Data - Gastrointestinal Flashcards
Signs of GI disease in the hands?
Clubbing Koilonychia Leukonychia (liver disease) Palmar erythema (liver disease) (and asterixis)
Proper name for dry mouth
Xerostomia
Proper name for altered taste sensation
Dysgeusia
Proper name for foul taste sensation
Cacageusia
Proper name for fatty pale greasy stools
Steatorrhoea
Proper name for rectal bleeding
Haematochezia
Dyspepsia relieved by meals?
Duodenal ulcer
Dyspepsia worse 15-30 mins after eating?
Gastric ulcer
Pain on swallowing?
Odynophagia
Tongue appearance in Fe deficiency?
Atrophic glossitis (smooth, pale tongue) (and angular chelitis)
Tongue appearance in B12/folate deficiency?
Beefy, red tongue.
Left supraclavicular lymphadenopathy?
Virchow’s node
Troisier’s sign
Sign of metastatic abdominal malignancy
Cause of palmar erythema and spider naevi?
Excess oestrogen, not being broken down by liver.
May be present in pregnant women.
Leukonychia pathology?
Hypoalbuminaemia,
loss of proteins (malabsorption, protein losing-enteropathy)
Mousy odour of breath?
Fetor hepaticus - due to dimethyl sulphide - portosystemic shunting
Draw and name abdominal surgical scars [7]
Upper midline Kocher's - right subcosttal Paramedian Lower midline Appendicectomy Pfannenstiel Inguinal
Inflamed gallbladder - pain and arrest of inspiration on palpation?
Murphy’s sign
Direct vs indirect inguinal hernia?
Direct: doesn’t follow inguinal canal
Indirect: follows inguinal canal - 85% all inguinal hernias
Signs of strangulated hernia?
Tense and tender hernia No cough impulse Later: Bowel obstruction Shock, sepsis
Name for infected fallopian tube?
Salpingitis
Bruising and subcutaneous oedema around umbilicus, name and cause?
Cullen’s sign:
Ruptured ectopic
Aortic rupture
Acute pancreatitis
Pain in left iliac fossa produces pain in right iliac fossa?
Rovsing’s sign - acute appendicitis
How to separate internal and external haemorrhoids?
Pectinate line - embryological end of hind gut, lots of separate things, vascular, lymphatic drainage etc
