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Flashcards in Clinical Skills Deck (61)
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1

What is koilonychia a sign of?

iron deficiency, haemochromatosis, infection, endocrine disorders, malnutrition

2

what is koilonychia?

spoon shaped nails

3

What is clubbing a sign of in respect of GI?

cirrhosis, IBD, GI lymphoma, Malabsorption

4

Palmar erythema is a sign of what in GI?

liver cirrhosis

5

significant past MH in GI history?

peptic ulcers, carcinoma, jaundice, hepatits, blood transfusions, tattoos, previous operations, last menstrual period, dietary changes

6

significant drug history in GI history?

NSAIDs, steroids, antibiotics

7

significant FH in the GI history?

IBS, IBD, peptic ulcer disease, polyps, cancer, jaundice

8

Questions to ask regarding nausea/vomiting?

timing, content, relation to meals, amount

9

Questions to ask regarding haematemesis?

frequency, fresh (red or dark), neoplasia (weight, dysphagia, pain), NSAIDs, warfarin, surgery, smoking

10

Questions to ask regarding dysphagia?

level, onset, intermittent, progressive, painful swallow

11

Questions regarding changes in bowel habit?

timing, consider neoplasia (weight loss, dysphagia, pain, melaena)

12

Questions regarding rectal bleeding?

pain, mucus, fresh dark/black, mixed with stool, on surface, on paper, in the pan?

13

Questions regarding jaundice?

pruritis, dark urine, pale stools

14

Questions regarding weight change and appetite?

deliberate, quantify, dysphagia, pain

15

What is melaena?

black, tarry faeces

16

what is pruritis?

itch

17

Common causes of GI vomiting (7)

gastroenteritis, peptic ulceration, pyloric stenosis, intestinal obstruction, paralytic ileus, acute cholecystits, acute pancreatitis

18

Pain in the epigastric region may indicate?

pancreatitis, gastritis, duodenitis, peptic ulcer, gallbladder disease, aortic aneurysm

19

Pain in the LUQ may indicate?

Peptic ulcer, gastric or colonic cancer, splenic rupture, subphrenic or perinephric abscess, renal colic or pyelonephritis

20

Pain in the RUQ may indicate?

cholecystitis, biliary colic, hepatitis, peptic ulcer, colonic cancer, renal colic or pyelonephritis, subphrenic, perinephric abscess

21

Pain in the loin may indiacte?

renal colic, pyelonephritis, renal tumour, perinephric abscess

22

Pain in the LIF may indicate?

diverticulitis, volvulus, colon cancer, pelvic abscess, IBD, hip pathology, renal colic, UTI, cancer in undescended testis, zoster, torsion of ovarian cyst, ectopic pregnancy

23

Pain in the RIF may indicate?

Appendicitis, Chrons ileitis, diverticulitis, volvulus, colon cancer, pelvic abscess, IBD, hip pathology, renal colic, UTI, cancer in undescended testis, zoster, torsion of ovarian cyst, ectopic pregnancy

24

Pain in the Pelvic region may indicate?

UTI, retention, stones, menstruation, pregnancy, endometriosis endometritis, ovarian cyst torsion

25

Generalised Pain in GI may indicate?

Gastroenteritis, IBS, peritonitis, constipation

26

Central Pain in GI may indicate?

mesenteric ischaemia, abdominal aneurysm, pancreatitis

27

MI referred pain may go to...

the epigastric region or pleura

28

The five Fs of abdominal distension

Fat, Fluid, Faeces, Flatus, Fetus

29

Flatus will be ____ to percussion

resonant

30

Fluid will be _____ to percussion

dull