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Pulses
Careful examination of both upper and lower limb pulses is useful in detecting coarctation, and other arterial stenosis. The carotid arteries should be checked for stenosis and bruit.
Fundus
A detailed fundus examination would show the changes upon which grading of the intensity of hypertension can be made.
General
In general examination, one should look for:
• Oedema: suggestive of heart failure and renal failure.
• Round face, truncal obesity, bufallo hump: in Cushing's syndrome.
• Obesity, rough skin, bradycardia, puffy face: in myxoedema.
• Tremors, exophthalmos: in thyrotoxicosis.
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(a) Name the condition and (b) describe the effects of the failure of the pancreas to produce sufficient-insulin. (c) How is this condition treated? .
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