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Flashcards in Gi Deck (60)
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1

Furring of the tongue and bad breath could be

Intra abdominal sepsis
Eg peritonitis , appendicitis

2

Lack of abdominal wall movement in respiration

Peritonitis

3

Rebound tenderness is?
Found in

Pain when abdomen released rapidly after compression
Peritonitis

4

Signs of toxicity and sepsis

6 Ts
Tachycardia
Tachypnoea
Tremors
Toxic look
Tiredness
Temperature

5

Causes of acute pancreatitis

GET SMASHD
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion
Hyperlipidaemia
Drugs - azathiopine, diuretics

6

Pallor or palmar creases

Anaemia

7

GI causes of clubbing

Cirrhosis , ulcerative colitis, crohns , coeliac disease

8

Leukonychia is?
Seen in ?

White patches in nails
If affects all nail beds may be --> chemo

9

Terry's nails (leukonychia totalis) found in?

Hypoalbuminaemia
(Nephrotic syndrome, liver failure, protein malabsorption

10

Spoon shaped nails called?
Seen in ?

Koilonchyia
Chronic iron deficiency

11

What are spider naevi ?
Found in?
Where are they usually seen

Single arteriolar with radiating dilated capillaries
Seen in 20% healthy people
Lots seen in liver disease with circulating oestrogens

Upper trunk head neck and arms

12

What is dupuytrens contracture

Fibrosis and shortening of palmar aponeurosis

13

When is liver flap seen?
Why?

Where else (other system)

Coarse flapping tremor --> liver failure with failure of ammonia metabolism to urea

Also seen in renal failure and respiratory failure with CO2 retention

14

What is Xanthelasma ?
Seen in

Yellowish deposit of fat around eyelids
Hyper cholesterol

15

What is corneal Arcus ?
Seen in?

White /pale ring around iris
Hypercholesterol

16

What does telangiectasia look like?
Where does it affect ?
Issue?

Little red dots on lips/ oral mucosa
Face, oral mucosa, GI tract, lungs, liver, brain
Haemorrhage

17

Angular stomatitis caused by?

Deficiency of b12,6 folate or iron

18

What is glossitis?
Seen in? When is it painful ?

Smooth red tongue
Painful - b12/folate deficiency
Painless - iron deficiency

19

Ulcers in oral mucosa

B12 deficiency , iron deficiency, crohns , coeliac

20

Cause of gynaecomastia

Increased circulating oestrogens in liver failure

21

What is troisiers sign

Enlargers left supra clavichord lymph node (virchows)
Metastisis form intraabdominal malignancy

22

Distended veins in abdomen ?

Inferior vena cava obstruction
Portal hypertension

23

5 Fs of abdominal distension

Fluid
Faeces
Flat us
Foetus
Fat

24

What is courvoisier's law

In the presence of a palpable gall bladder, jaundice is NOT likely to be due to gallstones

25

Bowel sounds in obstruction

Tinkling

26

4 questions for scrotal swellings

Can you get above the swelling
Can the testis and epididymis be identified separately
Does the swelling transilluminate
Is the swelling tender

27

Jaundice and abdominal pain is usually?

Gallstones

28

Eg causes of clubbing

IBD, cirrhosis, coeliac

29

What is spooning of nails called?
Cause

Koilonychia
Chronic iron deficiency

30

Whitened nail bed called?
Cause

Leukonychia
Hypoalbuminaemia ( liver failure / enteropathy)