GI Exam

Question 1

What are you checking for during general inspection ?

Answer 1

Any discomfort 
Breathlessness 
Jaundice 
Abdominal distension 
Colour
Items around the bed

Question 2

What are you checking for when examining the hands ?

Answer 2

Koilonychia 
Nail clubbing
Leuconychia 
Palmar erythema 
Dupuytren’s contracture 
Radial pulse

Question 3

What are you checking for when examining the eyes ?

Answer 3

Pale conjunctiva

Sclera - yellow

Question 4

What are you checking for when examining the mouth ?

Answer 4

Ulcers
Dehydration
Dental hygiene

Question 5

Which lymph node is examined in particular due to GI malignancy association ?

Answer 5

Left supraclavicular node - virchow’s

Question 6

What are you checking for when examining the abdomen specifically ?

Answer 6

Scars
Asymmetry 
Distension 
Dilated veins 
Visible peristalsis

Question 7

How should the person be positioned in a GI exam ?

Answer 7

Exposed from costal margin to the groin - hands by their side

Question 8

What should be palpated ?

Answer 8

9 areas lightly then deeply
At the level of the patient
Ask if any pain
Rebound tenderness if indicated

Liver - deep breath in and out, right iliac fossa and upwards

Spleen - right iliac fossa move diagonally upwards towards the left hypochondrium

Kidney - place hand under left loin and roll, blot the kidney

Question 9

What do you percuss ?

Answer 9

9 areas
Liver
Spleen

Question 10

What should you auscultate ?

Answer 10

9 areas start in right iliac fossa

Question 11

How would you complete the exam ?

Answer 11

Hernial orifices
External genitalia
DRE