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2ND EDITION
FULLYREVISEDANDUPDATED
\
I
THE EASY WAY TO IDENTIFY MEDICAL PROBLEMS
MEDICAL
SYMPTOMS
A VISUAL GUIDE
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This Edition Managing Editor Angeles Gavira
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CONTENTS
HOW TO USE THIS BOOK 9
PART 1
WHOLE-BODY
SYMPTOM GUIDE
DIZZINESS AND FAINTING 14
SEIZURES 16
GENERAL PAIN 18
MOBILITY 20
NAUSEA AND VOMITING 22
FATIGUE 24
FEVER 26
WEIGHT GAIN 28
WEIGHT LOSS 30
SKIN RASHES 32
SKIN MOLES AND DISCOLORATION 34
SKIN LUMPS AND BUMPS 36
MOOD CHANGES 38
BEHAVIOR PROBLEMS 40
MEMORY AND CONFUSION 42
SLEEPING PROBLEMS 44
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PART 2
HEAD-TO-TOE
SYMPTOM GUIDE
HEAD FRONT 48 UPPER ABDOMEN 100
HEAD SIDE 50 LOWER BACK 102
HAIR AND SCALP 52 LOWER ABDOMEN LEFT 104
FACE 54 LOWER ABDOMEN RIGHT 106
EYE PHYSICAL 56 FEMALE PELVIS 108
EYE VISION 58 GROIN MALE AND FEMALE 110
EAR PHYSICAL 60 URINARY PROBLEMS FEMALE 112
EAR HEARING 62 FEMALE GENITALS 114
NOSE 64 URINARY PROBLEMS MALE 116
MOUTH 66 MALE GENITALS 118
THROAT 68 BUTTOCKS AND ANUS 120
THROAT VOICE 70 BOWELS DIARRHEA 122
NECK 72 BOWELS CONSTIPATION 124
SHOULDER FRONT 74 BOWELS ABNORMAL STOOLS 126
SHOULDER BACK 76 HIP FRONT 128
UPPER ARM 78 HIP BACK 130
ELBOW 80 THIGH FRONT 132
FOREARM AND WRIST 82 THIGH BACK 134
HAND BACK 84 KNEE FRONT 136
HAND PALM 86 KNEE BACK 138
CHEST UPPER 88 LOWER LEG FRONT 140
CHEST CENTRAL 90 LOWER LEG BACK 142
CHEST SIDE 92 ANKLE 144
BREAST 94 FOOT GENERAL 146
UPPER BACK 96 FOOT UPPER 148
ABDOMEN GENERAL 98 FOOT UNDERSIDE 150
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PART 3
DIRECTORY
OF CONDITIONS
MUSCULOSKELETAL SYSTEM 154 CONTRIBUTORS
NERVOUS SYSTEM 166
EAR AND EYE 174 Dina Kaufman, MBBS, MRCGP, DCH, DRCGP
CARDIOVASCULAR SYSTEM 180 Part-time physician in London with special
interests in women’s health and psychological
BLOOD, LYMPHATIC, AND IMMUNE SYSTEM 186
medicine.
RESPIRATORY SYSTEM 190
DIGESTIVE SYSTEM 196 Michael Dawson, MMedSc, FRCGP
Former physician in Shropshire, England, now
URINARY AND REPRODUCTIVE SYSTEM 208
a national part-time educator and mentor.
ENDOCRINE AND METABOLIC 219
SKIN, HAIR, AND NAIL 222 Mike Wyndham, MBBS, MRCGP
A physician for 35 years with special interests in
INFECTIONS AND INFESTATIONS 232
postgraduate medical education in primary
POISONING AND ENVIRONMENTAL 239 care, management of skin disease, and the
MENTAL HEALTH 240 application of photography to medical practice.
Martyn Page
GLOSSARY 244 Freelance editor and writer based in London.
INDEX 248
Kristina Routh
ACKNOWLEDGMENTS 256 Medical doctor and qualified specialist
in Public Health Medicine.
