m Upperbackpain Osteoarthritis(p.157) © Osteoporosis(p.154) O Vertebralfracture(p.156) © m MEDICAL c TOMS i l V v i f AVSUAlraiDE t A* : ) 1 C / > m it'* Lowerbackpainwithstiffness inthemorning Osteoarthritis(p.157) ©© r Ankylosingspondylitis(p.158) ©© Lowerbackpain radiatingdownleg Sciatica(p.173) © 2ND EDITION FULLYREVISEDANDUPDATED \ I THE EASY WAY TO IDENTIFY MEDICAL PROBLEMS MEDICAL SYMPTOMS A VISUAL GUIDE 00UU00SS22__--000000002233--__00TT00iitt33llee____TTPPiittllaaeegg__eePP..iiaannggddeedd.. ii nn 33dddd 33 00007777////00009999////2222000022221111 11112255::::44440055 About this eBook Due to the complex integration of images and text, this DK eBook has been formatted to retain the design of the print edition. As a result, all elements are fixed in place, but can easily be enlarged by using the pinch-to-zoom function. If you are previewing this eBook on a mobile phone, portrait mode is recommended. 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This Edition Managing Editor Angeles Gavira Senior Editor Miezan van Zyl Managing Art Editor Michael Duffy Project Art Editor Francis Wong Art Director Karen Self Jacket Designer Akiko Kato Associate Publishing Director Liz Wheeler Jacket Design Development Manager Sophia MTT Publishing Director Jonathan Metcalf Production Editor Gillian Reid Senior Production Controller Meskerem Berhane Previous Edition DK DELHI DK LONDON Senior Editor Suefa Lee Senior Editor Janet Mohun Project Art Editor Rupanki Arora Kaushik Project Art Editor Duncan Turner Art Editor Anjali Sachar US Editor Kayla Dugger Assistant Art Editors Sonakshi Singh, Project Editors Lili Bryant, Miezan van Zyl Simar Dhamija Designer Gregory McCarthy Jacket Designer Juhi Sheth Senior Jacket Designer Mark Cavanagh Jackets Editorial Coordinator Jacket Editor Claire Gell Priyanka Sharma Jacket Design Development Manager Sophia MTT DTP Designers Jaypal Chauhan, Pre-Production Producer David Almond Nand Kishor Acharya, Producer Anna Vallarino Rakesh Kumar Managing Editor Angeles Gavira Picture Researcher Aditya Katyal Managing Art Editor Michael Duffy Senior Managing Editor Rohan Sinha Art Director Karen Self Managing Art Editor Sudakshina Basu Associate Publishing Director Liz Wheeler Managing Jackets Editor Saloni Singh Publishing Director Jonathan Metcalf Pre-Production Manager Balwant Singh Production Manager Pankaj Sharma CONSULTING MEDICAL EDITOR Picture Research Manager Taiyaba Khatoon Shannon Hach, MD; STAT editing This American Edition, 2022 Published in Great Britain First American Edition, 2018 by Dorling Kindersley Limited Published in the United States by DK Publishing 1450 Broadway, Suite 801, New York, NY 10018 A catalog record for this book is available from the Library of Congress. Copyright © 2018, 2022 Dorling Kindersley Limited DK, a Division of Penguin Random House LLC ISBN 978-0-7440-5165-0 22 23 24 25 26 10 9 8 7 6 5 4 3 2 1 001-326968-Jan/2022 DK books are available at special discounts when purchased in bulk for sales promotions, premiums, All rights reserved. Without limiting the rights under the copyright fund-raising, or educational use. For details, contact: reserved above, no part of this publication may be reproduced, DK Publishing Special Markets, 1450 Broadway, Suite stored in or introduced into a retrieval system, or transmitted, in 801, New York, New York 10018; [email protected] any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior written permission of the copyright owner. Printed and bound in China www.dk.com This book was made with Forest Stewardship Council ™ certified paper – one small step in DK’s commitment to a sustainable future. For more information go to www.dk.com/our-green-pledge UUSS__000044--000077__CCoonntteennttss..iinndddd 44 0099//0099//22002211 1122::1111 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 UUSS__000044--000077__CCoonntteennttss..iinndddd 55 1122//1100//22002211 1144::5544 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 UUSS__000044--000077__CCoonntteennttss..iinndddd 66 0077//0099//22002211 1155::2288 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. UUSS__000044--000077__CCoonntteennttss..iinndddd 77 0077//0099//22002211 1155::2288 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. UUSS__000088--000099__HHooww__ttoo__uussee__tthhiiss__bbooookk..iinndddd 88 0099//0099//22002211 1122::1122 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 UUSS__000088--000099__HHooww__ttoo__uussee__tthhiiss__bbooookk..iinndddd 99 0077//0099//22002211 1166::0044 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.