Gastroenterology Clinical Signs

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Across
  1. 3. yellowing of the skin, sclera and mucous membranes
  2. 6. an enlarged liver, causes include Epstein-Barr virus, hepatitis to name a few
  3. 8. aka as a hepatic flap, it is when you notice a flapping hand movement upon asking the patient to hold their hands out, with their wrists in dorsiflexion
  4. 9. vomiting of frank red blood, causes include upper GI bleeding
  5. 11. what is the sign called, where we see bruising of the flanks, another sign that suggests retroperitoneal bleeding
  6. 12. growth of glandular tissue in the male breast area, associated with drugs such as spironolactone, hepatic cirrhosis or hypogonadism
  7. 13. whitening of the nail plate, associated with injury to the nail base or less commonly, hypoalbuminaemia
Down
  1. 1. a series of signs such as memory loss, decreased level of consciousness, due to liver failure, associated with a build-up of ammonia in the body
  2. 2. what is the sign called, where we see bruising around the umbilicus? shares a common name with the famous twilight family and suggests retroperitoneal bleeding
  3. 4. brown rings seen around the cornea, commonly associated with wilson's disease
  4. 5. engorged, dilated veins seen on the abdominal wall, causes include portal hypertension as it causes backflow from the portal veins to the para-umbilical veins
  5. 7. an accumulation of fluid in the peritoneal cavity, causes include liver cirrhosis, budd-chiari syndrome
  6. 10. a skin lesion that are little blood vessels that are said to resemble spider's legs, <5 present is normal, tends to be seen in liver disease, pregnancy