Examination signs Flashcards

(57 cards)

1
Q

Increased body/facial hair

A

Ciclosporin

PCOS

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2
Q

Telangiectasia

A

Osler-Weber-Rendu

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3
Q

Perioral freckling

A

Peutz Jeghers

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4
Q

Cafe au lait spots

A

NF1

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5
Q

Finger clubbing

A

CF
Liver disease
IBD
Coeliac diseae

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6
Q

Koilonychia

A

Iron deficiency anaemia

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7
Q

Leuconychia

A

Cirrhosis

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8
Q

Palmar erythema

A

Chronic liver disease

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9
Q

Hepatic flap

A

Liver failure
Renal failure
CO2 retention

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10
Q

Tendon xanthomas

A

Hypercholesterolaemia

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11
Q

Facial plethora

A

Chronic liver disease

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12
Q

Aphthous ulcers

A

Crohn’s/UC
Coeliac
Behcet’s disease

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13
Q

Gum hypertrophy

A

Myeloid leukaemia
Ciclosporin
Phenytoin

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14
Q

Macroglossia

A
Down syndrome
Hypothyroidism
Beckwith-Wiedemann
Mucopolysaccharidoses
Glycogen storage disease
Amyloid
Haemangioma
Lymphangioma
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15
Q

Glossitis

A

Iron, folate or B12 deficiency

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16
Q

5Fs of an abdominal mass

A
Faeces
Flatus
Fat 
Fluid
Foetus
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17
Q

Scar below right subcostal margin

A

Kocher’s incision
Cholecystectomy
Any liver procedure

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18
Q

Rooftop scar

A

Liver transplant

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19
Q

Transverse upper abdominal incision

A

CDH repair

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20
Q

Upper abdominal midline incision

A

Nissen’s fundoplication

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21
Q

Small right upper transverse incision

A

Ramstedt’s pyloromyotomy

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22
Q

Bloodflow in caput medusae

A

Flows away from umbilicus

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23
Q

Main examination features of portal hypertension

A

Splenomegaly
Ascites
Portosystemic shunts: caput medusae, haemorrhoids, oesophageal varices

24
Q

Causes of portal hypertension

A

Prehepatic: portal vein thrombosis, postnatal umbilical vessel catheterisation, sepsis
Hepatic: cirrhosis, congenital hepatic fibrosis
Posthepatic: Budd-Chiari, heart failure

25
Causes of hepatomegaly
Structural: biliary atresia, choledochal cyst, fibrosis Storage/metabolic diseases Haematological: haemoglobinopathies, leukaemia Heart/vascular: congestive heart failure, constrictive pericarditis, obstructive IVC, Budd-Chiari Infection
26
Causes of splenomegaly
``` Haematological: leukaemia, haemoglobinopathy Infection: Endocarditis, TB, parasites Inflammation: SLE, rheumatoid, ITP, sarcoid Portal hypertension Amyloidosis Gaucher Niemann Pick Tropical splenomegaly ```
27
Causes of ascites
``` Cirrhosis Congestive heart failure HYpoalbuminaemic states TB Malignancy Hepatic vein thrombosis Meigs syndrome Pancreatitiss ```
28
Main dysmorphic syndromes to look for in cardio exam
``` Down Williams DiGeorge Turner's Noonan's ```
29
Absent radii
VACTERL
30
Absent thumb
Holt-Oram
31
Thrill at suprasternal notch
Aortic stenosis
32
Raised JVP
Right heart failure, fluid overload
33
Harrison sulcus
Increased pulmonary bloodflow | Asthma
34
Right thoracotomy scar
Cardiac: BT shunt, PA banding | Non cardiac: lung, oesophageal or CDH surgery
35
Midline sternotomy scar
Complex cardiac surgery Any bypass surgery PA banding
36
Left thoracotomy scar
Cardiac: BT shunt, PA banding, PDA ligation, coarctation repair Non cardiac: lung surgery
37
Apex displaced to the left
Cardiomegaly Pectus excavatum Scoliosis
38
Apex displaced to right
Dextrocardia e.g. Kartagener's Left diaphragmatic hernia Collapsed lung on right L pleural effusion or pneumothorax
39
Thrill at lower left sternal edge
VSD
40
Thrill at upper left sternal edge
Pulmonary stenosis
41
ESM at ULSE
Pulmonary stenosis ASD Innocent murmur
42
ESM at RUSE
Aortic stenosis
43
Continuous at RUSE
Right BT shunt
44
Pansystolic murmur at apex
Mitral regurgitation | VSD
45
Late systolic murmur at apex
Mitral valve prolapse
46
Ejection systolic murmur at apex
Aortic stenosis
47
Mid diastolic murmur at apex
Mitral stenosis
48
Pansystolic murmur at LLSE
Tricuspid regurgitation | VSD
49
Diastolic murmur at LLSE
Tricuspid stenosis | Aortic regurgitation
50
Systolic murmur at back:
Coarctation, peripheral pulmonary stenosis
51
Continuous murmur at back
PDA
52
Where does Still's murmur occur?
LLSE
53
Murmur radiating to the back and axilla
Pulmonary stenosis
54
Murmur radiating to left axilla only
Mitral regurgitation
55
How to differentiate between aortic stenosis and pulmonary stenosis?
Louder in expiration - left heart disease = aortic stenosis Louder in inspiration - right heart disease = pulmonary stenosis
56
Champagne bottle leg and high foot arch
HSMN type 1/charcot marie tooth
57
Pronator drift
Weakness | Cerebellar lesion if upward