GI OSCE Flashcards Preview

Paramedicine > GI OSCE > Flashcards

Flashcards in GI OSCE Deck (10):
1

preparation

Introduce
consent
wash hands
postion - lying flat, head propped on one pillow

2

General Inspection

Comfortable breathing?
LOC?
Pain?
Colour?
Items?

3

Hands

Nails:
-Leuconichia (milk spots)
- Koilonychia (Spoon nails)
- clubbing

Hands:
- palmar erythema (hepatic disease)
- palmar anaemia
- Dupuytrens contracture (bent fingers) (diabetes)

dorsum:
Pinch test (dehydration)
Spider naevi (liver)
Hepatic flap

4

Face

Jaundice (eyes)
Anaemia (conjunctiva)
Mouth ulcers
dentition
dehydration
tongue disorders (thrush)

5

Lymph nodes

Occipital (occiput scalp)
post auricular (neck ear canal)
pre auricular (facial and temporal)
submandibular (lateral face)
submental (lower mouth)
Anterior cervical (anterior neck)
posterior cervical (scalp, thorax)
Supraclavicular:
- R (oesophagus)
- L (Virchows) (Abdomen)

6

Abdomen Inspection

scars
Symmetry and shape (focal swelling)
Pulsation
peristalsis
venous distension (cirrhosis)
Discolouration (cullen and turners signs - pancreatitis)
stomas

7

Abdomen Palpation

Light palpation - 9 areas
Deep palpation - 9 areas
rebound tenderness
Liver
Spleen
Kidneys
bladder
aorta

8

Abdomen Percussion

Liver (Measure length)
Spleen
Bladder
Shifting dullness
fluid thrill

9

Abdomen Ausculatation

Bowel Sounds
Aorta bruits
Renal arteries bruits
Liver bruits

10

Complete exam

Cover and thank pt
consider:
- BP
Temp
Dipstick