GI OSCE Flashcards
1
Q
preparation
A
Introduce
consent
wash hands
postion - lying flat, head propped on one pillow
2
Q
General Inspection
A
Comfortable breathing? LOC? Pain? Colour? Items?
3
Q
Hands
A
Nails:
- Leuconichia (milk spots)
- Koilonychia (Spoon nails)
- clubbing
Hands:
- palmar erythema (hepatic disease)
- palmar anaemia
- Dupuytrens contracture (bent fingers) (diabetes)
dorsum: Pinch test (dehydration) Spider naevi (liver) Hepatic flap
4
Q
Face
A
Jaundice (eyes) Anaemia (conjunctiva) Mouth ulcers dentition dehydration tongue disorders (thrush)
5
Q
Lymph nodes
A
Occipital (occiput scalp) post auricular (neck ear canal) pre auricular (facial and temporal) submandibular (lateral face) submental (lower mouth) Anterior cervical (anterior neck) posterior cervical (scalp, thorax) Supraclavicular: - R (oesophagus) - L (Virchows) (Abdomen)
6
Q
Abdomen Inspection
A
scars Symmetry and shape (focal swelling) Pulsation peristalsis venous distension (cirrhosis) Discolouration (cullen and turners signs - pancreatitis) stomas
7
Q
Abdomen Palpation
A
Light palpation - 9 areas Deep palpation - 9 areas rebound tenderness Liver Spleen Kidneys bladder aorta
8
Q
Abdomen Percussion
A
Liver (Measure length) Spleen Bladder Shifting dullness fluid thrill
9
Q
Abdomen Ausculatation
A
Bowel Sounds
Aorta bruits
Renal arteries bruits
Liver bruits
10
Q
Complete exam
A
Cover and thank pt consider: - BP Temp Dipstick
