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Examinations > Abdominal Examination > Flashcards

Abdominal Examination Flashcards

1
Q

What are the abdo causes of clubbing?

A

cirrhosis, IBD and coeliac disease

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2
Q

What causes kolinychia and what does it look like?

A

chronic iron deficiency - spooned nails

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3
Q

What causes leuconychia and what does it look like?

A

hypoalbuminaemia (liver failure, enteropathy) - white nails

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4
Q

What causes palmar erythema (abdo)

A

liver disease - pregnancy

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5
Q

What are the 4 abdo signs in the hand?

A

clubbing, kolinychia, leukonychia, palmar erythama and dupytrens.

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6
Q

Whats after hands (abdo)

A

hepatic flap

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7
Q

Causes of hepatic flap?

A

hepatic encephalopathy, uraemia

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8
Q

What are you looking for on the arms in abdo?

A

bruising, petechiae, excoriations, track marks

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9
Q

What to look for in the eyes on abdo?

A

Xanthelasma, conjunctival pallor and jaundice.

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10
Q

What about in the mouth?

A

Oral candida, angular stomatitis (iron/B12 def) glossitis

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11
Q

What to check in the neck?

A

Virchows

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12
Q

How many spider naevi is significant?

A

> 5

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13
Q

What is cullens sign?

A

Bruising surrounding umbilicus - retreoperitoneal bleed in pancreatitis or ruptured AAA

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14
Q

What is Grey-turners sign?

A

bruising in the flanks - reteroperioneal bleed

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15
Q

what are the 5 causes of abdominal distention?

A

fluid, fat, faeces, flatus, fetus

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16
Q

What is rebound tenderness?

A

Pain is worsened on releasing the pressure - peritonitis

17
Q

What causes a pulsatile enlarged liver?

A

tricuspid regurg

18
Q

What is the difference in feeling between a pulsatile aorta and an expansile aorta?

A 
Upward = pulsatile 
Outward = expansile.
19
Q

What should you be listening to in the abdomen?

A

bowel sounds, aortic bruit above the umbilicus and renal bruits lateral to the midline above the umbilicus

20
Q

What is the to complete for abdo?

A

Hernial orifices
DRE
Examination of external genetalia.

Examinations (4 decks)

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