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GI, liver, kidney > GI exam > Flashcards

GI exam Flashcards

1
Q

What is Murphys sign?

A

When palpate under R costal margin. Ask patient to take a depe breath and patient stops breathing due to the pain

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2
Q

What does isolated hyperbilirubin in otherwise well people signal?

A

Gilberts syndrome

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3
Q

What does caput medusae signal?

A

Portal Hypertension

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4
Q

Draw where different hernias are?

A

Epigastric
Umbilical
Incisional
Spigelian
Femoral
Inguinal

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5
Q

What is cullens sign?

A

Periumbilical bruises

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6
Q

What is Grey turners sign?

A

Flank bruising

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7
Q

What two signs signal pancreatitis?

A

Grey Turners and Cullens sign

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8
Q

What is Rosvings sign?

A

Palpate left iliac fosssa -> pain in RIF

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9
Q

What conditions can Rosvings sign signal?

A

Peritonitis and appenditcitis

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10
Q

What positive sign signals cholecysitis?

A

Murphys sign

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11
Q

What disease has kaiser fleischering as a sign?

A

Wilsons disease - copper deposition in eye

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12
Q

What is stomatitis?

A

Ulcers in corner of mouth

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13
Q

What is troisiers signs?

A

Find palpable L supraclavicular lymph node - Virchows node, signals GI malignancy

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14
Q

What organ problems can result in gynaecomastia?

A

Liver - malfunction increases prolactin/oestrogen

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15
Q

What hormone increase can cause spider naevi?

A

Oestrogen eg COCP, pregnancy

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16
Q

Draw the major scars that can be present after abdominal surgerey

A

Laporotomy

17
Q

What level of bilirubin equates to clinical jaundice (can see it)

A

50mmol/L

18
Q

What hand sign can be present in chronic liver disease and pregnancy?

A

Palmar erythema

19
Q

What can cause dupyrtens contracture?

A

Excessive alcohol use and diabetes

20
Q

Whar can both iron deficiency anaemia and crohns cause?

A

Koilonychia/spooning nails

21
Q

What nail sign can signify end stage liver disease?

A

Leukonychia - whitening nail bed

22
Q

Examples of GI conditions that present with clubbing

A

IBD, coeliac, liver cirrhosis, thyroid achropatchy (Graves disease)

23
Q

Causes of asterixis flap?

A

-Hepatic encephalopathy
Uraemia secondary to renal failure
C02 retention

24
Q

What is exophthalmus

A

Bulgiing eyes

25
Q

What is opthalmaplegia

A

Weakness or paralysis of eye muscles

26
Q

What eye conditions are seen inGraves disease

A

Exophtalmos, lid retraction and lid lag

27
Q

What vascular sign of a tumor would warrant a referral?

A

Pulsatility

GI, liver, kidney (50 decks)

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