Chief Complaint: Fatty tumors and dry, corrugated fingernails, occasional leg pain
Medical History: Elderly woman about 70 years old. In generally good health except for her main complaints.
Questioning exam: Visible fatty tumours on upper arms about one to two centimeters in diameter, deformed fingernails, occasional leg pain.
Pulse exam: Generally slippery, especially at the lung and spleen positions. Otherwise thin although not overly weak.