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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.
Pocket Psedocyst : lesions present as endodontic origins from canals . It makes lumens resemble granuloma . All lesions lined until root canal or apical foramen communicat
The Physical Environment The actual hospital environment is another factor that may be stressful for the child and family. There are many unfamiliar sights, sounds and smells
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