2/1/11

1

www.med.monash.edu

Presented by Professor John Murtagh Department of General Practice School of Primary Health Care

The Face as a Mirror of Disease

www.med.monash.edu

www.med.monash.edu

Source: Murtagh J. Murtagh’s general practice companion handbook. 5th edition. 2011: 5.

2/1/11

2

www.med.monash.edu

www.med.monash.edu

Facies/facial appearance (similes & metaphors) i.e. colloquialisms

•  Bird-like = scleroderma •  Bulldog = congenital syphilis •  Chipmunk = thalassaemia major •  Elfin = William syndrome •  Hatchet = dystrophia myotonia •  Hippocratic or death mask = peritonitis; cholera •  Narrow ‘funny’ face = fetal alcohol syndrome •  Long face = fragile X syndrome •  Mask = Parkinsonism •  Monkey = hypopituitarism •  Moon = Cushing syndrome •  Racoon sign = basilar fracture of skull; amyloidosis

www.med.monash.edu

2/1/11

3

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

4

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

5

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

6

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

7

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

8

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

9

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

10

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

11

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

Source: Wolff et al. Fitzpatrick’s color atlas & synopsis of clinical dermatology. 5th edition. 2005:605.

2/1/11

12

www.med.monash.edu

42 year old man with hypertension and erectile dysfunction

www.med.monash.edu

www.med.monash.edu

2/1/11

13

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu

2/1/11

14

www.med.monash.edu

www.med.monash.edu

www.med.monash.edu