System examination Flashcards
Tendon xanthomata
hypercholesteroleamia
CV, PV, GI
Osler nodes and laneway lesions
IE
CV
Finger clubbing
IE, cyanotic, lung disease, ICD, Cirrhosis
CV, PV, R, GI
Koilinychia
iron deficiency anaemia
CV, R, PV, GI
Splinter haemorrhages
IE, trauma
CV
Tar staining
smoking everything
CV, PV, R, GI
Dupuyten’s contraction
CLD, diabetes, phenytoin, trauma, familial
GI
Leuconychia
hypoalbuminaemia
GI
Collapsing pulse
Aortic regurgitation
CV
Malar flush
Mitral stenosis
CV
Left parasternal heaves
Right ventricular hypertrophy
CV
Thrills
Palpable murmurs
CV
Where does mitral regurgitation radiating?
Axilla
CV
What murmur radiates to the carotid sinuses?
Atrial stenosis, also listen during expiration
CV
What is Asterixis?
Flapping tremor due to renal/ hepatic/ respiratory failure
R, GI
Name Abnormalities of the chest wall
Pectus excavatum, pectus carinatum and scoliosis
R
What features are of cushingoid and what causes it?
Moon face, acne, hairy which can be caused by alcohol
GI
Apthos ulcers
Crohns
GI
Oral candidiasis
Immunodyiciency
GI
Angular stomatitis and glottis
Iron/ B12 deficiency
GI
What is shifting dullness?
Percuss away from midline to LEFT until dullness, turn Pt. on side and percuss until resonance
Ascities - GI
What are the features of an upper motor nuerone lession?
Increase tone: spasticity and rigidity
Power effected in group of muscles
Exagerated reflexes
Clonus
Brabinski sign - plantar reflex
Minimal atrophy
What are the features of a lower motor nuerone lession?
Atrophy
Fasciculations
Decreased tone
Reduced reflexes
Rootles for triceps reflex
C7
Roots for biceps reflex
C5-6
Roots for supinator reflex
C5-6
Roots for knee reflex
L3-4
Roots for ankle reflex
S1
Beurgers test
Raise Pt. leg until veins are guttered and leg becomes pail
Note buergers angle
PV
Trendelenburg (tornique) test
Empty veins by elevating leg, apply tornique to upper thigh and make patietn stand. If filling occurs then
Cervical lymph nodes
submental
submandbular
anterior auricular
posterior auricular
anterior cervicle chain
supracalvicular
posteior cervicle chain
occipital
What does the acronym SWIFT stand for in the observation step of the lower limb nuerological examination?
Scars
Washing
Involentary movements
Fasiculations
Tremor
What is spasticity?
Velocity dependent hypertonia
What is Rigidity?
Tone increases throughout the movement of the llimb