GI exam

Question 1

what is the general observation?

Answer 1

patient - colour, consciousness, comfortable and general habitus
bedside - NBM, PEG, catheter, IV

Question 2

what is the inspection of the hands comprising?

Answer 2

leukonychia, koilonychia, palmar creases, dupytrens contracture, palmar erythema, spider naevi, liver flap

Question 3

what do you look for in the face?

Answer 3

Kayser-Fleischer rings and jaundice in eyes, pallor, telangiectasia, ulcers, glossitis, candidiasis and angular stomatits

Question 4

what happens after face?

Answer 4

lymphadenopathy (usual and left supraclavicular fossa)

Question 5

what do you want to look for on abdomen?

Answer 5

lumps, distention, symmetry shape, scars, peristalsis, pulsation, venous distension, discolouration, spider naevi

Question 6

where do you palpate?

Answer 6

whilst flat - 9 regions of the abdomen with warm hands and looking for signs of discomfort away from area of pain clockwise - light then deep - organomegaly and AAA, ballot the kidneys and aorta

Question 7

what does percussion test?

Answer 7

outline of liver, spleen and bladder - fluid thrill and shifting dullness in ascites

Question 8

what will auscultation test for?

Answer 8

bruits (aortic and renal) and bowel sounds - round the abdomen, then in midline and then on either side of aortic area for renal

Question 9

what are the end pieces?

Answer 9

examine for inguinal hernia, external genitalia, rectal exam, temperature, urinalysis and stool sample