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M5 Clinical Examinations > Abdominal > Flashcards

Abdominal Flashcards

1
Q

Abdo exam

Identify

Inspection

A

Clubbing

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2
Q

Abdo exam

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Inspection

A

Leuconycia

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3
Q

Abdo exam

Identify

Inspection

A

Koilonychia

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4
Q

Abdo exam

Identify

Inspection

A

Palmar Erythema

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5
Q

Abdo exam

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Inspection

A

Duptyrenes Contracture

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6
Q

Abdo exam

Identify

Inspection

A

Arteriovenous Fistula

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7
Q

Abdo exam

Identify

Inspection

A

Xanthalasma

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8
Q

Abdo exam

Identify

Inspection

A

Jaundiced Sclera

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9
Q

Abdo exam

Identify

Inspection

A

Conjunctival Palor

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10
Q

Abdo exam

Identify

Inspection

A

Kayser-Fleischer Rings

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11
Q

Abdo exam

Identify

Inspection

A

Parotid Gland enlarged

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12
Q

Abdo exam

Identify

Inspection

A

Lip pigmentation with Peutz-Jehger’s syndrome

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13
Q

Abdo exam

Identify

Inspection

A

Telangiectasia

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14
Q

Abdo exam

Identify

Inspection

A

Angula stomatitis

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15
Q

Abdo exam

Identify

Inspection

A

Glossitis

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16
Q

Abdo exam

Identify

Inspection

A

Mouth Ulcers
?IBD

17
Q

Abdo exam

Identify

Inspection

A

Spider Naevi

18
Q

Abdo exam

Identify

Inspection

A

Gynaecomastia

19
Q

Abdo exam

Identify

Inspection

A

Caput Medusa

20
Q

Abdo exam

Identify

Inspection

A

Ascites

21
Q

INTRODUCTION

A

Introduce yourself (full name and role)
Check patient’s name
Explain what examination entails and consent
Ask if in any pain
Clean your hands (and stethoscope if not using patients own)
Position lying supine
Ensure adequate exposure (down to waist)

22
Q

Abdo Exam

INSPECTION:

A

Bedside
Stoma bags
Nutritional supplements/milkshakes
Vomit bowls
Patient
Pain/distress
Jaundice
Cachexia
Obvious abdominal distension
Stoma bags
PEG tubes/ Nasogastric tube/ Drain
Tattoos (hepatitis C)

23
Q

Abdo exam

HANDS

A

Nails
Clubbing
Leukonychia
Koilonychia
Tar stains
Palms
Dupuytrens contracture
Palmar erythema
Liver flap

24
Q

Abdo exam

ARMS

A

Arteriovenous fistula
Excoriations
Bruising

25
Q

Abdo exam

EYES

A

Xanthalesma
Jaundiced sclera
Conjunctival pallor
Kayser-Fleisher ring

26
Q

Abdo exam

PAROTID GLANDS

A

Enlargement

27
Q

Abdo exam

MOUTH

A

Angular stomatitis - iron, B12,folate, crohns

Pigmentation - addisons, haemochromotosis, PBC

Telangectasia- cirrhosis

Dry mucus membranes- sjrogens

Glossitis- iron folate b12, malabsorption

Ulcers- crohns, bechets, lupus

Hepatic foetor- advance liver disease

Primary diseases of the oral cavity; dentition-

28
Q

Abdo exam

NECK

A

Supraclavicular lymph nodes to look for Virchows node

29
Q

Abdo exam

CHEST

A

Spider naevi
Gynaecomastia
Excoriation
Change in hair distribution

30
Q

Abdo exam

ABDOMEN

INSPECTION

A

Distension
Scars
Spider naevi
Excoriation marks
Bruising
Lumps/mass/ swellings/ hernia
Pulsations
Peristalsis
Caput medusae
Stoma

31
Q

Abdo exam

PALPATION

A

9 regions of the abdomen
Superficial palpation
Deep palpation
Tenderness/masses/guarding/rigidity
Liver (hepatomegaly)
Spleen (splenomegaly)
Kidneys (enlarged kidneys)
Aorta (AAA)

32
Q

Abdo exam

PERCUSSION

A

Liver
Spleen
Masses/swellings
Areas of tenderness
Shifting dullness

33
Q

Abdo exam

AUSCULTATION

A

Bowel sounds
Bruits
Abdominal aorta
Renal arteries

34
Q

Abdo exam

CONSIDER OTHER EXAMINATIONS

A

Rectal examination
Hernial orifices
Scrotal and external genitalia/vaginal examination
Urinalysis
Pregnancy test
Full lymph node examination
Vital signs

M5 Clinical Examinations (13 decks)

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