GI exam Flashcards
What is Murphys sign?
When palpate under R costal margin. Ask patient to take a depe breath and patient stops breathing due to the pain
What does isolated hyperbilirubin in otherwise well people signal?
Gilberts syndrome
What does caput medusae signal?
Portal Hypertension
Draw where different hernias are?
Epigastric
Umbilical
Incisional
Spigelian
Femoral
Inguinal
What is cullens sign?
Periumbilical bruises
What is Grey turners sign?
Flank bruising
What two signs signal pancreatitis?
Grey Turners and Cullens sign
What is Rosvings sign?
Palpate left iliac fosssa -> pain in RIF
What conditions can Rosvings sign signal?
Peritonitis and appenditcitis
What positive sign signals cholecysitis?
Murphys sign
What disease has kaiser fleischering as a sign?
Wilsons disease - copper deposition in eye
What is stomatitis?
Ulcers in corner of mouth
What is troisiers signs?
Find palpable L supraclavicular lymph node - Virchows node, signals GI malignancy
What organ problems can result in gynaecomastia?
Liver - malfunction increases prolactin/oestrogen
What hormone increase can cause spider naevi?
Oestrogen eg COCP, pregnancy
Draw the major scars that can be present after abdominal surgerey
Laporotomy
What level of bilirubin equates to clinical jaundice (can see it)
50mmol/L
What hand sign can be present in chronic liver disease and pregnancy?
Palmar erythema
What can cause dupyrtens contracture?
Excessive alcohol use and diabetes
Whar can both iron deficiency anaemia and crohns cause?
Koilonychia/spooning nails
What nail sign can signify end stage liver disease?
Leukonychia - whitening nail bed
Examples of GI conditions that present with clubbing
IBD, coeliac, liver cirrhosis, thyroid achropatchy (Graves disease)
Causes of asterixis flap?
-Hepatic encephalopathy
Uraemia secondary to renal failure
C02 retention
What is exophthalmus
Bulgiing eyes
