Abdominal Flashcards

1
Q

Hyperpigmented macules in the mouth?

A

Peutz-jeghers syndrome (polyps in GI tract)

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2
Q

Further assessments and investigations at the end of an abdominal exam?

A
  • check hernial orifices
  • Perform a digital rectal exam
  • External genitalia exam
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3
Q

Stigmata of chronic liver disease?

A
  • Clubbing
  • Leukonychia
  • palmar erythema
  • Spider naevi
  • Gynaecomastia
  • loss of axillary hair
  • Hepatomegaly
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4
Q

Signs of decompensated liver disease?

A
  • Asterixis
  • Icterus
  • Ascites
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5
Q

Signs of portal hypertension?

A
  • Distended abdominal veins
  • Splenomegaly
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6
Q

Investigations into unknown cause of chronic liver disease?

A
  • Tests of synthetic function of liver: albumin, prothrombin time
  • Investigations for hepatocellular damage: LFTs
  • Hep B and C serology
  • FBC - thrombocytopenia in hyeprspelnism
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7
Q

Investigations into unknown cause of nephrotic syndrome?

A
  • Urine dipstick (screen for protinuria)
  • Urine protein:creatinine ration or 24hr unripe protein collection
  • Fasting plasma glucose + Hba1c
  • Autoantibody screening
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8
Q
A
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