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YEAR 3 Manchester Medicine > System examination > Flashcards

System examination Flashcards

1
Q

Tendon xanthomata

A

hypercholesteroleamia

CV, PV, GI

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2
Q

Osler nodes and laneway lesions

A

IE

CV

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3
Q

Finger clubbing

A

IE, cyanotic, lung disease, ICD, Cirrhosis

CV, PV, R, GI

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4
Q

Koilinychia

A

iron deficiency anaemia

CV, R, PV, GI

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5
Q

Splinter haemorrhages

A

IE, trauma

CV

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6
Q

Tar staining

A

smoking everything

CV, PV, R, GI

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7
Q

Dupuyten’s contraction

A

CLD, diabetes, phenytoin, trauma, familial

GI

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8
Q

Leuconychia

A

hypoalbuminaemia

GI

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9
Q

Collapsing pulse

A

Aortic regurgitation

CV

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10
Q

Malar flush

A

Mitral stenosis

CV

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11
Q

Left parasternal heaves

A

Right ventricular hypertrophy

CV

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12
Q

Thrills

A

Palpable murmurs

CV

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13
Q

Where does mitral regurgitation radiating?

A

Axilla

CV

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14
Q

What murmur radiates to the carotid sinuses?

A

Atrial stenosis, also listen during expiration

CV

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15
Q

What is Asterixis?

A

Flapping tremor due to renal/ hepatic/ respiratory failure

R, GI

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16
Q

Name Abnormalities of the chest wall

A

Pectus excavatum, pectus carinatum and scoliosis

R

17
Q

What features are of cushingoid and what causes it?

A

Moon face, acne, hairy which can be caused by alcohol

GI

18
Q

Apthos ulcers

19
Q

Oral candidiasis

A

Immunodyiciency

GI

20
Q

Angular stomatitis and glottis

A

Iron/ B12 deficiency

GI

21
Q

What is shifting dullness?

A

Percuss away from midline to LEFT until dullness, turn Pt. on side and percuss until resonance

Ascities - GI

22
Q

What are the features of an upper motor nuerone lession?

A

Increase tone: spasticity and rigidity

Power effected in group of muscles

Exagerated reflexes

Clonus

Brabinski sign - plantar reflex

Minimal atrophy

23
Q

What are the features of a lower motor nuerone lession?

A

Atrophy

Fasciculations

Decreased tone

Reduced reflexes

24
Q

Rootles for triceps reflex

25
Roots for biceps reflex
C5-6
26
Roots for supinator reflex
C5-6
27
Roots for knee reflex
L3-4
28
Roots for ankle reflex
S1
29
Beurgers test
Raise Pt. leg until veins are guttered and leg becomes pail Note buergers angle PV
30
Trendelenburg (tornique) test
Empty veins by elevating leg, apply tornique to upper thigh and make patietn stand. If filling occurs then
31
Cervical lymph nodes
submental submandbular anterior auricular posterior auricular anterior cervicle chain supracalvicular posteior cervicle chain occipital
32
What does the acronym SWIFT stand for in the observation step of the lower limb nuerological examination?
**S**cars **W**ashing **I**nvolentary movements **F**asiculations **T**remor
33
What is spasticity?
Velocity dependent hypertonia
34
What is Rigidity?
Tone increases throughout the movement of the llimb
35

YEAR 3 Manchester Medicine (34 decks)

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