By Franklin B. Saksena
Chapter 1 basic Observations (pages 1–8):
Chapter 2 Face (pages 9–39):
Chapter three Ear (pages 40–41):
Chapter four Mouth and nostril (pages 42–47):
Chapter five Neck (pages 48–49):
Chapter 6 Hand (pages 50–68):
Chapter 7 top Extremity (pages 69–72):
Chapter eight Thorax again (pages 73–82):
Chapter nine stomach (pages 83–87):
Chapter 10 reduce Extremity (pages 88–97):
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Extra info for Color Atlas of Local and Systemic Signs of Cardiovascular Disease
A review of 589 patients and their families. ) Figure 96 Ehlers–Danlos syndrome: the skin is hyperextensible. The “India rubber man” of circus fame had hyperextensible joints and skin. (Reprinted with permission from Elsevier. Copyright 1997) Figure 97 Rheumatoid arthritis of hands: same patient as in Figure 48. The metacarpophalangeal joints are swollen and show marked ulnar deviation (premature CAD). (Reprinted with permission from Humana Press. Copyright 2006) 54 CHAPTER 6 Short fourth finger Figure 98 Short fourth ﬁngers in a patient with Turner syndrome.
Small ears are seen in Down syndrome . Generalized darkening of the ears is seen in ochronosis and is associated with aortic or mitral valvular disease  (Figure 81). 3A total of 201 patients (109 male, 92 female) undergoing coronary angiography were evaluated clinically by two observers for the presence or absence of a positive ear crease sign. 7 years. The results below showed only a modest sensitivity and speciﬁcity for detecting CAD if a positive ear crease sign was present. 48 (Unpublished data of Saksena & Enas).
Congenital deafness may be associated with prolonged QT interval and sudden death (Surdocardiac syndrome) . Thus, the Surdocardiac syndrome should be considered in the differential diagnosis in a child wearing a hearing aid and a history of arrhythmias. Low slung ears are seen in Noonan’s syndrome (pulmonic stenosis), Klippel–Feil syndrome (ventricular septal defect), Turner syndrome (coarctation of aorta), and Trisomy 13 and 18 (VSD) . Small ears are seen in Down syndrome . Generalized darkening of the ears is seen in ochronosis and is associated with aortic or mitral valvular disease  (Figure 81).
Color Atlas of Local and Systemic Signs of Cardiovascular Disease by Franklin B. Saksena