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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.
Tentative treatment planning Once the initial data has been analyed and comprehensive diagnosis and charting of the condition of the mouth has been done, you should formulate a
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