GI Examination Flashcards by Adele Cook

Q

What should you note in an end of bed assessment?

A

Comfort/distress
Signs of pain
Drowsy/restless

Vomit bowl
Sputum cup
IV lines

NEWS - notice any trends

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Q

Leukonychia

A

Hypoalbuminaemia

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Q

Clubbing

A

Cirrhosis
IBD
Coeliac

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Q

Koilonychia

A

Iron deficiency anaemia

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Q

Dupuytren’s contracture

A

Alcohol

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Q

Bruising

A

Liver dysfunction

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Q

Scratch marks/pruritus

A

Chronic cholestasis

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Q

Muscle wasting

A

Inadequate nutrition

Sepsis

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Q

Track marks

A

IVDU at high risk of Hep B and C

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Q

Loss of skin turgor

A

Dehydration

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Q

Flapping tremor

A

Liver failure

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Q

Fine tremor

A

Alcohol/alcohol withdrawal - DTs

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Q

Parotid swelling

A

Alcohol

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Q

Anaemia

A

Gastrointestinal blood loss / pernicious / iron deficiency

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Q

Angular stomatitis and sore red tongue

A

Iron deficiency anaemia

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Q

Foetor hepaticus

A

Liver failure

Q

Swollen/bleeding gums

A

Liver dysfunction

Q

Infection

A

Oral candidiasis/tonsillitis

Q

Spider naevi

A

Liver failure

Q

Gynaecomastia

A

Liver failure

Q

Loss of body hair in males

A

Nutrition deficiencies - iron, zinc, vit D

Q

Peripheral oedema

A

Hypoalbuminaemia / liver failure

Q

Erythema nodosum

A

IBD

Q

Scars

A

Surgery

Trauma

Visible pulsation

AAA

Caput medusae

Portal hypertension

Distended veins crossing chest vertically

Inferior vena cava obstruction

Petechiae

Liver dysfunction

Striae

Weight loss

Abdominal distension

Fat, faeces, flatus, fluid, foetus

Superficial mass

Lipoma | Sebaceous cyst

Tenderness

Inflammation

Involuntary guarding

Peritoneal inflammation

Rigidity

Peritonitis

Abdominal aortic bruit

Atherosclerosis | Aneurysm

Renal artery bruit

Renal artery stenosis

Liver rub

Hepatocellular cancer

Splenic rub

Splenic AV fistula