GIT Flashcards
Clubbing GIT
IBD
Cirrhosis
Lymphoma
Coeliac
Leuconychia
Hypoalbuminaemia – CLD
Cushings face in GIT
Alcoholic pseudo Cushing
Parotid enlargement in GIT
Alcohol XS
Differential Gynaecomastia
Physiologic- puberty, elderly
Testicular failure
XS estrogen
Drugs
Testicular failure
Kleinfelters
Viral orchitis/ trauma
Haemodialysis
Increased estrogen
CLD
Thyrotoxicosis
Estrogen secreting tumor
Drugs– Gynaecomastia
Digoxin
Isoniazid
Spironolactone
Kocher
Subcostal
Open cholecystectomy
R para median laparotomy
Pancreatic transplant
Midline lapro
Goes around umbilicus
Nephrectomy
Side scars
Gridiron/ McBurny
Appendectomy
Laparoscopic
Chole
Appendectomy
Gynae
L para median
Anterior resection of rectum
Pfannensteil/ transverse supra public
TAH
C- section
Causes of Hepatomegaly
Infection Infiltration Blood Biliary Cancer Congestion
Infectious causes of HM
viral hepatitis
EBV
malaria
Hepatic abscesses
Infiltration
Sarcoidosis
Fatty liver disease
HFE
Amyloid
Blood related
Lymphoma
Leukaemia
MPD
Haemolytic anaemia
Biliary HM
PBC
PSC
Cancer
Primary HCC
2ndary Mets
Congestion
RHF
TR
Budd chiari
Liver edge
Smooth Knobbly Pulsatile Tender Bruit
Smooth liver edge
Venous congestion
Fatty infiltration
Knobbly edge liver
Mets
Cysts
Pulsatile liver edge
TR
Tender liver edge
Hepatitis
RHF
Causes of HUGE SM
Malaria
Myelofibrosis
CML
Less
- IE
- RA
Feltys syndrome
SM
NEUTROPENIA
RA
Description of bowel sounds
Active
Sluggish
Tinkling
Obstructive
Liver Bruits
HCC
AVM
TIPS
Pyoderma gangrenosum
IBD
RA
Causes of ascites in chronic liver disease
Portal HTN
Hypoalbuminaemia
Secondary RAAS over activation– salt and water retention
Transudate ascites
CLD RHF volume overload Hypoalbuminaemia Constrictive pericarditis
Exudate > 30g/L
EMII
Malignancy
Infection
Inflammation
Malignancy causes of ascites
Colon or stomach cancer Pancreas Liver- primary or secondary Ovarian Lymphoma
Duputyrens contracture
CLD Diabetes Familial Heavy labour Phenytoin Trauma
Infectious causes of exudate ascites
SBP
TB
Inflammatory causes of exudate ascites
Pancreatitis
Erythema nodosum
Idiopathic Sarcoidosis Infection- strep, TB IBD Drugs Malignancy Pregnancy
Drugs–> erythema nodosum
OCP
sulphonamides
Malignancy–> erythema nodosum
Lymphoma
Leukaemia