Gastrointestinal Examination Flashcards

1
Q

What features might you find on general inspection in a gastro exam

A

Generally unwell/distressed/in pain
Oxygen, catheters, drips, medication
Nutritional status/cachexia

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2
Q

What would cachexia be indicative of in a gastro exam

A

Malabsorption

Synthetic liver failure

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3
Q

What features may you find on the hands in a gastro exam

A

Tendon xanthemata
Dupuytrens Contracture
Palmar erythema

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4
Q

What is Dupuytrens Contracture indicative of

A

Chronic liver disease
Diabetes
Trauma

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5
Q

What is palmar erythema indicative of

A

Pregnancy
Chronic liver disease
Hyperthyroidism

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6
Q

What features may you find on the nails in a gastro exam

A

Clubbing
Leuconychia
Koilonychia

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7
Q

Gastric causes of clubbing

A
Hepatic cirrhosis
Coeliac disease
Ulcerative colitis
Crohn’s disease
GI lymphoma
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8
Q

What is leuconychia indicative of

A

Hypoalbuminaemia

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9
Q

What features may you find on the wrists in a gastro exam

A

Flapping tremor

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10
Q

What is a flapping tremor indicative of in a gastric exam

A

Hepatic/respiratory/renal failure

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11
Q

What features may you find on the arms in a gastro exam

A

Needle marks

Bruising

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12
Q

What is bruising indicative of in a gastric exam

A

Chronic liver disease (lack of clotting factors)

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13
Q

What are needle marks indicative of in a gastric exam

A

IVDU (HBV,HCV)

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14
Q

What features may you find on the face in a gastro exam

A

Redness due to alcoholism

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15
Q

What features may you find on the eyes in a gastro exam

A
Scleral icterus
Corneal Arcus
Xanthelasma
Conjunctivitis
Conjunctival pallor
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16
Q

What is sclerel icterus indicative of

A

Jaundice (impaired liver function)

17
Q

What is conjunctivitis indicative of in a gastro exam

A

Inflammatory bowel disease

18
Q

What features may you find on the mouth in a gastro exam

A

Angular stomatitis
Oral candida
Apthous ulcers
Musty, sweet breath odour

19
Q

What is Angular stomatitis indicative of

A

Iron/folate/B12 deficiency

20
Q

What is oral candida indicative of in a gastro exam

A

Immunodeficiency

21
Q

What are Apthous ulcers indicative of

A

Inflammatory bowel disease

22
Q

What is Musty, sweet breath odour indicative of in a gastro exam

A

Hepatic failure

23
Q

What features may you find on the neck in a gastro exam

A

Lymph nodes

24
Q

What features may you find on the neck in a gastro exam

A

Gynaecomastia

Spider Naevi

25
Q

What is gynaecomastia indicative of in a gastro exam

A

Chronic liver disease

Testicular failure

26
Q

What are spider naevi indicative of

A

Chronic liver disease

27
Q

What features may you find inspection of the abdomen in a gastro exam

A

Abdominal distension
Caput Medusa
Scars

28
Q

What is abdominal distension indicative of

A
Fat
Fluid
Flatus
Faeces
Foetus
Fucking big mass
29
Q

What is caput medusa indicative of

A

Portal hypertension

30
Q

What do you need to palpate in the abdomen in a gastro exam

A
General palpation of 9 regions
Liver
Spleen
Kidneys
Abdominal aorta
31
Q

What do you need to percuss in the abdomen in a gastro exam

A

9 regions

Spleen/liver if palpation is abnormal

32
Q

What do you need to auscultate in the abdomen for a gastro exam

A

Bowel sounds
Renal bruits
Liver bruit (if liver edge palpated)

33
Q

What features may you find on the legs in a gastro exam

A

Peripheral oedema
Erythema Nodosum
Pyoderma gangrenosum

34
Q

What is Erythema Nodosum indicative of

A

Inflammatory bowel disease

35
Q

What is Pyoderma gangrenosum indicative of

A

Inflammatory bowel disease

Rheumatoid arthritis