GI exam Flashcards
What position should a patient be in a GI exam?
45 degree on their couch when you’re inspecting and then lying flat when you examine them
What might you see when inspecting a patient in a GI exam?
Jaundice Grey turner’s sign Cocker’s sign Tattoos TPN
What might grey turner’s sign indicate?
Chronic liver disease
Retroperitoneal bleeding
Acute pancreatitis
What might seeing tattoos on inspection make you suspicious of?
Hep C
Why should you ask the patient to lift their head off the bed and cough in a GI exam?
You could spot a hernia
If they aren’t able to it might be because of severe pain from peritonitis
What might you look for on inspection of the bedside in a GI exam?
Feeding tubes Nil by mouth sign TPN Surgical drains Catheter
What clinical signs may you see when inspecting the nails in a GI exam and why are they relevant?
Koilonychia- spoon shaped nails suggest iron deficiency
Leukonychia- whitening of the nail bed due to hypoalbumnia due to chronic liver disease or anything where there is chronic loss of liver disease
What are GI causes of clubbing
Ulcerative colitis Crohn’s Inflammatory bowel disease Lymphoma of the GI tract Liver cirrhosis
