1. Gastrointestinal Exam

2. Introduction Hell my name is… Explanation of what you want to do
Patient position – supine at 45°
Any pain??

3. End of the bed General appearance
Oxygen, drips, catheters, medications, drains
Nutritional status / cachexia

4. Hands and nails Tendon xanthoma Dupuytren’s contracture
Palmar erythema
Clubbing
Leuconychia
Koilonychia
Flapping tremor
Bruising
IVDU marks

5. Face Moon face Plethora Acne Hirsute Parotid enlargement
Scleral icterus
Corneal arcus
Xanthelasma
Episcleritis / conjunctivitis
Conjunctival pallor
Angular stomatits
Oral candidisis
Neck lymph nodes

6. Chest and back Gynaecomastia Loss of secondary sexual hair
Spider naevi

7. Inspection
Abdominal distension
Caput medusa
Scars

8. Palpation (and a little percussion)
Light and deep
Liver
Spleen
Kidneys
AAA
Percus for shifting dullness

9. Auscultation
Bowel sounds
Renal bruits

10. Legs
Peripheral oedema
Pyoderma gangrenosum
Erythema nodosum

11. Conclusion Allow the patient to re-dress Wash hands
Summaries your findings
“To complete this examination I would also like to examine the patients groins, genitalia and perform a PR”