"Clinician and a ailing woman " (details from "The Sick Woman") Jan Havickszoon Steen (c.1626-1679) Rijks Museum, Amsterdam, Netherlands

The facial flush suggestive of a febrile disorder - palpation of the pulsations of the heart or pulse - the inflamed joints of articulations of the hand - signs suggestive of Rheumatic Fever precipitated by a "strep throat" - the suggestion is the patients heart is affected (a common complication of this disorder).