Gastro Signs Flashcards

1
Q

General Inspection

A

Vomit bowls
Bed pans
Catheter bag
Lines or Drains

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2
Q

General Inspection of patient

A
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
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3
Q

Hand Signs

A
Temperature
Capillary Refil
Clubbing
Koilonychia
Leukonychia 
Dupytrens contracture
palmar Erythema 
Hepatic Flap - 15 seconds
Pulse
BP
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4
Q

Arms

A

Bruising
Excoriations
Petechiae
Keeping an eye out for track marks from IV drug use

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5
Q

Eyes

A

Xanthelasma
Wilsons Disease
Conjunctival Pallor
Jaundice

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6
Q

Mouth

A
Angular Stomatitis 
Dentition
Glossitis or dryness of the tongue
Oral Thrush
Peutz Jeghers freckles on lips 
Mouth ulcers
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7
Q

Neck

A

Offer JVP

Lymph Nodes - Virchows node

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8
Q

Axilla

A

Hair loss

Hyperpigmentation

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9
Q

Chest

A

Gynaecomastia

Spider Naevi

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10
Q

Abdominal signs

A
Closer inspection of:
Scars
Stoma
Masses
Distension 
First time for: 
Abdominal aorta
Cullens sign
Grey-Turner sign
Striae
Caput Medusae
Cough for Hernia
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11
Q

Clubbing

A

Inflammatory Bowel disease
Coeliac disase
Cirrhosis

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12
Q

Koilonychia

A

Chronic Iron deficiency

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13
Q

Leukonychia

A

Hypoalbuminemia

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14
Q

Palmar Erythema

A

Liver disease

Pregnancy

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15
Q

Dupuytrens Contracture

A

Alcohol Excess

Family Hx

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16
Q

Hepatic Flap

A

15 seconds

17
Q

Bruising

A

Abnormal Coagulation - secondary to Liver failure

18
Q

Excoriations

A

Cholestasis (decrease in bile flow - obstruction)

– repetitive scratching

19
Q

Petechiae

A

Low platelets - Splenomegaly

20
Q

Xanthelasma

A

Hyperlipidaemia

21
Q

Conjunctival Pallor

A

Anaemia

22
Q

Palpation Superficial

A

Kneel down
Tenderness
Guarding
Rebound tenderness

23
Q

Palpation Deep

A

Masses
Deep Tenderness
Murphys sign
McBurneys point

24
Q

Palpation (with breathing)

A

Liver (start in RIF)

Spleen (Start in RIF diagonally)

25
Q

Palpation of organs

A

Blott Kidneys

AAA palpation

26
Q

Percussion

A

Percuss spaces
Liver (from RIF - dull over liver)
Palpate for shifting dullness

27
Q

Auscultation

A

Bowel sounds 1 minute

Aortic/ Renal bruits

28
Q

End pieces

A

PR
External Genitalia
Hernias