alimentary exam

Question 1

hands and arms?

Answer 1

anaemia
leukonychia

clubbing
palms - palmer erythema

arms - bruising/scratch marks/muscle wasting

tremor

pulse

Question 2

head?

neck region?

Answer 2

EYES -
jaundice
anaemia

neck - Lymph nodes
spider naevi
loss of hair
gynaecomastia

Question 3

legs?

Answer 3

peripheral oedema

loss of body hair

Question 4

abdomen inspection ?

Answer 4

inspection - scars? skin lesions, movement with respiration, visible pulsation

Question 5

abdomen stages?

Answer 5

inspection 
palpation - 
=light 
9 regions, 
check for-superficial masses/tenderness/muscle tension

=deep
check for tenderness

liver

spleen

kidneys

percussion -

liver
spleen

• shifting dullness
• fluid thrill

auscultation-

diaphragm on left lower quadrant

bruits -
renal arteries
abdominal aorta 
liver
spleen