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Head (Facies (Rash (Malar Rash (SLE), Malar Flush (seen in mitral…
Head
Facies
Down Syndrome
Protruding tongue, and the whole face appears flat and round
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Congenital Syphilis
Hutchinson teeth
Teeth being notched and tuberculated. There were wide spaces between the incisors, and all the four canines showed a central tubercle
Smoker's Face
Face thin,skinny and bony
skin is wrinkled, atrophic, and gray
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Trauma
Examination of the skull is especially important. Look for bruises, swellings, and cerebrospinal fluid otorrhea or rhinorrhea
Battle sign
A bruise over the mastoid signifies a middle fossa basal skull fracture 
Tends to be on the same side as the fracture, although a fracture on the opposite side or bilateral fractures can cause the sign. It usually occurs within the first 48 hours after injury, although it can be delayed for 3 to 12 days
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Because head injury is frequently associated with cervical spine injury, the presence of any of these signs reinforces the importance of protecting the cervical spine until injury to that region can be ruled out.
Endocrine Disorders
Myxedema
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nephrotic syndrome has a similar appearance in which the puffiness results from hypoproteinemic edema and the yellow hue from urochromes
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Acromegaly
Increasing hat size, prognathism with wider spacing of the teeth, and coarsening of the features are signs of acromegaly, as bone and soft tissue increase in bulk. Enlargement of the sinuses may result in a hollow-sounding voice
Shapes of Head
Frontal bossing
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Sign of congenital heart disease, syphilis, rickets, or, most commonly, hydrocephalus. In the elderly, it may signify Paget disease
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Microcephaly
Familial trait or a part of the congenital TORCH syndrome (due to toxoplasmosis, rubella, cytomegalovirus, or herpes).
Movements of the Head
The Bobbing of the head back and forth during systole is called the de Musset sign. It may be seen in aortic insufficiency or any other high stroke volume condition
Lateral systolic head bobbing is a sign of severe tricuspid regurgitation or right ventricular dysfunction
Palpation
Mastoid Tenderness
Postauricular lymphadenitis, otitis media, and acute (but not chronic) mastoiditis
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