GI and Groin Signs Flashcards
What is this?
Koilonychia
What is generalised guarding suggestive of?
Peritonitis
What appearance does this patient have?
Anaemia
What can a flap (after holding hands dorsiflexed for 15 seconds) be a sign of?
- Hepatic encephalopathy
- Uraemia
- CO2 retention
What is the abnormality here?
Enlarged Virchow’s node - possible metastasis of GI malignancy
What is this most likely to be?
Inguinal hernia
What can cause palmar erythema?
- Liver disease
- Pregnancy
What does this patient show and what may they be at risk of?
Track marks from IV drug use
-
Risk of BBV including Hep B and C
What can cause stretch marks?
- Pregnancy
- Cushing’s
- Chronic abdominal distension (with/without loss of distension e.g. after ascites)
What can cause acanthosis nigricans?
- GI adenocarcinoma
- Obesity
What is dupuytren’s contracture associated with?
- Alcohol excess
- Family history
What is this?
Caput Medusae
What GI problems can cause finger clubbing?
- IBD
- Cirrhosis
- Coeliac disease
What is tinkling bowel sounds suggestive of?
Bowel obstruction
What is this sign and what does it suggest?
Coffee bean sign
Sigmoid volvulus
How many spider naevi on the chest are relevant?
>5
What does this AXR show?
Large bowel obstruction
What does this AXR show?
Small bowel obstruction
What can cause leukonychia?
Hypoalbuminaemia - (liver failure)
What is absent bowel sounds suggestive of?
- Ileus
- Peritonitis
What is this?
Ileostomy
What can cause koilonychia?
Chronic iron deficiency
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?
Direct inguinal hernia