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8
READER NOTICE
Medical Symptoms: A Visual Guide provides information on a wide range of medical
topics, and every effort has been made to ensure that the information in this book is
accurate and up-to-date (as of the date of publication). The book is not a substitute
for expert medical advice, however, and is not to be relied on for medical, healthcare,
pharmaceutical, or other professional advice on specific circumstances and in specific
locations. You are advised always to consult a doctor or other health professional for
specific information on personal health matters. Please consult your physician before
changing, stopping, or starting any medical treatment. Never disregard expert medical
advice or delay in seeking advice or treatment due to information obtained from this
book. The naming of any product, treatment, or organization in this book does not
imply endorsement by the Medical Editor, other consultants or contributors, editor,
or publisher, nor does the omission of any such names indicate disapproval. Neither
the author, publisher, Medical Editor, consultants, contributors, nor editor shall be
liable or responsible for any injury, loss, or damage allegedly arising from any
information or suggestion in this book.
A NOTE ON GENDER IDENTITIES
DK recognizes all gender identities, and acknowledges that the sex someone was
assigned at birth, based on their sexual organs, may not align with their gender
identity. People may identify as any gender (including genders outside the male/
female binary) or as no gender, and their gender identity may change during their
lifetime. As gender language, and its use in our society, evolves, the scientific and
medical communities continue to reassess their own phrasing. Please note, this book
uses “women” to refer to people who were assigned as female at birth on the basis of
their sexual organs, and “men” to refer to people who were assigned male at birth on
the basis of their sexual organs.
A NOTE ON SKIN SYMPTOMS
Various conditions may produce a rash or discolouration of the skin, and the
appearance of the affected area can be different on different skin tones. For example,
a heat rash typically appears as a collection of small pink or red spots on pale skin
whereas on brown or black skin the spots may appear gray or white. In this book,
skin rashes and discoloration are generally described as they appear on paler skin.
It may be difficult to identify them on darker skin tones, but they may be easier to see
on the palms of the hands, soles of the feet, lips, tongue, or inside the eyelids, if any
of those areas is affected. With certain conditions, discoloration may affect the skin
and the whites of the eyes (appearing yellow in jaundice, for example), and the eye
discoloration should be detectable regardless of a person’s skin color.
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9
HOW TO USE
KEY TO SYMBOLS
Symbols indicate whether medical advice
THIS BOOK is needed and how urgently this should be sought.
Symptoms usually resolve without specific treatment.
Text may state to seek medical advice if condition persists,
This book is divided into three parts. Part 1 deals with or in particular groups, such as children.
general issues, where the symptoms cannot be
See a doctor (or dentist, if appropriate) for advice,
pinpointed to any particular part of the body. Part 2 diagnosis, and potential treatment within a few days. Text
is a series of head-to-toe visual diagnostic guides will say if medical attention is needed sooner.
that help to identify conditions or injuries where Get medical attention or advice as soon as
symptoms occur in specific areas of the body. A cross- possible, either by telephone or by visiting the emergency
department. Additional text will tell you if the condition
reference links to an easy-to-follow description of the
is a medical emergency.
condition in Part 3.
Seek urgent medical attention if you or the person
All conditions are given a rating to suggest the
affected has the symptoms listed. These usually need
urgency with which treatment should be sought. immediate treatment and may be life-threatening.
Potentially life-threatening situations and ailments
that need urgent medical advice are clearly flagged. Skin symptoms, such as rashes, spots, or areas of
discoloration, may be variable or harder to identify on
darker skin, see p.8.
PART 1 WHOLE-BODY SYMPTOM GUIDE
Symptoms are further Special panels group conditions Relevant organs are
This part of the book covers general unwellness and
grouped where together under various criteria— shown to aid in
full-body symptoms grouped together under general possible to make for example, by age-related or understanding the
symptoms, such as Nausea and Vomiting. identification easier. gender-specific issues. origin of the problem.
2222 WHOLE-BODY SYMPTOM GUIDE 23
NAUSEA AND VOMITING
NAUSEA WITH HEADACHE WITH DIZZINESS VOMITING IN CHILDREN
AND VOMITING OMfitgerna oinnee -(spi.d1e6d6 )h ead ache, with blurred BRAIN NInanuesre ae,a ur siunaflelyc twioitnh ear ache, dizziness, and Ilena bda tboi edse ahnydd ryaotiuonng, scoh iiltd irse pno, vteonmtiiatilnlyg m caonre q sueircikoluy s
vision and flashing lights. reduced hearing. than in older children and adults.
