Loyola University Medical Education Network

Patient Centered Medicine 2
August 8, 2013

General Appearance
Michael Koller, MD


Lecture: 11:30 a.m., Leischner Hall (390)

1. Answer the questions from the assigned readings linked here.
Prepare to discuss questions during lecture

Computer Assisted Lessons

Reading Assingment
Bates' Guide to Physical Examination and History Taking:
9th ed., pp. 103-107, 211, 643
10th ed., pp. 109-115, 253, 706

2.     Optional Reading: First Aid for Step 1 2012
        1. Picture of Cushing's disease p. 323
        2. Picture of Grave's disease p. 326
        3. Picture of Turner's syndrome p. 539

Key Concepts and Learning Objectives

  1. Identify the elements that make up the general appearance of a patient.
  2. Recognize elements of the patient's general appearance that raise questions about the patient that should be pursued with focused historical questioning and/or targeted physical examination.
  1. Communicate in a succinct and compelling manner, both verbally and in writing, the general appearance of a patient.
  2. Demonstrate attention to the overall appearance in order to guide the history and physical examination, allow for better understanding of a patient's condition, and guide further evaluation.
Equipment Required:  
Objectives Teaching Methods
General Appearance
  1. List items to comment on when describing  general appearance
  2. Describe the classic general appearance of Turner's syndrome, Down's syndrome, Cushing's syndrome, Marfan's syndrome, Parkinson's disease, Acromegaly, Hyperthyroidism, and Hyperthyroidism
  3. Using body mass index, define adult underweight, normal weight obesity, and morbid obesity
  4. Identify and describe a patient's level of consciousness
General Appearance
  1. Lecture


Last Updated: 08/01/13
Created: 08/24/1998