step 2

Question 1

what happens at step 2

Answer 1

inspection of the hands and arms

Question 2

running order of the hands of arms

Answer 2

assess the finger nails
assess palms
schamroths window
asterixis

Question 3

when assessing the finger nails for?

Answer 3

Kolinychia
leukonychia

Question 4

what is kolinychia?

Answer 4

nail is abnormal as it is raised at the edges

Question 5

what is kolinychia a sign off?

Answer 5

iron deficiency aemia

Question 6

what is leukonychia ?

Answer 6

white marlins under the nails

Question 7

what is leukonychia a sign off?

Answer 7

liver and kidney disease
ulcerative colitis
malnutrition

Question 8

what are we assessing for on the palms of the hands?

Answer 8

depuyten’s contracture

Question 9

what is deputyns contracture ?

Answer 9

abnormal thickening of tissue on the palm of the hands which causes the middle and ring finger to bend inwards

Question 10

what can deputyns contracture be a sign off?

Answer 10

Alcohol disease
nutritional deficiencies

Question 11

schamroths window

Answer 11

have the patient to put 2 finger nails together and look for a window if there is no window indicates CO2 retention

Question 12

how should we look for asterixis?

Answer 12

hands horizontal
cock the wrists
and assess for a wrist flap

Question 13

what can a wrist flap indicate for the abdominal assessment

Answer 13

liver disease
co2 retention