Exam Of Abdomen (git) : Dr Ghuam

Question 1

Signs of chronic liver disease (7)

Answer 1

Jaundice
Hepatimegaly
Clubbing

Question 2

Spider telangectasiav vs nevi

Answer 2

Telangectasia is small dilated blood vessels

Naevi is small blood vessels shown on the chest. A sign of :

Question 3

Complications of cirrhosis (4)

Answer 3

Hypoalbuminemia
Portal hypertension
Dilated superficial veins

Question 4

Signs of chronic liver failure (4)

Answer 4

Tremors
Encephalopathy
Jaundice

Question 5

9 regions of abdomen and 2 lines transverse

Answer 5

Epigastrium, R and L hypochondrium
Umbilical, R and L lumbar
Pubis , R and L inguinal

2 MCL vertically. 2 horizontally : subcostal lines and iliac crest line

Question 6

Abdomen destention due to (6)

Answer 6

Fluid, Faeces, Fat, Fetus, flatulence

Question 7

Caput madusae causes (2)

Answer 7

Portal hypertension

Question 8

Pinkish stria found seen in

Answer 8

Cushings disease?

Question 9

4 heinia’s on inspection look for - (4)

Answer 9

Umbilical, inguinal, diaphragmatic and femoral

Question 10

4 grading of abdomen tenderness

Answer 10

Grade 1 : discomfort in touch

Grade 2 : pain on touch ???

Grade 3 : moves away from stimulus ???

Grade 4 : moves entire body

Question 11

Rigidity Vs guarding vs rebound tenderness occurs when

Answer 11

Rigidity is involuntary contraction of the abdominal muscles. Occurs due to :

Guarding : voluntary contraction of muscles occurs in peritonitis ?

Rebound tenderness : press and let go quickly results in pain. Occur in peritonitis

Question 12

Causes sphenomegaly (10)
Group information (2)
Malig (2)

Question 13

Up to ___ cm normal heppa in kids below 5 years

Question 14

Kidney Vs spleen differences -palpitation

Question 15

Expect ascites when 4 things occurs ?

Question 16

Causes ascites_____

Question 17

Bowel sound indicates ?

Question 18

Absent bowl sound “____”

Question 19

3 areas listening for bruits

Answer 19

Portal artery, renal and aorta

Question 20

And wink done when