GI Examination

Question 1

Order of the GI examination

Answer 1

Exposure from the pubic symphysis to the breast bone

Gen inspection

Shallow and deep palpating all 9 areas identify masses or any deep pain

Palpate for the liver, and spleen (on to right and splint ribs from back) and kidneys using inspiration and expiration

Percuss for the LIVER and SPLEEN
If abdomen distended shifting dullness

Auscultation for bowel sounds and bruits

Examination of the hernial orifices, external genitalia and digital rectal examination

Question 2

Palpating of the Spleen

Answer 2

Patient onto right side

Splint the left lower ribs

Hand with inspiration and expiration

Question 3

General examination findings in abdominal examinations

Answer 3

Hands- palmar erythema, palmar pigmentation, liver flap tremor, clubbing

Face- xanthoma, pallor, rings in eyes, jaundice, ulcers in mouth

General- colour, appearance, behaviour and discomfort level

Abdomen- SHAGS- Scars, Hair Loss, AAA (abdominal masses), Gynaecomastia, Spider Nevae