GI Flashcards
(27 cards)
What is Murphy’s sign
Acute cholecystitis
Pain during palaption whilst patient is doing deep inspiration
Only +ve if no pain in LUQ
What is Rovsing’s sign
Palpation of LIF causes pain in RIF
Appendicitis
Causes of splenomegaly
Lymphoma Leukemia Myelofibrosis Malaria Portal HTN
How to differentiate between spleen and kidney
Spleen is notched
Spleen not ballotable
Spleen moves down on inspiration
What does percussion tenderness indicate
Peritonitis
What does tinkling bowel sounds indicate
Obstruction
What does absent bowel sounds indicate
Paralytic ileus
Peritonitis
What would skin hyperpigmentation indicate on inspection
Haemachroamtosis disease - bronze skin
What causes hernias to become more pronounced
Cough test
What does palmar erythema indicate
Pregnancy
Chronic liver disease
What does koilonychia indicate
Iron deficiency anaemia
- Crohns
What does leukonychia indicate
Hypoalbuminaemia
- Liver disease
- Protein losing enteropathy
Causes of asterixis
Hepatic encephalopathy
Uraemia - Renal failure
CO2 retention
What does corneal arcus indicate
< 50y/o = Hypercholesterolaemia
White/grey/blue opaque ring in peripheral cornea
What does Right supraclavicualr lymphadenopathy indicate
Metastatic Oseophageal cancer
What conditions shows rebound tenderness on palpation
Peritonitis
What conditions cause guarding on palaption
Appendicitis
Diverticulitis
What indicates cirrhosis on liver palpation
Nodular consistency
What is assosciated with pulsatile hepatomegaly
Tricuspid regurgitation
causes of splenomegaly
Portal HTN Haemolytic anaemia CCF Splenic mets Glandular fever
Causes of enlarged kidneys
PCKD
Amyloidosis
Causes of paralytic ileus
Electrolyte abnormalities
Recent abdo surgery
Causes of aortic bruits
AAA
Causes of renal bruits
Renal artery stensosis
