Introduction to GI examination

Question 1

What does telengectasia indicate?

Answer 1

• Hereditary haemorrhagic telangiectasia
• Autosomal dominant vascular disorder
• Gastrointestinal bleeding / pulmonary AV fistulas

Question 2

When is an abnormality in mental state seen?

Answer 2

• Abnormality seen with hepatic encephalopathy in liver failure

Question 3

How do you tell if a left upper quadrant mass is the spleen or the kidney?

Answer 3

• Spleen percussion is dull and movement with inspiration is inferomedial
• Kidney percussion usually resonant and movement is inferior