GI Flashcards

1
Q

3 upper areas stomach

A

Left hypochondrium
Epigastric
Right hypochondrium

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2
Q

3 middle areas stomach

A

Left flank
Umbillical
Right flank

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3
Q

3 lower areas stomach

A

Left iliac fossa
Hypogastric/suprapubic
Right iliac fossa

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4
Q

Hands

A
Tar staining
Colour for anaemia
Leukonychia
Koilionychia
Clubbing
Palmer erythema
Pale palmer creases
Dupuytren's contracture
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5
Q

Arms

A
Bruising
Scratch marks/pruritis
Muscle wasting
Track marks
Skin turgor
Tremor- fine and flapping
Pulse
RR
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6
Q

Head

A
Jaundice
Anaemia
Parotid swelling
Angular stomatisis
Odor mouth
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7
Q

Mouth

A
Gums swelling or bleeding
Dentition
Salivary glands and ducts
Floor mouth and tongue
Ulcers
Signs infection
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8
Q

Necklace region

A

Lymph nodes
Spider naevi
Gynaecomastia
Loss body hair males

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9
Q

Legs

A

Oedema
Loss hair
Erythema nodosum

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10
Q

Inspection abdo

A
Scars
Pulsations
Movement with respiration
Skin lesions
Scratch marks
Abdo shape
Stoma
Distended veins
Petechiae
Striae
Distension
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11
Q

Palpation abdo

A
Light
Deep
Looking for guarding, masses, rigidity, tenderness, pain
Liver
Spleen
Kidneys
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12
Q

Percussion abdo

A

Liver (up and down)
Spleen
Shifting dullness
Fluid Thrill

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13
Q

Auscultate abdo

A
Normal bowel sounds
Liver
Spleen
Rubs and bruits
Abdominal aorta
Renal arteries 
For bruits
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14
Q

Finish abdo

A

Groin
Hernial orifices
Male genitalia
DRE

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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
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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