Abdominal Exam Flashcards
What hand signs would you see in Chronic Liver Disease? (5)
Flapping tremor Clubbing Leukonychia Palmar erythema Dupuytren''s contracture
What other peripheral signs would you see in Chronic Liver Disease? (4)
Jaundice
Spider naevi
Gynaecomastia
Loss of axillary hair
What abdominal signs would you see in Chronic Liver Disease? (2)
Hepatomegaly
Ascites
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- Afro-carribean
Sarcoid
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- Slate-grey pigmentation
- Capillary glucose monitoring marks
Haemochromatosis
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- Tatoos
Hepatitis C
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- xanthelasma
Primary Biliary Cirrhosis
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- Goitre
- Middle aged female
Autoimmune
If you suspect chronic liver disease, what would the following suggest is the aetiology:
- emphysema
Alpha 1 Antitrypsin deficiency
What signs suggest decompensated chronic liver disease? (3)
Encephalopathy
Jaundice
Ascites
What signs would you see in a transplanted kidney? (3)
AV fistula
Rutherford Morrison scar (RIF)
Smooth mass underlying scar
What signs would suggest polycystic kidney disease? (6)
AV fistula if on dialysis Hypertension Pale conjunctiva (anaemia) Flank scar if removed Bilateral ballotable flank masses Hepatomegaly (hepatic cysts)
What signs would suggest polycythaemia rubra vera? (4)
Dusky cyanosis
Hypertension
Facial plethora
Splenomegaly
What signs would suggest hereditary spherocytosis? (3)
Pale conjunctiva
Jaundice
Splenomegaly
What signs would suggest primary biliary cirrhosis? (6)
Middle aged female Jaundice in eye (icteric) Increased skin pigmentation Excoriations Xanthelasma Hepatomegaly
