Abdomen Flashcards

1
Q

Leukonychia

A

Hypoalbuminaemia

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2
Q

Clubbing

A

Cirrhosis, IBD, coeliac

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3
Q

Koilonychia

A

Iron deficiency anaemia

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4
Q

Dupuytens contracture

A

Alcohol

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5
Q

Bruising

A

Liver dysfunction

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6
Q

Scratch marks/pruritis

A

Chronic cholestasis

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7
Q

Muscle wasting

A

Inadequate nutrition, sepsis

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8
Q

Tract marks

A

Risk of hep B and C

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9
Q

Poor skin turgor

A

Dehydration

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10
Q

Flapping tremor

A

Liver failure

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11
Q

Fine tremor

A

Alcohol withdrawal

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12
Q

Parotid swelling

A

Alcohol

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13
Q

What do the following nodes drain

  • virchows
  • anterior and posterior nodes
  • tonsillar
  • submandibular
  • submental
  • preauricular
A
  • Virchows
    • GI structures
  • Anterior and posterior cervical
    • Neck structures
  • Tonsillar
    • Oropharynx
  • Submandibular
    • 2/3 tongue and floor mouth
  • Submental
    • Tip tongue and anterior floor mouth
  • Preauricular
    • Face including parotid
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14
Q

Spider naevi

A

Liver failure

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15
Q

Erythema nodosum

A

IBD

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16
Q

What do you inspect for in abdomen?

A
  • Movement with respiration
  • Scars
  • Stoma
  • Visible pulsation
  • Distended veins
  • Skin lesions
  • Petechiae
  • Scratch marks
  • Abdominal shape
  • Abdominal distension
  • Straie
17
Q

Scratch marks

A

Chronic cholestasis/liver failure

18
Q

Distended veins

A

Portal hypertension

19
Q

Petechiae

A

Liver dysfunction

20
Q

Striae

A

Weight loss

21
Q

Abdominal distension

A

5 Fs (fat, faeces, flatus, fluid or foetus)

22
Q

What is percussed?

A
  • Liver
  • Spleen
  • Shifting dullness
  • Fluid thrill
23
Q

What must you say at end

A

Now would examine groin, hernial orifices, male genitalia and digital rectal examination