Abdominal Flashcards
Abdo exam
Identify
Inspection
Clubbing
Abdo exam
Identify
Inspection
Leuconycia
Abdo exam
Identify
Inspection
Koilonychia
Abdo exam
Identify
Inspection
Palmar Erythema
Abdo exam
Identify
Inspection
Duptyrenes Contracture
Abdo exam
Identify
Inspection
Arteriovenous Fistula
Abdo exam
Identify
Inspection
Xanthalasma
Abdo exam
Identify
Inspection
Jaundiced Sclera
Abdo exam
Identify
Inspection
Conjunctival Palor
Abdo exam
Identify
Inspection
Kayser-Fleischer Rings
Abdo exam
Identify
Inspection
Parotid Gland enlarged
Abdo exam
Identify
Inspection
Lip pigmentation with Peutz-Jehger’s syndrome
Abdo exam
Identify
Inspection
Telangiectasia
Abdo exam
Identify
Inspection
Angula stomatitis
Abdo exam
Identify
Inspection
Glossitis
Abdo exam
Identify
Inspection
Mouth Ulcers
?IBD
Abdo exam
Identify
Inspection
Spider Naevi
Abdo exam
Identify
Inspection
Gynaecomastia
Abdo exam
Identify
Inspection
Caput Medusa
Abdo exam
Identify
Inspection
Ascites
INTRODUCTION
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)
Abdo Exam
INSPECTION:
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)
Abdo exam
HANDS
Nails
Clubbing
Leukonychia
Koilonychia
Tar stains
Palms
Dupuytrens contracture
Palmar erythema
Liver flap
Abdo exam
ARMS
Arteriovenous fistula
Excoriations
Bruising
Abdo exam
EYES
Xanthalesma
Jaundiced sclera
Conjunctival pallor
Kayser-Fleisher ring
Abdo exam
PAROTID GLANDS
Enlargement
Abdo exam
MOUTH
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-
Abdo exam
NECK
Supraclavicular lymph nodes to look for Virchows node
Abdo exam
CHEST
Spider naevi
Gynaecomastia
Excoriation
Change in hair distribution
Abdo exam
ABDOMEN
INSPECTION
Distension
Scars
Spider naevi
Excoriation marks
Bruising
Lumps/mass/ swellings/ hernia
Pulsations
Peristalsis
Caput medusae
Stoma
Abdo exam
PALPATION
9 regions of the abdomen
Superficial palpation
Deep palpation
Tenderness/masses/guarding/rigidity
Liver (hepatomegaly)
Spleen (splenomegaly)
Kidneys (enlarged kidneys)
Aorta (AAA)
Abdo exam
PERCUSSION
Liver
Spleen
Masses/swellings
Areas of tenderness
Shifting dullness
Abdo exam
AUSCULTATION
Bowel sounds
Bruits
Abdominal aorta
Renal arteries
Abdo exam
CONSIDER OTHER EXAMINATIONS
Rectal examination
Hernial orifices
Scrotal and external genitalia/vaginal examination
Urinalysis
Pregnancy test
Full lymph node examination
Vital signs
