GI Clinical Examination

GI Clinical Examination

1. End of bed inspection

   • Concious level
   • Obvious pain or discomfort
   • Any IV, sputum pots and/or ventilators
   • Immediate intervention required?

2. Introduction and Consent

   • Greet Patient
   • Name & DOB
   • Explain and ask for consent

3. Palpation

   • Light palpation
   • Deep palpation
   • Palpation of the liver
   • Palpation of the spleen
   • Bimanual palpation of the kidneys
   • Fluid Thrill

4. Percussion

   • Liver
   • Spleen
   • Shifting Dullness

5. Auscultation

   • Bowel Sounds
   • Arterial Bruits - AA & Renal
   • Hepatic & Splenic Rub

6. General Exam

   • Hands
     • Clubbing
     • Palmar erythema
     • Palmar creases
     • leukonychia/koilynchia
   • Arms
     • Bruising
     • Track Marks
     • Skin turgor
     • Tremor
   • Chest
     • Spider Naevi
     • Gynaecomastia
     • Loss of body hair
   • Head
     • Conjuntivae Pallor
     • Sclera
     • Ulcers in mouth

7. Inspection

   • Movement of the abdomen with respiration
   • Scars
   • Stoma
   • Jaundice

8. To conclude

   • Rectal Examination
   • Male gentalia
   • Inguinal Hernia
   • Thank patient and make them feel comfortable