Gastrointestinal Examination Flashcards Preview

Clinical Skills > Gastrointestinal Examination > Flashcards

Flashcards in Gastrointestinal Examination Deck (10):
1

What position is the patient in?

Lying flat
But sit up to start with

2

What are the main stages of the exam?

General Inspection
Hands
Arms
Head and Neck
Chest Inspection
Abdominal Inspection
Palpation
Percussion
Auscultation

3

What are you looking for during the general inspection?

Anxiety
Distress
Sweaty
Pallor
Signs of liver disease
Scars
Lifestyle signs

4

What are you looking for when examining the hands and arms?

Clubbing
Kolionychia
Leukonychia
Palmar erythema
Dupuytren's
Hepatic flap
Bruising
Petechiae
Excoriations
Needle tracks
Radial artery - rate, rhythm and respiratory rate

5

What are you looking for when examining the head and neck?

Yellow deposits
Pallor
Jaundice
Oral candidiasis
Ulcers
Inflammation
Lymph nodes - cervical and axillary
Virchow's node

6

What are you looking at during the chest inspection?

Spider naevi
Gynaecomastia
Hair loss

7

What are you looking for during the abdominal inspection?

Scars
Masses
Pulsation
Distention (ask to push out)
Cullen's
Grey-turner's
Striae
Medusae
Stomas

8

What are you palpating and how?

9 regions
Light - tenderness, rebound, masses, guarding
Deep - assess masses
Liver
Murphy's sign
Spleen
Kidneys
Aorta
Bladder

9

What are you percussing?

Liver
Spleen
Bladder
Shifting dullness

10

What are you listening for and where, during auscultation?

Bowel sounds - three in the lower ab lines
Bruits - either side of the umbilicus