ICM + Data Flashcards
What is this? Sign of?
Koilonychia - sign of iron deficient anaemia
Name this abnormality - what is it a sign of?
Leukonychia - sign of hypoalbuminemia of chronic liver disease
Name this abnormality - what is it a sign of?
- Beau’s sign
- → Hypoalbinaemia - abnormally low albumin in blood serum.
- It is a specific form of hypoproteinemia.
Name this abnormality - what could it indicate?
Splinter haemorrhage - can be a sign of infective endocarditis
Name this abnormality - what could it be a sign of?
Periungal telangeictasia - dilated capillaries. Can be a sign of dermatomyositis (inflammatory CT disease) which has strong associations with adenocarcinoma of the GIT, breast or lung
Name this abnormality - what can it be a sign of?
- Clubbing - can be a sign for many things incl:
- Lungs:
- Lung cancer,
Interstitial lung disease,
empyema, bronchiectasis,CF,
- Heart disease:
- Any disease featuring chronic hypoxia, s
ubacute bacterial endocarditis
- Gastrointestinal and hepatobiliary:
- Malabsorption,
Crohn’s disease, UC, c
irrhosis,
- Others:
- Graves’ disease,
axillary artery aneurysm (unilateral clubbing)
Name this abnormality - what is this indicative of in abdominal disease?
Asteristix - hepatic encephalopathy, damage to brain cells presumably due to the inability of the liver to metabolize ammonia to urea
Name this abnormality - what could it indicate?
Palmar erythema
- Portal hypertension
- Chronic liver disease
- Pregnancy
- Polycythemia
- Thyrotoxicosis
Which disease could cause this abnormality?
Addisons disease - hyperpigmentation of palmar creases
Name this abnormality - which disease is this associated with?
Arachnodectyly- Marfans = AD disorder of CT - misfolding of fibrillin 1. Often have defects in aortic valve.
Name the abnomality - what can it be a sign of?
Glossitis - anaemia
Name the abnormality - what can it be a sign of?
Angular stomatitis - malabsorption, anaemia
Which disease is associated with this abnormality?
High arch palate - marfans
Name this - what can it indicate?
Spider naevi - sign of hepatic disease. Failure of the liver to metabolise oestrogens which cause dilation of arterioles - seen here.
What is this?
Ileostomy - spout at the skin to protect from the digestive enzymes
What is this a sign of?
Severe acute pancreatitis
What is this? Ddx?
Caput medusae –> severe portal hypertension / inferior vena cava obstruction. Distinguish between them by determining the flow of blood. Towards head = obstruction
What is this and in which direction does the cervix point?
Retroverted uterus
Cervix points anteriorly
What is the SCJ?
Squamo-colmnar junction
What is this?
Benign epithelial (nabothian cyst)
Cervical cancer
Cystocoele
Enterocoele
Rectocoele
What is Froment’s positive sign?
Test for ulnar nerve palsy - tests for the action of adductor pollicis
Oesophageal intubation
What is ‘Murphy’s eye’?
If tip becomes obstruced, ventilation is still possible
pectus excavatum
