GI Flashcards
1
Q
3 upper areas stomach
A
Left hypochondrium
Epigastric
Right hypochondrium
2
Q
3 middle areas stomach
A
Left flank
Umbillical
Right flank
3
Q
3 lower areas stomach
A
Left iliac fossa
Hypogastric/suprapubic
Right iliac fossa
4
Q
Hands
A
Tar staining Colour for anaemia Leukonychia Koilionychia Clubbing Palmer erythema Pale palmer creases Dupuytren's contracture
5
Q
Arms
A
Bruising Scratch marks/pruritis Muscle wasting Track marks Skin turgor Tremor- fine and flapping Pulse RR
6
Q
Head
A
Jaundice Anaemia Parotid swelling Angular stomatisis Odor mouth
7
Q
Mouth
A
Gums swelling or bleeding Dentition Salivary glands and ducts Floor mouth and tongue Ulcers Signs infection
8
Q
Necklace region
A
Lymph nodes
Spider naevi
Gynaecomastia
Loss body hair males
9
Q
Legs
A
Oedema
Loss hair
Erythema nodosum
10
Q
Inspection abdo
A
Scars Pulsations Movement with respiration Skin lesions Scratch marks Abdo shape Stoma Distended veins Petechiae Striae Distension
11
Q
Palpation abdo
A
Light Deep Looking for guarding, masses, rigidity, tenderness, pain Liver Spleen Kidneys
12
Q
Percussion abdo
A
Liver (up and down)
Spleen
Shifting dullness
Fluid Thrill
13
Q
Auscultate abdo
A
Normal bowel sounds Liver Spleen Rubs and bruits Abdominal aorta Renal arteries For bruits
14
Q
Finish abdo
A
Groin
Hernial orifices
Male genitalia
DRE
15
Q
DRE intro
A
Gain consent and fully explain Ensure there is a chaperone Position like foetus Lighting and equipment Put some lubricant on a tissue
16
Q
DRE inspection
A
Shape anus
Anal tone
Prolapse signs
17
Q
DRE procedure
A
Warn about inserting Get patient to squeeze to assess tone Following curve all round Feel for prostate in men with sulcus in middle Squeeze again maximally inserted Note colour of stool
18
Q
Comms questions- 12
A
Change bowel habits- diarrheoa/constipation Abdo pain Distension Perianal symptoms Nausea and vomiting Heart burn Difficulty swallowing Weight loss Jaundice Blood in stool Haemoptysis Incomplete emptying Fat malabsorption/ mucus
