Peripheral signs Flashcards

1
Q

Clubbing [12]

  • Resp [5]
  • Cardio [2]
  • Gastro [1]
  • Others [4]
A

Resp:

  • Lung cancer: squamous cell/non-small cell
  • Cystic fibrosis
  • Bronchiectasis
  • Chronic lung infection: abscess, empyema, TB
  • Interstitial lung disease: fibrosing alveolitis

Cardio:

  • Bacterial endocarditis
  • Congenital heart disease

Gastro:
- Inflammatory bowel disease: Crohn’s, UC
Coeliac disease
- Primary biliary cirrhosis

Others:

  • Thyrotoxicosis
  • Hereditary/Familial
  • Idiopathic
  • Injury
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2
Q

Koilonychia

A

Iron deficiency

Injury

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3
Q

Leuconychia

A

Hypoalbuminaemia

  • Nephrotic syndrome
  • Liver failure
  • Protein malabsorption/ loss
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4
Q

Splinter haemorrhages

A

Bacterial endocarditis

Injury

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5
Q

Peripheral cyanosis

  • Resp
  • CV
  • Localised
A

Respiratory: COPD

Cardiovascular: heart failure

Localised: cold temperature; Raynaud’s (arterial spasms), PVD

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6
Q

Delayed Capillary refill

A

Shock:

  • Sepsis
  • Hypovolaemia
  • Anaphylaxis

Hypothermia

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7
Q

Dupuytren’s contracture

A

Idiopathic

Familial

Liver disease

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8
Q

Palmar erythema

A

Pregnancy

Liver disease

Hyperthyroidism

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9
Q

Xanthoma/ xanthelasma

A

Hyperlipidaemia: familial, secondary causes

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10
Q

Asterixis

A

CO2 retention

Liver disease

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11
Q

Corneal arcus

A

Hyperlipidaemia

Old age

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12
Q

Conjunctival pallor

A

Anaemia;
Iron deficiency

B12 deficiency

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13
Q

Jaundice [3]

A

Liver disease: cirrhosis

Gallstones: blocked common bile duct

Haemolysis

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14
Q

Central cyanosis

A

Respiratory:

  • COPD
  • Pneumonia
  • Severe asthma

Cardiovascular:

  • Heart failure (cor pulmonale)
  • Congenital heart disease
  • Massive PE
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15
Q

Mouth ulcers

A

Aphthous ulcers [benign]

Viral infection: herpes

Vitamin & mineral deficiency

Inflammatory bowel disease: Crohn’s, UC

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16
Q

Dental hygiene

A

Poor dentition

Gigivitis

17
Q

Glossitis

A

B12 deficiency

Candidal infection

18
Q

Angular stomatitis/cheilitis [4]

A

Candidal infection

Bacterial infection

Poor fitting dentures

Iron deficiency

19
Q

Spider naevi

A

> 5
Liver disease
Pregnancy

20
Q

Gynaecomastia

A

Liver disease

21
Q

Caput medusae

A

Severe liver disease: cirrhosis