GI Quiz 1 - Approach to Pt Flashcards
List GI symptoms that require further evaluation (10)?
Anorexia Abdominal mass/Organomegaly Blood in stool/urine Dysphagia Edema Fever Pain (awakens pt) Persistent N/V Skin changes (jaundice) Wt. loss
For an CC that is abdominal in nature what systems do you NEED to do PE for (6-8)?
Vitals Skin Extremities HEENT Chest (Respiratory/Cardio) Abdominal M/b Pelvic in W or genitalia exam in M Rectal exam for occult blood (DRE)
What vitals are necessary for GI CC?
Weight, BMI, Pulse Ox
What skin exams are necessary for GI CC?
Rash, Erythema, Jaundice, Pallor
What extremity exams are necessary for GI CC?
Nail clubbing, contractures, liver flap
What HEENT exams are necessary for GI CC?
Eyes: jaundice in sclera, conjunctival pallor
Lymph: upper cervical/virchow’s node
What resp/cardio exams are necessary for GI CC?
Spider nervi, purpura, gynecomastia
Full auscultation of heart/lungs
What are the 4 components of a GI exam (in order)?
What are you looking for during the inspection portion of GI PE?
Lesions, masses, distention (7Fs), scars, vessels, pertistalsis
What are the 7 Fs of distention
Fat, Flatus, Fetus, Fluid, Feces, Fatal growth, Fibroids
What are you listening for during GI auscultation?
Bowel sounds, bruits over abdominal arteries
What are you listening for during percussion of GI?
Normal: mixed resonant/dull
Tympanic: gas in stomach/intestines
Dull: solid organs, feces, fluids, tumors
Liver span in cm at MCL
What could percussion that includes shifting dullness indicate?
What are you feeling for during palpation of GI?
4 quadrants: superficial/deep, tenderness/mass/gaurding
Liver, spleen, kidneys (tenderness, organomegaly, masses, enlarged AA)
A positive Murphy’s sign would indicate what pathology?