Abdominal

Question 1

Abdo exam

Identify

Inspection

Answer 1

Clubbing

Question 2

Abdo exam

Identify

Inspection

Answer 2

Leuconycia

Question 3

Abdo exam

Identify

Inspection

Answer 3

Koilonychia

Question 4

Abdo exam

Identify

Inspection

Answer 4

Palmar Erythema

Question 5

Abdo exam

Identify

Inspection

Answer 5

Duptyrenes Contracture

Question 6

Abdo exam

Identify

Inspection

Answer 6

Arteriovenous Fistula

Question 7

Abdo exam

Identify

Inspection

Answer 7

Xanthalasma

Question 8

Abdo exam

Identify

Inspection

Answer 8

Jaundiced Sclera

Question 9

Abdo exam

Identify

Inspection

Answer 9

Conjunctival Palor

Question 10

Abdo exam

Identify

Inspection

Answer 10

Kayser-Fleischer Rings

Question 11

Abdo exam

Identify

Inspection

Answer 11

Parotid Gland enlarged

Question 12

Abdo exam

Identify

Inspection

Answer 12

Lip pigmentation with Peutz-Jehger’s syndrome

Question 13

Abdo exam

Identify

Inspection

Answer 13

Telangiectasia

Question 14

Abdo exam

Identify

Inspection

Answer 14

Angula stomatitis

Question 15

Abdo exam

Identify

Inspection

Answer 15

Glossitis

Question 16

Abdo exam

Identify

Inspection

Answer 16

Mouth Ulcers
?IBD

Question 17

Abdo exam

Identify

Inspection

Answer 17

Spider Naevi

Question 18

Abdo exam

Identify

Inspection

Answer 18

Gynaecomastia

Question 19

Abdo exam

Identify

Inspection

Answer 19

Caput Medusa

Question 20

Abdo exam

Identify

Inspection

Answer 20

Ascites

Question 21

INTRODUCTION

Answer 21

Introduce yourself (full name and role)
Check patient’s name
Explain what examination entails and consent
Ask if in any pain
Clean your hands (and stethoscope if not using patients own)
Position lying supine
Ensure adequate exposure (down to waist)

Question 22

Abdo Exam

INSPECTION:

Answer 22

Bedside
Stoma bags
Nutritional supplements/milkshakes
Vomit bowls
Patient
Pain/distress
Jaundice
Cachexia
Obvious abdominal distension
Stoma bags
PEG tubes/ Nasogastric tube/ Drain
Tattoos (hepatitis C)

Question 23

Abdo exam

HANDS

Answer 23

Nails
Clubbing
Leukonychia
Koilonychia
Tar stains
Palms
Dupuytrens contracture
Palmar erythema
Liver flap

Question 24

Abdo exam

ARMS

Answer 24

Arteriovenous fistula
Excoriations
Bruising

Question 25

# Abdo exam EYES

Answer 25

Xanthalesma Jaundiced sclera Conjunctival pallor Kayser-Fleisher ring

Question 26

# Abdo exam PAROTID GLANDS

Answer 26

Enlargement

Question 27

# Abdo exam MOUTH

Answer 27

Angular stomatitis - iron, B12,folate, crohns Pigmentation - addisons, haemochromotosis, PBC Telangectasia- cirrhosis Dry mucus membranes- sjrogens Glossitis- iron folate b12, malabsorption Ulcers- crohns, bechets, lupus Hepatic foetor- advance liver disease Primary diseases of the oral cavity; dentition-

Question 28

# Abdo exam NECK

Answer 28

Supraclavicular lymph nodes to look for Virchows node

Question 29

# Abdo exam CHEST

Answer 29

Spider naevi Gynaecomastia Excoriation Change in hair distribution

Question 30

# Abdo exam ABDOMEN INSPECTION

Answer 30

Distension Scars Spider naevi Excoriation marks Bruising Lumps/mass/ swellings/ hernia Pulsations Peristalsis Caput medusae Stoma

Question 31

# Abdo exam PALPATION

Answer 31

9 regions of the abdomen Superficial palpation Deep palpation Tenderness/masses/guarding/rigidity Liver (hepatomegaly) Spleen (splenomegaly) Kidneys (enlarged kidneys) Aorta (AAA)

Question 32

# Abdo exam PERCUSSION

Answer 32

Liver Spleen Masses/swellings Areas of tenderness Shifting dullness

Question 33

# Abdo exam AUSCULTATION

Answer 33

Bowel sounds Bruits Abdominal aorta Renal arteries

Question 34

# Abdo exam CONSIDER OTHER EXAMINATIONS

Answer 34

Rectal examination Hernial orifices Scrotal and external genitalia/vaginal examination Urinalysis Pregnancy test Full lymph node examination Vital signs