Abdo OSCE - Hands

Question 1

What is Beau’s lines?

Answer 1

horizontal lines seen across all nails

Question 2

what is the clinical signficance of beau’s lines?

Answer 2

systemic illness in the past few months

Question 3

what is palmer erythema

Answer 3

redness to palms

Question 4

what is the clinical signficance of palmer erythema

Answer 4

liver disease

Question 5

what is clubbing

Answer 5

no diamond shape between finger nails

Question 6

what is the clinical signficance of clubbing

Answer 6

crohn’s disease, IBS, ulcerative colitis

Question 7

what is palmer creases

Answer 7

non pink / pale

Question 8

what is the clinical signficance of palmer creases

Answer 8

aneamia

Question 9

what is dupuytrens contracture

Answer 9

single finger pulled in towards palm

Question 10

what is the clinical signficance of duputryens contracture

Answer 10

liver disease / familial
tobacco use

Question 11

what is koilonychias

Answer 11

spooned fingernails

Question 12

what is the clinical signficance of koilonychias

Answer 12

anaemia , long term liver disease

Question 13

what is leukonychia

Answer 13

white fignernails

Question 14

what is the clinical signficance of leukonychia

Answer 14

kidney disease

Question 15

what is asterixis (metabolic flap)?

Answer 15

ask patient to hold arms straight out and bend hands backwards for 30 seconds. Look for a flapping tremor - can be associated with liver disease