Leukonychia
Hypoalbuminaemia
Clubbing
Cirrhosis, IBD, coeliac
Koilonychia
Iron deficiency anaemia
Dupuytens contracture
Alcohol
Bruising
Liver dysfunction
Scratch marks/pruritis
Chronic cholestasis
Muscle wasting
Inadequate nutrition, sepsis
Tract marks
Risk of hep B and C
Poor skin turgor
Dehydration
Flapping tremor
Liver failure
Fine tremor
Alcohol withdrawal
Parotid swelling
Alcohol
What do the following nodes drain
- virchows
- anterior and posterior nodes
- tonsillar
- submandibular
- submental
- preauricular
- Virchows
- GI structures
- Anterior and posterior cervical
- Neck structures
- Tonsillar
- Oropharynx
- Submandibular
- 2/3 tongue and floor mouth
- Submental
- Tip tongue and anterior floor mouth
- Preauricular
- Face including parotid
Spider naevi
Liver failure
Erythema nodosum
IBD
What do you inspect for in abdomen?
- Movement with respiration
- Scars
- Stoma
- Visible pulsation
- Distended veins
- Skin lesions
- Petechiae
- Scratch marks
- Abdominal shape
- Abdominal distension
- Straie
Scratch marks
Chronic cholestasis/liver failure
Distended veins
Portal hypertension
Petechiae
Liver dysfunction
Striae
Weight loss
Abdominal distension
5 Fs (fat, faeces, flatus, fluid or foetus)
What is percussed?
- Liver
- Spleen
- Shifting dullness
- Fluid thrill
What must you say at end
Now would examine groin, hernial orifices, male genitalia and digital rectal examination
