Gastrointestinal Examination Flashcards
What features might you find on general inspection in a gastro exam
Generally unwell/distressed/in pain
Oxygen, catheters, drips, medication
Nutritional status/cachexia
What would cachexia be indicative of in a gastro exam
Malabsorption
Synthetic liver failure
What features may you find on the hands in a gastro exam
Tendon xanthemata
Dupuytrens Contracture
Palmar erythema
What is Dupuytrens Contracture indicative of
Chronic liver disease
Diabetes
Trauma
What is palmar erythema indicative of
Pregnancy
Chronic liver disease
Hyperthyroidism
What features may you find on the nails in a gastro exam
Clubbing
Leuconychia
Koilonychia
Gastric causes of clubbing
Hepatic cirrhosis Coeliac disease Ulcerative colitis Crohn’s disease GI lymphoma
What is leuconychia indicative of
Hypoalbuminaemia
What features may you find on the wrists in a gastro exam
Flapping tremor
What is a flapping tremor indicative of in a gastric exam
Hepatic/respiratory/renal failure
What features may you find on the arms in a gastro exam
Needle marks
Bruising
What is bruising indicative of in a gastric exam
Chronic liver disease (lack of clotting factors)
What are needle marks indicative of in a gastric exam
IVDU (HBV,HCV)
What features may you find on the face in a gastro exam
Redness due to alcoholism
What features may you find on the eyes in a gastro exam
Scleral icterus Corneal Arcus Xanthelasma Conjunctivitis Conjunctival pallor