Gastro system

Examination

GENERAL

• Weight loss

• Malnutrition

• Dehydration: -

• Under the tongue

• In the axilla

• Jaundice

• Anaemia

• Gynaecomastia

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Jaundice

Bls 202 nr 429

Jaundice examination

Hypercarotenemia

Kayser-Fleischer ring

Wilson’s disease - copper

Conjunctivitis-inflammatory bowel disease

Gynaecomastia

GENERAL

• Hands - • Fingers - clubbing

• Nails – hypoproteienemia: Terry’s nails

Muerke’s lines

• Bleeding spots: Splinter haemorrhages

Petechia and ecchymoses

• Contracture - Dupuytren

• Skin:

• Palmary erythemia

• Spider angiomata

• Tremors – asterixes

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Clubbing of fingers

Splinter haemorrhages

Zanthomata - Primary billiary cirrhosis

Koilonychia – iron deficiency

Terry’s nails – hypoproteienemia

Muerke’s lines – hypo-proteienemia

Erythema nodosum - IBD

Pyoderma gangrenosum - IBD

Spider angiomata

Spider angiomata

Spider angiomata

Campbell de Morgan spot

Palmary erythemia

Petechiae and ecchymoses

Dupuytren’s contractures

Tremors – asterixes

GENERAL

• Glands - Supra-clavicular, Virchov

Trossier

• Salivary glands and parotid glands

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Virchov Trossier gland

Parotid swelling

MOUTH • Breath – halitosis

• Lips - cracks, discolouring, infections, cheilosis

• Teeth or false teeth

• Gums:

• Gingivitis

• Pyorrhoea

• Hypertrophy

• Buccal mucous membrane:

• Stomatitis

• Ulcers

• Discolouring

• Petechiae and telangiectasia 5

Peutz-Jehger syndrome - polyposis

Cheilosis

Gums hypertrophy - Epanutin

TONGUE

• Glossitis

• Fissura, ulcers

• Discolouring and encrustation

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Mouth ulcer - Crohns

Osler-Weber-Rendu syndrome

Tongue - candida

Amyloidosis

OESOPHAGUS

History and special examinations

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