Abdominal 1: Peripheral Flashcards

1
Q

Peripheral examination - what are the SIGNS to check for from end of the bed?

A

Jaundice
Confusion
Distension
Pallor
Oedema
Cachexia
Hernias
Signs of pain/distress
Signs of easy bruising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Peripheral examination - what are GI things to check for from the end of the bed?

A

Abdominal drains
Stoma bags
Signs of AV fistulae
Obs/drug/fluid balance charts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Peripheral examination - what are food things to check from the end of the bed?

A

Sick bowls
Food supplements
Dietary notices
NBM instructions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hand and arms - what are clinical signs to check for?

A

Palmar erythema
Dupuytren’s contracture
Clubbing
Koilonychia
Leukonychia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Koilonychia

A

Spoon nails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Leukonychia

A

White dots/strips on nails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hand and arms - what are informative signs to look for?

A

Bruising
Tattoos
Excoriations
Wasting
Needle track marks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hand and arms - why check the axillae?

A

Acanthosis nigricans - hyperpigmentation + hyperkeratosis of skin

Hair loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Face and neck - what to look at in eyes?

A

Sclera
Cornea
Conjunctiva
Eyelids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Xanthelasma

A

Chronic cholestasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Corneal arcus

A

Hyperlipidaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Kayser-Fleischer rings

A

Dark rings around the iris - Wilson’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Parotid swelling

A

Alcohol abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Perlimbal injection

A

Anterior uveitis is assoc with IBD?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Angular cheilitis

A

Iron deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Glossitis
Beefy, red tongue

A

Folate/B12 deficiency

17
Q

Atrophic and smooth tongue

A

Iron deficiency

18
Q

What are signs of dehydration in the face and mouth?

A

Sunken eyes
Dry mucous membranes

19
Q

Face and neck - what else do you do beyond check for signs?

A

Palpate for lymphadenopathy - especially Virchow’s node

20
Q

Why is Virchow’s node especially important to palpate for in abdominal exams?

A

Associated with gastric malignancy

21
Q

Chest - what do you examine?

A

Spider naevi
Gynaecomastia
Body hair distribution

22
Q

What are spider naevi?

A

Vascular lesion
Abnormal dilation of vessels under skin
>5 is abnormal

23
Q

Chest - what is lack of hair a sign of?

A

Liver disease