GI examination

Question 1

What to look for at end of bed?

Answer 1

In pain discoforst tachypnoeaic body habitus Check the obeservation chart check the fluid balance chart

Question 2

What are nail manifestation?

Answer 2

koilonichia iron deficiency
leuconychia hypoalbuminaemia liver cirrhosis
Clubbin resp CVS GI chrons UC cirrhosis
palmar erythema portal hypertension cirrhosis or pregnancy

Question 3

What to check in eyes face?

Answer 3

yelowing of eyes or pale eyelids. xanthalesma, kayser-fleisher rings in eyes angular chelitis iron anaemia glossitis B12 deficiency mouth ulcers for crohns

Question 4

What to look on chest?

Answer 4

gynacomastia, spider neavi, virchows node size

Question 5

Causes of abdominal distension?

Answer 5

5F fat fluid, foetus, flatus,

Question 6

What to look at abdominal?

Answer 6

Rooftop scars hypochondrial scar, upper midline lower midline paramedian giridiron pfannenstiel
Stoma- whats in bag where it is to see what it is

Question 7

What is Cullen’s sign?

Answer 7

Grey-Turner’s sign blood running along fascia of the blood to umbillics or grey-Turners is flank for pancreatitis

Question 8

What is caput medusae?

Answer 8

distended veins for portal hypertension.

Question 9

What to do in palpation?

Answer 9

Light in 9 regions then deeply then for all the organs

Question 10

What is murphy’s sign?

Answer 10

Ask to echale place hand in right ipper quadrant just below costal margin ask patient to breath in and check for pain

Question 11

How to palpate the spleen?

Answer 11

from right lower

Question 12

What is balloting the kidne?

Answer 12

Lift kidney up towards you then push from front

Question 13

How to differentiat spleen or kidney?

Answer 13

Spleen croses midline kidneys can get above, cannot ballott kidney there isa notch in spleen but not in the kidneys

Question 14

What is rosvings sing?

Answer 14

acute appencdicitis pressin left ilicac fossa right illiac fossa will get pain

Question 15

What do you percuss?

Answer 15

liver spleen and bladder to listen for dullness

Question 16

What is shifting dullness?

Answer 16

Find where percussion changes and then tell them to roll over and see if the change in percussion is the same

Question 17

What to listen for with bowel sounds?

Answer 17

describe tinkling might be obstruction

Question 18

What do you need to do to compleat the exam?

Answer 18

ISHRUG inguinal lymphnodes stool hernial orafaces rectal exam stools

Question 19

What to do in rectal examination?

Answer 19

left lateral perianal area, inserta gluoved finger, assess anal tone assess rectum for stool or masses assess zied and feel of prostate check for blood after

Question 20

How to examine the scrotum?

Answer 20

LOok at skin look at lie of testes, feel epididmis, feel cord transilluminate if needed

Question 21

How to examine the scrotum?

Answer 21

LOok at skin look at lie of testes, feel epididmis, feel cord transillumination if needed