Gastro Exam Arms

Question 1

Things to look for

Answer 1

“At this point i would normally take the patients vital signs, however, in the interest of time i will not unless you would like me to”
“Could i get you to put your arms out straight and extend your hand back with your fingers spread apart”
-Bruising: ecchymoses (normal) and Petechiae (pin head sized bruises)
-muscle wasting or cachexia
-Observe for scratch marks
-spider naevi
-Acanthosis nigricans
-Hepatic flap, jerking of wrists after arms being out for 15-30s

Question 2

Ecchymoses

Answer 2

Bruises

Question 3

Petechiae

Answer 3

Pin head sized bruises

Question 4

Scratch marks

Answer 4

Sign of itchiness Pruritus

Question 5

Spider Naevi

Answer 5

Small central arterials surrounded by spider leg like capillaries

Question 6

Acanthosis nigricans

Answer 6

Darkening discolouration in folds and creases

Question 7

Hepatic flaps

Answer 7

Jerking of the wrists after arms have been out for 15-30s, suggests liver disease