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OSCE Revision > GI Examination > Flashcards

GI Examination Flashcards

1
Q

What is Palmar Erythema?

A

Redness of Palms

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2
Q

What is Petechiae?

A

Tiny red or brown spots

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3
Q

What is Spider Naevi?

A

Found on chest - associated with liver disease

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4
Q

What is Odynophagia?

A

Painful swallowing

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5
Q

What is Virchow’s Node?

A

Lymph node supraclavicular

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6
Q

What is Tenesmus?

A

Feeling need to still go to toilet

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7
Q

What is Caput Medusae?

A

On abdomen

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8
Q

Name the 9 Abdomen Regions top to bottom

A 
Right Hypochondrium
Epigastrium
Left Hypochondrium
Right Flank
Umbilical
Left Flank
Right iliac fossa
Hypogastrium
Left Iliac Fossa
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9
Q

GI Examination: Where is the Virchow’s node found?

A

Same site as scalene node on the Left only

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10
Q

GI Examination: What to examine for Necklace Region?

A

Spider naevi
Gynaecomastia
Loss of Body Hair

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11
Q

GI Examination: what to examine for on Legs?

A

Peripheral Oedema
Loss of Body Hair
Erythema Nodosum

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12
Q

GI Examination: What to inspect for on Abdomen?

A 
Scars
Visible Pulsation
Skin Lesions
Scratch Marks
Abdominal Shape
Stoma
Caput Medusae
Petechiae
Striae
Abdominal Distention
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13
Q

GI Examination: Palpation how to do this?

A 
Light Palpation
Deep Palpation
Liver
Spleen
Kidneys

Feel for tenderness
rebound
guarding
rigidity

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14
Q

GI Examination: Liver Palpation

Where is upper border?
Where is lower border?
How to do it?

A

Upper: 5th R IC on Full Expiration
Lower: Costal Margin in MCL on full inspiration

Radial edge of right hand in right iliac fossa moving inwards and upwards. Deep breath in and when liver descends during inspiration might feel liver.

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15
Q

GI Examination: Spleen Palpation

Where is it?
How to do it?

A

Between 9th and 11th rib on left

Palpate with right hand in right iliac fossa inwards and upwards towards left costal margin

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16
Q

GI Examination: Kidney Palpation

Where?
How to do it?

A

T12-L3

One hand in front, one hand behind

17
Q

GI Examination: Percussion

Percuss What?

A

Liver

Spleen

18
Q

GI Examination: Percussion of Liver

How?

A

From right iliac fossa towards right costal margin. From resonant to dull

19
Q

GI Examination: Percussion of Spleen

How?

A

From right iliac fossa (resonant) diagonally across to left costal margin.

20
Q

GI Examination: What to do after percussion of Liver and Spleen?

A

Shifting Dulness: from midline toward left flank, roll towards me.

Fluid thrill: place hand midline then flick

21
Q

GI Examination: Auscultation Where?

A 
Bowel: Left Lower Quadrant
Abdominal Aorta
Renal Arteries
Liver
Spleen
Femoral Artery
Hepatic and Splenic Rubs

OSCE Revision (25 decks)

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