Abdo skills Flashcards

1
Q

Abdo specific global overview

A

Signs of pain
Abdominal distention
Jaundice
Muscle wastage (cachexia)
Vomit bowls
Stoma bags

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2
Q

Checking eyes

A

Jaundice (yellowing of sclera) (liver disease)
Conjunctival pallor (pale under eye lid) (anaemia)
Corneal arcus (ring around iris) (Fatty deposit)
Xanthelasma (yellow fatty deposits)
Kayser Fleischer rings (Dark rings around iris) (copper deposit)
Perilimabal injection (Blood shot) (Trauma/infection)

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3
Q

Checking mouth

A

Angular stomatitis (Sores in corners of mouth) (Oral thrush/ poor nutrition)
Glossitis (Swollen tongue) (Allergy)
Candidiasis (White patches on tongue) (Oral thrush)
Aphthous Ulceration (Mouth ulcer) (Medication/ diet)

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4
Q

Checking Neck

A

Lymph nodes larger than pea (cancer/ infection)
Virchows node (Swollen lymph on left mid clavicle) (Gastric cancer)

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5
Q

Checking chest

A

Spider Naevi (Liver diseases)
Gynocomastea (man boobs) (Liver disease)
Hair loss (Liver disease)

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6
Q

Checking abdomen

A

Surgical scars
Distention (Air, fluid or stool buildup)
Hernia (Increased strain/ weak spot in abdomen)
Stoma (Bag to collect waste) (bowel disease/ cancer)
Cullens sign (Bruising at umbilicus) (internal bleeding)
Grey-Turner sign (Bruising at flank) (internal bleeding)

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7
Q

Palate abdominal regions

A

Right Hypochondriac
Epigastric
Left Hypochondriac
Right lumbar
Umbilical
Left lumbar
Right iliac
Hypogastric
Left iliac

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8
Q

Palpate organs

A

Liver
Spleen
Aorta
Kidneys (pinch)

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9
Q

Percuss organs

A

Liver
Spleen
Shifting dullness (fluid content)

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10
Q

Auscultate

A

Bowel sounds (Ascending, transvers and descending colon)
Aorta (Bruits)
Renal arteries (Bruits)

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11
Q

Appendicitis

A

McBurneys point (1/3 distance right iliac crest and umbilicus)
Rovsing’s (apply pressure opposite side of mcburney and push to right)
Obturator (Right leg at 90 degrees and rotated away from body
Psoas (Pressure against right leg as it is lifted)

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12
Q

Cholecystitis

A

Murphys test

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13
Q

Full test

A

Check danger
Global overview
DRABCDE
Interventions (if necessary)
Consent
Medical model
Check eyes and mouth
Check chest and abdo
Palpate
Percuss
Auscultate
Specific tests (appendicitis/ choecystis) (If necessary)

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