GI Flashcards

1
Q

What is Murphy’s sign

A

Acute cholecystitis
Pain during palaption whilst patient is doing deep inspiration

Only +ve if no pain in LUQ

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2
Q

What is Rovsing’s sign

A

Palpation of LIF causes pain in RIF

Appendicitis

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3
Q

Causes of splenomegaly

A
Lymphoma 
Leukemia 
Myelofibrosis 
Malaria 
Portal HTN
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4
Q

How to differentiate between spleen and kidney

A

Spleen is notched
Spleen not ballotable
Spleen moves down on inspiration

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5
Q

What does percussion tenderness indicate

A

Peritonitis

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6
Q

What does tinkling bowel sounds indicate

A

Obstruction

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7
Q

What does absent bowel sounds indicate

A

Paralytic ileus

Peritonitis

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8
Q

What would skin hyperpigmentation indicate on inspection

A

Haemachroamtosis disease - bronze skin

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9
Q

What causes hernias to become more pronounced

A

Cough test

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10
Q

What does palmar erythema indicate

A

Pregnancy

Chronic liver disease

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11
Q

What does koilonychia indicate

A

Iron deficiency anaemia

- Crohns

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12
Q

What does leukonychia indicate

A

Hypoalbuminaemia

  • Liver disease
  • Protein losing enteropathy
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13
Q

Causes of asterixis

A

Hepatic encephalopathy
Uraemia - Renal failure
CO2 retention

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14
Q

What does corneal arcus indicate

A

< 50y/o = Hypercholesterolaemia

White/grey/blue opaque ring in peripheral cornea

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15
Q

What does Right supraclavicualr lymphadenopathy indicate

A

Metastatic Oseophageal cancer

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16
Q

What conditions shows rebound tenderness on palpation

A

Peritonitis

17
Q

What conditions cause guarding on palaption

A

Appendicitis

Diverticulitis

18
Q

What indicates cirrhosis on liver palpation

A

Nodular consistency

19
Q

What is assosciated with pulsatile hepatomegaly

A

Tricuspid regurgitation

20
Q

causes of splenomegaly

A
Portal HTN 
Haemolytic anaemia 
CCF
Splenic mets 
Glandular fever
21
Q

Causes of enlarged kidneys

A

PCKD

Amyloidosis

22
Q

Causes of paralytic ileus

A

Electrolyte abnormalities

Recent abdo surgery

23
Q

Causes of aortic bruits

A

AAA

24
Q

Causes of renal bruits

A

Renal artery stensosis

25
Q

Percussion quality causes

  • Typanic
  • Tenderness
A
  • Flatus

- Peritoneal irritation

26
Q

Signs of CLD

A
Clubbing 
Palmar erythema
Leukonychia 
Dupuytren's contracture 
Jaundice 
Spider naevi 
Gynacomastia 
Loss of axillary hair 
Caput medusae 
Hepatomegaly 
Splenomegaly
27
Q

Signs of decompensated CLD

A

Hepatic encephalopathy
confusion
Jaundice
Ascites