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Revision (OT) > GI Examination signs > Flashcards

GI Examination signs Flashcards

1
Q

What is a flapping tremor a sign of?

A

hepatic encephalopathy

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2
Q

What is clubbing a sign of?

A

Cirrhosis, IBD, coeliacs

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3
Q

What is leukonnychia a sign of?

A

Hypoalbunaemia in liver cirrhosis

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4
Q

What is koilonychia a sign of?

A

Iron Deficiency anaemia

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5
Q

What is palmar erythema a sign of?

A

Hyper dynamic circulation due to Increased oestrogen level in liver disease

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6
Q

What is Dupuytren’s contracture a sign of?

A

Familial, liver disease

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7
Q

Jaundice in sclera could mean?

A

Liver disease

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8
Q

What is conjunctival pallor a sign of ?

A

Anaemia (e.g. bleeding or malabsorption)

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9
Q

What is xacthelasma a sign of?

A

Hyperlipidaemia

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10
Q

What is glossitis/stomatitis a sign of?

A

Iron/B12 deficiency anaemia

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11
Q

What are aphthous ulcers a sign of?

A

IBD (crohns more often)

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12
Q

How many spider naevi are significant?

A

> 5

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13
Q

What is virchow’s node a sign of?

A

Gastric cancer

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14
Q

Possible causes of distention?

A

5 F’s; Fat, Flatus, Fluid, Foetus, Faeces

+ 6th - “fucking big tumour”

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15
Q

What does guarding indicate on palpation?

A

Peritonitis

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16
Q

What does rebound tenderness indicate?

A

Peritonitis

17
Q

Positive Rosvig’s sign indicates?

A

Appendicitis (palpation of LIF gives pain in RIF)

18
Q

What is murphys sign?

A

Palpation of RUQ while inspiration, if patient stops breathing the test is considered positive.. Indicates cholecystitis.

19
Q

What could hepatomegaly indicate?

A

Cirrhosis, hepatits, Hepatocellular carcinoma/Mets

20
Q

What could splenomegaly indicate?

A

Portal hypertension, haemolysis, malaria.

21
Q

What could tinkling bowel sounds indicate?

A

Obstruction

22
Q

What could absent bowel sounds indicate?

A

Paralytic ileus/peritonitis

23
Q

What could ankle oedema indicate ?

A

Hypoalbuminaeamia

Revision (OT) (24 decks)

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