Principles of Ambulatory Medicine, 7th Edition

Appendix

Color Plates

FIGURE 38.2. Classic erythema migrans rash of early Lyme disease with bright red border and partial central clearing, the so-called “bull’ s-eye” rash. (Photograph courtesy of Paul Auwaerter, M.D.) (See black and white image.)

FIGURE 78.5. Moist shallow circular lesions characteristic of circinate balanitis. From: John A. Flynn, MD, MBA. (See black and white image.)

FIGURE 78.6. Extensive keratoderma blennorrhagica involving the soles (with permission from Provost TT, Flynn JA. Cutaneous Medicine: Cutaneous Manifestations of Systemic Disease, 2001). From: John A. Flynn, MD, MBA. (See black and white image.)

FIGURE 107.1. Left eye of a patient with small, hard drusen in the macula. Drusen are the barley visible tiny yellow deposits around the foveal center.

FIGURE 107.2. Right eye of a patient with a myriad of large drusen in and around the foveal center. This eye is at high risk for progression of AMD.

FIGURE 107.3. Left eye of a patient with central (extending beneath the fovea) GA. Note the hypopigmented well-circumscribed area that represents a loss of retinal tissue and underlying retinal pigment epithelium. The choroidal vessels can be seen through the area of atrophy.

FIGURE 107.4. Left eye of a patient with subretinal hemorrhage (black arrow) and subretinal fluid (white arrow) that extend beneath the foveal center. This eye has the neovascular form of AMD.

FIGURE 109.2. Seborrheic blepharitis. Note the oil debris, scurf on the lashes, but no broken or missing lashes. (See black and white image.)

FIGURE 109.3. Acne rosacea with hordeolum. Man with rhinophyma, oily skin, and acute localized painful swelling (hordeolum) on the left lower eyelid. (See black and white image.)

FIGURE 109.4. Herpes zoster. Note the crusting lesions on the forehead and scaling of the upper eyelid with conjunctival injection. (See black and white image.)

FIGURE 109.5. Staphylococcal blepharitis. Note that the lashes are sparse, misdirected, and of varying lengths. The lid margin shows ulceration. (See black and white image.)

FIGURE 109.6. Blepharitis. Woman with morning discharge and crusting in both eyes. Note the redness and swelling of the eyelids. (See black and white image.)

FIGURE 109.7. Parasitic blepharitis. Note the adult lice and nits on the lashes of a patient with Pediculosis pubis. (See black and white image.)

FIGURE 109.8. Chalazion. Note the localized swelling of the inferior tarsal conjunctiva in a patient with chronic blepharitis. The lower lid is retracted inferiorly. (See black and white image.)

FIGURE 109.9. Hyperacute purulent conjunctivitis. Note the severe degree of injection, swelling, and purulent discharge. (See black and white image.)

FIGURE 109.10. Acute bacterial conjunctivitis (severe example). Note the marked erythema, pus, and edema. (See black and white image.)

FIGURE 109.11. Viral conjunctivitis. Note the watery conjunctival discharge and conjunctival hyperemia. The lower lid is retracted inferiorly, demonstrating tarsal conjunctival edema and injection. (See black and white image.)

FIGURE 109.12. Inclusion conjunctivitis. Note the redness, edema of the lid and conjunctiva, and the many small follicles appearing as pale mounds. (See black and white image.)

FIGURE 109.13. Subconjunctival hemorrhage (severe example). Note the diffuse conjunctival redness. (Pupil has been pharmacologically dilated.) (See black and white image.)

FIGURE 109.14. Pterygium. Note the localized conjunctival injection with extension of blood vessels into the cornea. (See black and white image.)

FIGURE 109.15. Episcleritis. Note the localized redness without discharge. (Light reflexes artifacts are present on the surface of the eye.) (See black and white image.)

FIGURE 109.16. Scleritis. Note the diffuse intense redness without discharge. (Patient with rheumatoid arthritis.) (See black and white image.)

FIGURE 113.1. Multiple seborrheic keratoses (upper back). “Stuck-on,” sharply circumscribed, tan to deep brown, finely papillated to verrucous flat-topped papules and plaques. (See black and white image.)

FIGURE 114.1. Atypical moles (dysplastic nevi). Multiple lesions, showing one to four of the ABCDs: asymmetry, border irregularity, color variegation, diameter 6 mm or greater. (See black and white image.)

FIGURE 114.2. Superficial spreading malignant melanoma. (See black and white image.)

FIGURE 114.3. Actinic keratosis, nose. (See black and white image.)

FIGURE 114.4. Basal cell carcinoma. (See black and white image.)

FIGURE 114.5. Squamous cell carcinoma. (See black and white image.)

FIGURE 116.1. Asteatotic dermatitis (upper back and arm). Reticulate erythema highlighting minute cracks in the skin, diffuse dryness (asteatosis), and scale. (See black and white image.)

FIGURE 116.2. Acute contact dermatitis from shoes. (See black and white image.)

FIGURE 118.1. Erythema multiforme (extensor arm). Erythematous macules with dusky central area (“target”) with focal areas of fine scale.



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