Gastro Signs Flashcards
General Inspection
Vomit bowls
Bed pans
Catheter bag
Lines or Drains
General Inspection of patient
Patient looks alert and comfortable at rest Normal body habitus no evidence of Jaundice or anaemia Obvious scars abdomen doesnt look distended no sign of any mass or hernia Stoma Dressings
Hand Signs
Temperature Capillary Refil Clubbing Koilonychia Leukonychia Dupytrens contracture palmar Erythema Hepatic Flap - 15 seconds Pulse BP
Arms
Bruising
Excoriations
Petechiae
Keeping an eye out for track marks from IV drug use
Eyes
Xanthelasma
Wilsons Disease
Conjunctival Pallor
Jaundice
Mouth
Angular Stomatitis Dentition Glossitis or dryness of the tongue Oral Thrush Peutz Jeghers freckles on lips Mouth ulcers
Neck
Offer JVP
Lymph Nodes - Virchows node
Axilla
Hair loss
Hyperpigmentation
Chest
Gynaecomastia
Spider Naevi
Abdominal signs
Closer inspection of: Scars Stoma Masses Distension First time for: Abdominal aorta Cullens sign Grey-Turner sign Striae Caput Medusae Cough for Hernia
Clubbing
Inflammatory Bowel disease
Coeliac disase
Cirrhosis
Koilonychia
Chronic Iron deficiency
Leukonychia
Hypoalbuminemia
Palmar Erythema
Liver disease
Pregnancy
Dupuytrens Contracture
Alcohol Excess
Family Hx
Hepatic Flap
15 seconds
Bruising
Abnormal Coagulation - secondary to Liver failure
Excoriations
Cholestasis (decrease in bile flow - obstruction)
– repetitive scratching
Petechiae
Low platelets - Splenomegaly
Xanthelasma
Hyperlipidaemia
Conjunctival Pallor
Anaemia
Palpation Superficial
Kneel down
Tenderness
Guarding
Rebound tenderness
Palpation Deep
Masses
Deep Tenderness
Murphys sign
McBurneys point
Palpation (with breathing)
Liver (start in RIF)
Spleen (Start in RIF diagonally)
Palpation of organs
Blott Kidneys
AAA palpation
Percussion
Percuss spaces
Liver (from RIF - dull over liver)
Palpate for shifting dullness
Auscultation
Bowel sounds 1 minute
Aortic/ Renal bruits
End pieces
PR
External Genitalia
Hernias