Nwiatuhsoeuat iasc tthuea lsley nvsoamtioitnin ogf. wVoamntiitningg t oc avno mleaitd, atond d ieth cyadnr aotciocunr, RuMnaeswhne,i lnflengveietsirss,. h(Cpea.a1nd6 ra8ac)p h ied,l ys triffe s nueltc ikn, daneadt hge. nTherisa li s NiLnaa ebuaysrersia na, ntuhdsiu tpiasal li(ynp .w. 1i7th6) d izz iness and vertigo; ringing Vginaofsemtcriottiieonnngts ec (rapint.i2 sb0 (e9p ).a.1 S9soi6gm)n, meotfie minniefnesg ciittt iiioss n (ap,c .ic1no6cm8lu),dp oianrn guie rdin ary
listlessness, confusion, and even coma. Some of the causes a medical emergency; call 911. Ménière’s disease (p.176) bdiya dbieatrersh (epa.2. V19o)m oirt,i nvge rmy arayr eallyso, a b ber aai nsi gtunm oof er a rly
of vomiting and nausea are gut-related, such as gastroenteritis Dizziness, tinnitus (ringing sounds) in both ears, and (p.168). If a child is vomiting, you should seek
(p.196). Infections, such as meningitis (p.168) and urinary tract hearinlog nlogs-ste, wrmit hc ofenedliitniogsn o, wf nitahu rseecau. rUresnuta lelyp ias odes. urgent medical advice.
infections (UTIs), are common causes of vomiting. If you are
unable to keep any fluids down or haven’t passed urine, seek
urgent medical advice. ESOPHAGUS
WITH DIARRHEA
WITH ABDOMINAL PAIN Gastroenteritis (p.196)
Often associated with abdominal pain and change
Gallstones (p.202) in bowel habits, usually diarrhea.
oRgofig eshksti. n-Ms iadaneydd a e lusyopep sh)e.a rv aeb fdevoemr iannadl pjaauinn dthicaet c(yoemlloews ainngd OFoftoedn pwoitihso anbidnogm (pin.1a9l 7p)a in and diarrhea.
AJStahucurduondtudeegi ncphe, a t s(oney vceberlaleroceawk tp;ii tnatiiigrsne ( odipnfn. 2 seck0esi2snn;) t fla ranuldl ia k ebeyd s eoysmm) ipef ntsoe, mvsepsrr.ee .a ding PANLCIRVEEARS STOMACH cDNRooioamurrornmhvdeoiwranu, o iasnr sim ncwhf ieeinllcdlf treaieoscn tnni. oa (upns. 1(ep9a.6 2a)3 n 8d) v omiting. Most
RCgoihgeohslt,e -wsciyidtshet difte uivspe (prp,e .s2rh0 ai2vb)e d roinmg ,i naan ld p jaaiunn tdhiacte c.omes and ACCinbho cdrmohominmldicori neninan ifln,e pf satathiailenuti rodaenne tv doce a dlgouirasporeiwrnsh ggae enwand,o ew rprliaudtlht. i olrla nhs ehwa; elttiihgreh adtn.n de,s s.
Alcohol misuse (p.243) KIDNEY
Alcohol irritates the gut, causing upper abdominal
pain, nausea, and vomiting. May vomit blood.
