Abdominal Examination Flashcards

1
Q

GI causes of clubbing

A

IBD
Coeliac disease
Liver cirrhosis

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2
Q

Leukonychia

A

Hypoalbuminaemia

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3
Q

Koilonychia

A

Iron deficiency

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4
Q

Palmar erythema

A

Hyper dynamic circulation due to increased oestrogen levels in liver disease/ pregnancy

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5
Q

Glossitis

A

Iron deficiency

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6
Q

Stomatitis

A

B12 deficiency

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7
Q

Hepatomegaly causes

A
Metastatic cancer 
HCC
Hepatitis 
RVF 
Fatty liver 
Alcoholic liver disease
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8
Q

Causes of splenomegaly

A
Lymphoma 
Leukaemia
Portal hypertension 
Malaria 
EBV 
Extravascular haemolysis
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9
Q

Drugs that cause gynaecomastia

A
DISCO
Digoxin 
Isoniazid 
Spironolactone 
Cimetidine 
Oestrogens
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10
Q

Murphy’s sign

A

Pain on deep inspiration on palpating in the right upper quadrant (cholecystitis)

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11
Q

Tinkling/ high pitched bowel sounds

A

Partial or total obstruction

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12
Q

Loud low pitch (borborygmus) bowel sounds

A

Diarrhoea or abnormal peristalsis

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13
Q

Absent bowel sounds

A

Paralytic ileus, peritonitis

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14
Q

Focused examination- liver disease

A

Palmar erythema, dupuytrens contracture, xanthalasma, leukocnhyia, clubbing, flapping tremor, loss of body hair, jaundice (sclera), spider naevi, ascites, Capit medusae, gynaecomastia, hepatomeglay, splenomegaly, peripheral oedema, fever of viral hepatitis

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15
Q

Focused examination- IBD

A

Clubbing, decreased body habitus, aphthous ulcers, stomas, joint problems, conjunctivitis, pain on palpation

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16
Q

CKD

A

Generalised oedema, conjunctival pallor, leukocnhyia, uraemia flap, periporbital oedema ( one for kids in nephrotic syndrome), scars and fistulas, central lines, JVP, enlarged kidneys (ADPKD) or renal bruits

17
Q

Focused examination- gallstones

A

Jaundice (sclera), Pruritis, RUQ on palpation, murphy’s sign

18
Q

Focused examination- Cushings

A

Central obesity and muscle wasting, fullness of face, virolacoues striae, hypertension, pigmentation, gynaecomastia, acne, dorsal fat pad, bruising

19
Q

Focused examination- anaemia

A

Koilonychia, conjunctival pallor, glossitis (Fe deficiency)stomatitis (Fe or B12 deficiency), hepatosplenomegaly

20
Q

Focused examination- diabetes

A

Weight loss or gain (type 1 or 2), amputations, hypertension, peripheral neuropathy, ulcers, strophic changes to feet, deformities, vascular insufficiency, decreased sweating (very dry feet), finger prick marks (having BM tested)