Clinical Examination of the Abdomen and GU system Flashcards
1
Q
GI causes of finger clubbing
A
Malabsorption
Inflammatory bowel disease (crohns + UC)
Lymphoma
Cirrhosis
2
Q
asterixis
A
coarse flapping tremor which occurs with encephalopathy
3
Q
the 5 f’s of distension
A
fat fluid faeces flatus foetus
4
Q
Causes of renal enlargement
A
- Hydronephrosis
- Polycystic kidney disease
- Renal cell carcinoma
- In children, nephroblastoma (Wilm’s tumour)
- Solitary cysts
5
Q
Courvoisier’s sign
A
- Painless jaundice and a palpable gallbladder
- Likely due to extrahepatic obstruction
- E.g. Pancreatic cancer
- UNLIKELY to be gallstones
6
Q
Murphy’s Sign
A
• Feel for gall bladder tenderness (e.g. acute cholecystitis)
• Patient breathes in whilst you gently palpate RUQ in mid-
clavicular line
• On liver descent contact with inflamed gallbladder causes
tenderness and sudden arrest of inspiration
7
Q
leuconychia
A
the white marls not the finger nails
8
Q
kolionychia
A
spoon nails
9
Q
Dupuytrens contracture
A
ring and small finger pulled down due to the thickening of the fascia
