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Note what signs you see.
I (W. Wertelecki, M.D.) see a fifth and last illustration of this girl. Knees, ankles and feet do not reveal signs of clinical relevance to the context of those observed in the previous four illustrations. The slight bowing of the right ankle may be an artifact of photography. The toe nails are insufficiently visible. There is no podal edema and there is a gap between toes 1-2. In summary, this photograph is an example of the importance of documenting “negative” (absence) clinical signs. See further comments in the illustrative gallery of this patient.