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OSCE 2 > GI and Groin Signs > Flashcards

GI and Groin Signs Flashcards

1
Q

What is this?

A

Koilonychia

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2
Q

What is generalised guarding suggestive of?

A

Peritonitis

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3
Q

What appearance does this patient have?

A

Anaemia

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4
Q

What can a flap (after holding hands dorsiflexed for 15 seconds) be a sign of?

A
  • Hepatic encephalopathy
  • Uraemia
  • CO2 retention
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5
Q

What is the abnormality here?

A

Enlarged Virchow’s node - possible metastasis of GI malignancy

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6
Q

What is this most likely to be?

A

Inguinal hernia

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7
Q

What can cause palmar erythema?

A
  • Liver disease
  • Pregnancy
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8
Q

What does this patient show and what may they be at risk of?

A

Track marks from IV drug use

-

Risk of BBV including Hep B and C

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9
Q

What can cause stretch marks?

A
  • Pregnancy
  • Cushing’s
  • Chronic abdominal distension (with/without loss of distension e.g. after ascites)
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10
Q

What can cause acanthosis nigricans?

A
  • GI adenocarcinoma
  • Obesity
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11
Q

What is dupuytren’s contracture associated with?

A
  • Alcohol excess
  • Family history
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12
Q

What is this?

A

Caput Medusae

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13
Q

What GI problems can cause finger clubbing?

A
  • IBD
  • Cirrhosis
  • Coeliac disease
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14
Q

What is tinkling bowel sounds suggestive of?

A

Bowel obstruction

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15
Q

What is this sign and what does it suggest?

A

Coffee bean sign

Sigmoid volvulus

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16
Q

How many spider naevi on the chest are relevant?

A

>5

17
Q

What does this AXR show?

A

Large bowel obstruction

18
Q

What does this AXR show?

A

Small bowel obstruction

19
Q

What can cause leukonychia?

A

Hypoalbuminaemia - (liver failure)

20
Q

What is absent bowel sounds suggestive of?

A
  • Ileus
  • Peritonitis
21
Q

What is this?

A

Ileostomy

22
Q

What can cause koilonychia?

A

Chronic iron deficiency

23
Q

With your hand over the deep inguinal ring and asking the patient to cough, the hernia re-appears, what is the likely type of hernia?

A

Direct inguinal hernia

OSCE 2 (15 decks)

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