CCcePPFvpbaaPIKnaoonanmreelaeiooitdimdmdnrnplneeousfn tot milsrbmidrrtesitegtueahcet ,aioeybo el n nacsd tuvn nlunoetdosao il cttp net cc mlooim,vyo nkpo geos do;in n remoenutchb m eoaereva(grose peng skeali tatlstwd .ed rb (2ib mb9cnpaiun od0ndoh1on.gtcer20ogo 1uaw dstmd0)w mvm.ient eoi8o eg icetiwtel)rn o nasdh ppin .leeh ai a ( o.cTsasspl es Oeoa,.hdps.n 2vlbIr ifva u fs te0ay eaiie rscrtn4iogpiynseten),uei mp na.ewwa n’er n bpmemtiattiidit knohth oeooeig nundmbr.m .e ngiilI ncos f gio ayn ovsrlfoloeyaodt e.uvlw m inMe pnae.ira ttraeuM ii ynnn broio ig.ang rr ce hek. t INTESTINSmEall intestineS BLALarge inteDstineDER WVocPLCmbaaKKwooatnofahiiet oddimsdcbmernasrkInno nrke mmie toTeettnnp haififyyooonerai aHtcea vishngntsin pqs ink , tcn,w i.s puo m nifooiBgMdeeetin mt cohucntnthoehLionostttee sriicelfl tOsneoyy ail (,uf ec; gbp an ncdsll p,n.idOico y a2kmi(oldrosmepmue0ase mat s8Dygmssphmaeti)eyoebeta sapm olo esnerlo,Isyg. msn . v,pn( N ,y wMpoa t,ibse non. msi2espat wmdewh0gUyhi tvei8 hsoinrbnenl,)ieRl mn leritbg oaneieil,esnodI.go df)ngdaN,ao (t .cs tp idoiihSnhng. E e2o ieu ulnue0o.rre rtk8iuw,nni )nrm eeai entsre.e se bdM , a iacocnakrlde
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10
PART 2 HEAD-TO-TOE SYMPTOM GUIDE Symptoms that require If symptoms can occur anywhere
urgent medical attention in the featured part of the body,
This section is organized from head to toe so that you can easily find are clearly flagged. the condition is not color-coded.
the relevant page. The conditions are grouped and connected to the
areas they affect, with color-coding to help distinguish areas.
48 HEAD-TO-TOE SYMPTOM GUIDE 49
HEAD, FRONT
HEAD SEEK URGENT MEDICAL
ATTENTION IF:
48 FRONT YOU HAVE INJURHEEDA YODU-RT O-TOE SYMPTOM GUIDE 49
HEAD IN THE LAST 48 HOURS HEAD, FRONT
AND YOU ARE FOUND TO
The head houses many important structures, SHOW SIGNS OF REDUCED
including the brain. Headaches, including CONSCIOUSNESS
SEE ALSO Head, side pp.50–51, tension-type and migraines, can be debilitating.
Hppa.i6r4 a–n6d5 scalp pp.52–53, Nose Injuries may need urgent attention. Unless
otherwise indicated, symptoms can occur
HEAD on one or both sides. SINUS BBaradi hne taudmacohre ( pth.1a6tS8’s) m oEr e se EvereK in the mUorninRg GENT MEDICAL
and worsened by bending or coughing; increases
in frequency and severity. Other signs include
ATpeocnhssseiib oolynr -petxryetepsnseud hriene gian ad ltale acmrhopeul en(p da.1 rhe6ea6a )ad n adn dey feese,l ing nawnaeudas ksentareo asksne do s nyv moomnpetito isAnmidgse,, soseuTfi czbuhor adeTssy ,.s pluerErrseodn saNplietye cchh aaTnngde ,I ON IF:
like a headband. Associated with stress.
FRONT M(p.e1d66ic)a tio n-o veruse headache EYE SOCKET YOU HAVE INJURED YOUR
Htthaekaaitn ddgao cr ehngeoust,l aismru pcpharo ianvs er te eolinre sgvieoetrn sw-.toyprsee odre mspiigtrea ine, SINUS MsMidoiHegd roeafri anhteeea (tEdpo.. 1sSe6ev6ne)As r ieti vhi etya dt Doa clihgeh,t m a nodsIt n ooNftiseen, noanu osneTae , HE LAST 48 HOURS
sweating, and vomiting may occur. Before the
The head houses many important structures, OCua slnduueaasy-tlsl;ey iard as ehsrdooe,cua eindaxdtater ceedhym weee .i( tlMpyh. 1 ase6hyy6a eo)r cpr ec pduarn iemns asin na yhn edtia mde, s SINUS hligehaAStdsa icnh HZeN-, sthhaepreeO sm Doary fl baesWh b elsinY.d spoO tsS with IUbriGght ANRSE O FFO RUENDDU TCOE D
watering. Face may become red, flushed,
including the brain. Headaches, including and sweaty.
