdomen are of pregnancy, diseases of the endocrine glands. Reduction of skin elasticity observed in old age, in the long exhausting diseases, dehydration.
Skin moisture and perspiration affected individual fluctuations. Sweating is observed when the temperature of a febrile patients. Skin rashes are of great diagnostic value for a number of diseases (fever, allergic States, some children's infectious diseases and others).
During examination of hair establish a distribution hair, their density, loss, gray hair. These data are of diagnostic value in diseases of the endocrine system. Then when viewed pay attention to the individual parts of the body - shape and size of the head, the face (eyes, nose, ears, and neck, chest, abdomen, legs.
Great diagnostic importance examination of the person. It may be bloated due to the swelling, local stagnation (with frequent attacks of breathlessness, cough), the compression of the upper Vena cava (see Stokes collar); cyanotic in the area of the lips, cheeks, nose, ears with decompensated valvular diseases butterfly valve; pale yellowish, slightly puffy with anemia Addison - Biermer.
"The face of Karuizawa" is typical of circulatory failure. It swollen, yellowish white with bluish tone color. Her mouth was open, lips of cyanotic, eyes dull, sleepy eyelids. The fever a person is characterized by redness of the skin, shiny eyes.