, EXAM IS CARRIED OUT FIRST BY SITTING THEN BY STANDING SITTING
Enter
Greet the Examiner
Sanitize your hands
Introduce yourself to the examiner
Inspect around for any clues
YOU CAN FIND A TALL PATIENTS, NOT EVERYONE WHO ARE TALL HAS MARFAN SYNDROME, SOME OF THEM HAS MARFANOID HABITUS
Hands
ARACHANODACTYLY, LOOK FOR THUMB SIGN, WRIST SIGN, PALPATE PULSE, CHECK RADIORADIAL DELAY, OFFER BP AND CHECK FOR COLLAPSING PULSE AND ALSO ANY PERIPHERAL STIGMATA OF IE
Eyes
BLUE SCLERA, LOOK FOR IRIDODONESIS I.E THE VIBRATION OF THE IRIS WITH THE EYE MOVEMENT, THIS SHOULD RISE THE SUSPICION OF ECTOPIA LENTIS.
Mouth
HIGH ARCHED PALATE AND CROWDED TEETH
Face
LONG AND NARROW FACE
Chest
PECTUS EXCAVATUM, CARINATUM, DRAINAGE SCARS, PREVIOUS VATS SCAR (PNEUMOTHORAX), AUCULTATE LUNGS FOR PTX AND AUSCULTATE HEART FOR BOTH AR MURMUR AND MVP
Abdomen Examination proper
STRIAE + OFFER TO ASSESS INGUINGAL HERNIA
Legs
NEURO ASSESMENT FOR WEAKNESS, SENSATIONA ND DURAL ECTASIA STANDING HEIGHT ARM SPAN PES PLANUS KYPOSCOLIOSIS