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C21 Phase 1 > Gastrointestinal Examination > Flashcards

Gastrointestinal Examination Flashcards

(35 cards)

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1
Q

What features might you find on general inspection in a gastro exam

A

Generally unwell/distressed/in pain
Oxygen, catheters, drips, medication
Nutritional status/cachexia

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2
Q

What would cachexia be indicative of in a gastro exam

A

Malabsorption

Synthetic liver failure

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3
Q

What features may you find on the hands in a gastro exam

A

Tendon xanthemata
Dupuytrens Contracture
Palmar erythema

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4
Q

What is Dupuytrens Contracture indicative of

A

Chronic liver disease
Diabetes
Trauma

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5
Q

What is palmar erythema indicative of

A

Pregnancy
Chronic liver disease
Hyperthyroidism

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6
Q

What features may you find on the nails in a gastro exam

A

Clubbing
Leuconychia
Koilonychia

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7
Q

Gastric causes of clubbing

A 
Hepatic cirrhosis
Coeliac disease
Ulcerative colitis
Crohn’s disease
GI lymphoma
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8
Q

What is leuconychia indicative of

A

Hypoalbuminaemia

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9
Q

What features may you find on the wrists in a gastro exam

A

Flapping tremor

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10
Q

What is a flapping tremor indicative of in a gastric exam

A

Hepatic/respiratory/renal failure

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11
Q

What features may you find on the arms in a gastro exam

A

Needle marks

Bruising

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12
Q

What is bruising indicative of in a gastric exam

A

Chronic liver disease (lack of clotting factors)

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13
Q

What are needle marks indicative of in a gastric exam

A

IVDU (HBV,HCV)

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14
Q

What features may you find on the face in a gastro exam

A

Redness due to alcoholism

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15
Q

What features may you find on the eyes in a gastro exam

A 
Scleral icterus
Corneal Arcus
Xanthelasma
Conjunctivitis
Conjunctival pallor
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16
Q

What is sclerel icterus indicative of

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A

Jaundice (impaired liver function)

17
Q

What is conjunctivitis indicative of in a gastro exam

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A

Inflammatory bowel disease

18
Q

What features may you find on the mouth in a gastro exam

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A

Angular stomatitis
Oral candida
Apthous ulcers
Musty, sweet breath odour

19
Q

What is Angular stomatitis indicative of

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A

Iron/folate/B12 deficiency

20
Q

What is oral candida indicative of in a gastro exam

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A

Immunodeficiency

21
Q

What are Apthous ulcers indicative of

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A

Inflammatory bowel disease

22
Q

What is Musty, sweet breath odour indicative of in a gastro exam

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A

Hepatic failure

23
Q

What features may you find on the neck in a gastro exam

24
Q

What features may you find on the neck in a gastro exam

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A

Gynaecomastia

Spider Naevi

25
What is gynaecomastia indicative of in a gastro exam
Chronic liver disease | Testicular failure
26
What are spider naevi indicative of
Chronic liver disease
27
What features may you find inspection of the abdomen in a gastro exam
Abdominal distension Caput Medusa Scars
28
What is abdominal distension indicative of
``` Fat Fluid Flatus Faeces Foetus Fucking big mass ```
29
What is caput medusa indicative of
Portal hypertension
30
What do you need to palpate in the abdomen in a gastro exam
``` General palpation of 9 regions Liver Spleen Kidneys Abdominal aorta ```
31
What do you need to percuss in the abdomen in a gastro exam
9 regions | Spleen/liver if palpation is abnormal
32
What do you need to auscultate in the abdomen for a gastro exam
Bowel sounds Renal bruits Liver bruit (if liver edge palpated)
33
What features may you find on the legs in a gastro exam
Peripheral oedema Erythema Nodosum Pyoderma gangrenosum
34
What is Erythema Nodosum indicative of
Inflammatory bowel disease
35
What is Pyoderma gangrenosum indicative of
Inflammatory bowel disease | Rheumatoid arthritis

C21 Phase 1 (45 decks)

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