Abdominal 1: Peripheral Flashcards
Peripheral examination - what are the SIGNS to check for from end of the bed?
Jaundice
Confusion
Distension
Pallor
Oedema
Cachexia
Hernias
Signs of pain/distress
Signs of easy bruising
Peripheral examination - what are GI things to check for from the end of the bed?
Abdominal drains
Stoma bags
Signs of AV fistulae
Obs/drug/fluid balance charts
Peripheral examination - what are food things to check from the end of the bed?
Sick bowls
Food supplements
Dietary notices
NBM instructions
Hand and arms - what are clinical signs to check for?
Palmar erythema
Dupuytren’s contracture
Clubbing
Koilonychia
Leukonychia
Koilonychia
Spoon nails
Leukonychia
White dots/strips on nails
Hand and arms - what are informative signs to look for?
Bruising
Tattoos
Excoriations
Wasting
Needle track marks
Hand and arms - why check the axillae?
Acanthosis nigricans - hyperpigmentation + hyperkeratosis of skin
Hair loss
Face and neck - what to look at in eyes?
Sclera
Cornea
Conjunctiva
Eyelids
Xanthelasma
Chronic cholestasis
Corneal arcus
Hyperlipidaemia
Kayser-Fleischer rings
Dark rings around the iris - Wilson’s disease
Parotid swelling
Alcohol abuse
Perlimbal injection
Anterior uveitis is assoc with IBD?
Angular cheilitis
Iron deficiency