Gastrointestinal Examination Solved Correctly To Score A+

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


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, 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


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