Gastro Exam Order Flashcards
1
Q
What are the 13 sections of the gastro exam?
A
- Intro
- Position and exposure
- General inspection
- Hands and arms
- Face
- Neck
- Chest inspection
- Abdomen inspection
- Abdominal palpatation
- Further percussion
- Ausultation
- Other
- End
2
Q
What is included in the introduction?
A
- Checks patients name and states role
- Obtains consent for examination
- Washes hands
3
Q
What is in position and exposure?
A
- Appropriate position
2. Check they are happy to lie flat
4
Q
What is in general inspection?
A
- Inspection from end of bed look for (mentions at least 2)
- Ask about any tattoos or bruises
- Gets patient to cough/lift head off of bed
5
Q
What is in hands and arms?
A
- Inspection of hands and arms (mentions at least 2)
- mention or assess for Liver for 30s to say it is not present
- Radial pulse
- Blood pressure
6
Q
What are you looking for on inspection from end of bed?
A
- Obvious aneamia
- Jaundice
- Tattoos
- Distension or scars
- Medical paraphenalia around bed
7
Q
What do you look for on inspection of hands and arms?
A
- Clubbing
- Leukonychia
- Dupuytren’s contracture
- Palmar erythema
- Tattoos
- Exoriation
- Petechiae
- Haemodialysis fistulae
8
Q
What do you look for on the face?
A
- Inspect eyes
2. Inspects mouth (mentions at least 2)
9
Q
What features are you looking for on inspection of the eye?
A
- Conjunctival pallor
2. Scleral icterus
10
Q
What features are you looking for on inspection of the mouth?
A
- Pigmentation
- Telangiectasia
- Hydration
- Dentition
- Apthous ulcers
- Angular stomatitis
- Atrophic glossitis
- Candidiasis
11
Q
What do you look out for in the neck?
A
- Left supraclavilcular lymph node (Virchow’s Node) for Trosisier’s sign (full neck lymph node examination)
- JVP
- Acanthosis nigricans
12
Q
What do you look for in the chest inspection?
A
- Closer inspection of chest for (mentions at least 2)
1. Scars
2. Spider naevi (presses them)
3. gynaecomastia
4. abnormal hair distribution
13
Q
What do you look for on abdomen inspection?
A
- Closer inspection of the abdomen for (mentions at least 2)
1. Scars
2. distension
3. caput medusa
4. pulsations
5. Cullen’s and Grey-Turner’s sign
6. striae
7. stomas/nephrostomies
14
Q
How do you carry out abdominal palpation?
A
- Asks about pain
- Light Palpation
- All quadrants starting away from pain, monitors patients face for pain, assesses for guarding & rebound - Deep Palpation
- Assesses for masses - Liver palpation and percussion
- Spleen palpation and percussion
- Kidney balloting
- Checks for AAA
15
Q
What do you look for in further percussion?
A
shifting dullness