VirCal sinuOsitis (p.N191) SCIOUSNESS
Throbbing pain over a sinus associated with a
SEE ALSO Head, side pp.50–51, tension-type and migraines, can be debilitating. caolsuog hha avned h ceoadlda. cChlee aarn ddi stcohoatrhgaec hfreo.m nose. May
Hair and scalp pp.52–53, Nose LIGHTHEADEDNESS AND FAINTING TEETH Bacterial sinusitis (p.191)
pp.64–65 Injuries may need urgent attention. Unless FRpeeroepbleinlaegtme ldi g( pheppth.i1seo4a–dd1ee5sd )o. of rf afainintitn cga mn baye ian dreicsuatlte oafn a u nnudmerblyeirn ogf m diesdoircdael rs. Tocahofntrueeogr sb haibd afieenn wogd f p dcnaoaoiylndsse ,.o .wG vTreheerimec ahnp s -eaicnrpoaupltosue raraeesrds sa o tdbocioi sagvcteehet ad 1mr 0gw0uei°c tfFhhr o (aw3m 8o °rCse).
otherwise indicated, symptoms can occur
Vasovagal syncope (fainting)
Fainting episode that follows nausea, cold sweat, lightheadedness, and
on one or both sides. bHlyuprroegdl yvicseiomni. aU (sluoawlly b oloccoudr sg alus cao rsees)u (lpt .o2f1 e9m) otio nal stress. SINUS Brain tumor (p.168)
Lpirgohgtrheesas dtoe dsnluersrse,d s wspeeaeticnhg, , cnoanufsuesaio, nsh, uaknicnogn, sacniodu fesneelisnsg, aonf dh usenigzeurr.e Ms. a y SDeevBnetraeal t aobodsthcea cshsh e(p ew.1i9tah7 )s d wel alingc ohn faece artohunda t’s more severe in the morning
Usually associated with diabetes. the region of affected tooth; fever. Seek help
froma an dedntis t.worsened by bending or coughing; increases
in frequency and severity. Other signs include
Tension-type headache (p.166) nausea and vomiting, seizures, personality change,
Ache or pressure in temple area and eyes, and stroke symptoms, such as slurred speech and
possibly extending all around head and feeling Cross-refewreenackens elesasd o ton doensceri psitdioen so f body.
Anatomical illustrations give in Part 3; symbols indicate what
like a headband. Associated with stress. enough detail to understand action is needed (see p.9).
the structures involved.
Medication-overuse headache
EYE SOCKET
(p.166)
Headaches, such as tension-type or migraine, Migraine (p.166)
that do not improve or get worse despite Colored areas indicate where Moderate to severe headache, most often on one
taking regular pain relievers. SINUS symptoms are experienced; unless side of head. Sensitivity to light and noise, nausea,
otherwise indicated, symptoms may
occur on both sides. sweating, and vomiting may occur. Before the
headache, there may be blind spots with bright
lights in Z-shapes or flashes.
Cluster headache (p.166)
SINUS
One-sided, extremely sharp pain in head,
Symptom checker
usually around eye. May occur many times
A list of possible conditions leads off
a day; associated with eye redness and each area. Clear and simple descriptions
watering. Face may become red, flushed, set out the major symptoms for each
and sweaty. condition so that you can determine
whether they match yours.
Viral sinusitis (p.191)
Throbbing pain over a sinus associated with a
cough and cold. Clear discharge from nose. May
also have headache and toothache.
LIGHTHEADEDNESS AND FAINTING TEETH Bacterial sinusitis (p.191)
Throbbing pain over a sinus associated with a
Feeling lightheaded or faint can be a result of a number of disorders.
cough and cold, which appears to get much worse
Repeated episodes of fainting may indicate an underlying medical UUSS__001100--001111__HHooww__ttoo__uussee__tthhiiss__bbooookk__22..iinndddd 1100 0099//0099//22002211 1122::1122
after a few days. Green-colored discharge from
problem (pp.14–15). one side of nose. Temperature above 100°F (38°C).
Vasovagal syncope (fainting)
Fainting episode that follows nausea, cold sweat, lightheadedness, and
blurred vision. Usually occurs as a result of emotional stress.
Hypoglycemia (low blood glucose) (p.219)
Lightheadedness, sweating, nausea, shaking, and feeling of hunger. May Dental abscess (p.197)
progress to slurred speech, confusion, unconsciousness, and seizures. Severe toothache with swelling on face around
Usually associated with diabetes. the region of affected tooth; fever. Seek help
from a dentist.