GI Exam Signs Flashcards
Dupuytren’s contracture
Genetics, excessive alcohol use, age(M) & DM
Palmar erythema
CLD
Pregnancy
Acanthosis nigricans
GI malignancy (stomach)
Insulin resistance (T2DM)
Aphthous ulceration
(Benign - Stress/mechanical trauma)
Crohn’s
Fe, B12 & Folate deficiency
Clubbing (loss of Schamroth’s window)
IBD
Coeliac
GI lymphoma
Asterixis
CO2 retention:
Uraemia 2ry to RF
Hepatic encephalopathy
Bruising
Clotting abnormalities (2ry to cirrhosis)
Excoriations
Pruritis (cholestasis)
Needle track marks
IVDU (Hep B&C)
Palmar pallor
Anaemia
(Malignancy, GI bleed, malnutrition)
Koilonychia
IDA
(malabsorption in Crohn’s)
Leukonychia
Hypoalbuminaemia
- end-stage LD
- protein-losing enteropathy
Cool hands
poor peripheral perfusion
Loss of axillary hair
IDA
Malnutrition
Conjunctival pallor
Anaemia
Scleral jaundice
Pre-hepatic - haemolysis
(SCD, hereditary spherocytosis, malignancy)
Hepatic - hepatocellular damage
(PHTN, hepatitis, cirrhosis)
Post-hepatic - obstructive
(BPH, gallstone disease)
Corneal arcus
Benign - older
<50: hypercholesterolaemia
Xanthelasma
Hypercolesterolaemia
Kayser-Fleischer rings
Wilson’s disease
(abnormal Cu processing, deposits in liver =Cirrhosis)
Perilimbal injection
Anterior uveitis (IBD)
- photophobia
- ocular pain
- reduced visual acuity
Angular stomatitis
Fe deficiency (GI malignancy, malabsorption)