Gastrointestinal Examination Solved Correctly To Score A+
1. Step 1 Wash hands, inrtroduction, explain, consent
2. General
Inspec- tion: colour (jaundice, anaemia)
for what? build (wasting, obesity)
discomfort, breathing (rate, chest wall breathing?), conscious level
3. Examine
hands: for Colour
what? Clubbing (UC, Crohn's, coeliac disease)
Leukonychia (nephrotic syndrome, liver failure)
Koilonychia (chronic iron defeciency)
Spider naevi (liver disease)
Dupuytrens contracture (diabetes, alcoholism, liver disease)
Asterixis (liver flap) - patient should hold hyperextension of
4. Leukonychia
wrist
5. Dupuytren's
con- tracture
6. After bp
and pulse?
7. After looking
at hands
whats next?
Examine forearms for muscle wasting and scratches suggestive of pruritus
Check pulse and bp
1/
8
, Gastrointestinal Examination Solved Correctly To Score A+
8. Next examine the Jaundice
eyes: for? Anaemia (subconjunctival pallor)
Xanthelasma
Corneal arcus
Kayser-Fleischer rings
9. subconjunctiva
l pallor
10. Xanthelasma
11. corneal arcus
12. Kayser-
Fleischer rings
13. Examine the
face for?
14. Examine
the mouth
for?
Telangiectasia
Angular stomatitis
Glossitis
Dehydration
Halitosis
Dental carries Ulcers
2/
8
1. Step 1 Wash hands, inrtroduction, explain, consent
2. General
Inspec- tion: colour (jaundice, anaemia)
for what? build (wasting, obesity)
discomfort, breathing (rate, chest wall breathing?), conscious level
3. Examine
hands: for Colour
what? Clubbing (UC, Crohn's, coeliac disease)
Leukonychia (nephrotic syndrome, liver failure)
Koilonychia (chronic iron defeciency)
Spider naevi (liver disease)
Dupuytrens contracture (diabetes, alcoholism, liver disease)
Asterixis (liver flap) - patient should hold hyperextension of
4. Leukonychia
wrist
5. Dupuytren's
con- tracture
6. After bp
and pulse?
7. After looking
at hands
whats next?
Examine forearms for muscle wasting and scratches suggestive of pruritus
Check pulse and bp
1/
8
, Gastrointestinal Examination Solved Correctly To Score A+
8. Next examine the Jaundice
eyes: for? Anaemia (subconjunctival pallor)
Xanthelasma
Corneal arcus
Kayser-Fleischer rings
9. subconjunctiva
l pallor
10. Xanthelasma
11. corneal arcus
12. Kayser-
Fleischer rings
13. Examine the
face for?
14. Examine
the mouth
for?
Telangiectasia
Angular stomatitis
Glossitis
Dehydration
Halitosis
Dental carries Ulcers
2/
8
