Multiple striae are present on the belly and in the upper thigh area. The nose is a bit bulbous and shows thickened skin with some broken blood vessels. There is redness of the cheeks, also. The patient wears glasses but often looks at the examiner over the top rims. The left outer canthus is tearing and the cornea reddened.
Tympanic membranes are intact.
Landmarks are well seen. The nose is somewhat bulbous and red. The tongue shows leukoplakic patches. Teeth are in good repair. Throat is reddened.