GI Examination Scheme Flashcards
WIPE
Standing at the feet end of the bed
Wash and dry hands Or sanitize
Introduce yourself, explain procedure and seek consent
Position the patient
—The patient is initially positioned at 45 degrees for comfort, but a supine position is necessary to palpate the abdomen. Keeping a pillow under the patient’s head or knees can be considered.
Expose the patient
GENERAL INSPECTION
Standing at the feet 👣 end of the bed 🛌
Comment on the general state of the patient
Comment on everything you see in the environment
E.g.
Side table
Oxygen tanks or cylinders
Any cannula insitu
Sputum can
Transfusion bags
etc.
General Examination
INSPECTION OF BOTH HANDS (PLANTAR & DORSAL ASPECT)
HANDS 🙌
Koilonychia
Leukonychia
Nail clubbing
Palmar erythema
Tobacco staining
Dupuytren’s contracture
**Radial Pulse
—(RATE, REGULARITY, VOLUME)
—There is some argument as to whether this should be performed or not in an abdominal exam; however, it can be a good indication of sepsis or thyroid disease.
FEELING FOR WASTING
BLOOD PRESSURE
GENERAL EXAMINATION
EYES 👀
EYES –
PALLOR,
JAUNDICE,
XANTHELESMA
MOUTH
MOUTH –
ORAL HYGIENE,
THRUSH,
ANGULAR STOMATITIS
OTHERS
13.GYNAECOMASTIA (MALES)
14
SPIDER ANGIOMATA
15
ASTERIXIS
ABDOMINAL EXAMINATION
INSEPCITION – FULLNESS, MOVES WITH RESIRATION, SCARS, ETC.
17
HERNIAL ORIFICES
18
LIGHT PALPATION (ALL 9 REGIONS)
19
DEEP PALPATION (LIVER SPEEN, KIDNEYS)
20
LIVER SPAN
21
SPLENIC SPAN
22
SHIFTING DULLNESS/FLUID THRILL
23
AUSCULTATION
24
RENAL ANGLES
25
SACRAL OEDEMA
26
PEDAL OEDEMA
LYMPH NODE EXAMINATION
27
LYMPHADENOPATHY
EPITROCHLEAR LYMPH NODES
28
AXILLARY LYMPH NODES
29
CERVICAL GROUP OF LYMPH NODES
Conclusion
Thank patient
CAUSES OF PALLOR
CAUSES OF ASCITES
INVESTIGATIONS FOR GASTRITIS
TREATMENT FOR GASTRITIS
COMPLICATIONS OF GASTRITIS
CAUSES OF HEPATOMEGALY
CAUSES OF SPLENOMEGALY
CAUSES OF RIF PAIN
TREATMENT FOR GASTROENTERITIS
CAUSES OF JAUNDICE
CHARACTERISTICS OF LIVER MASS
TREATMENT FOR GASTRITIS
