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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

A

Crohns

GI

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

A

C7

25
Q

Roots for biceps reflex

A

C5-6

26
Q

Roots for supinator reflex

A

C5-6

27
Q

Roots for knee reflex

A

L3-4

28
Q

Roots for ankle reflex

A

S1

29
Q

Beurgers test

A

Raise Pt. leg until veins are guttered and leg becomes pail

Note buergers angle

PV

30
Q

Trendelenburg (tornique) test

A

Empty veins by elevating leg, apply tornique to upper thigh and make patietn stand. If filling occurs then

31
Q

Cervical lymph nodes

A

submental

submandbular

anterior auricular

posterior auricular

anterior cervicle chain

supracalvicular

posteior cervicle chain

occipital

32
Q

What does the acronym SWIFT stand for in the observation step of the lower limb nuerological examination?

A

Scars

Washing

Involentary movements

Fasiculations

Tremor

33
Q

What is spasticity?

A

Velocity dependent hypertonia

34
Q

What is Rigidity?

A

Tone increases throughout the movement of the llimb

35
Q
A

YEAR 3 Manchester Medicine (34 decks)

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