GIT EXAMINATION Marking Scheme

Last updated: Feb 2018

By Aaron Ho (DEM 3, Class of 2020) 1

GIT Examination Marking Scheme Inadequate Adequate Good Wash Hands

Introduction (Full name + Role as medical student)

Checks Identity of the patient

Gain patient’s permission + flat position (Can be done later)

Expose patient adequately

General Inspection: Well, comfortable, not in distress, no IV, no NG, etc

Hands (Dorsum): Leukonychia, Koilonychia, Clubbing

Hands (Palmar): Pallor in the crease, Palmar Xanthomata, Palmar erythema, Dupuytren’s contracture,

Hepatic Flap Arms: Petechiae, Scratch marks, Spider Naevi, Bruising, Muscle wasting

Dermatitis Herpatiformis, Acanthosis Nigricans

Eyes: Conjunctival pallor, Jaundice, Xanthomata, Iritis, Kayser-Fleischer ring (Using wooden-lamp)

Cheeks: Flushing, Enlarged Parotid gland

Mouth: Fetor Hepaticus, Angular stomatitis, Black lip pigmentation, Ulceration, Leucoplakia, Erythroplakia

Tongue: Thrush, Glossitis, Macroglossia

Lymph node: Virchow’s node

Chest Inspection: Scars, Gynaecomastia, Spider naevi, loss of body hair

Abdominal Inspection: Good abdominal movement with respiration, no abdominal mass or distension or scars, no visible peristalsis

Sister Joseph’s node, Caput Medusae, Shingles, Striae

Umbilical and Flank bruising

Abdominal Palpation: Superficial and Deep (Fail if didn’t look at patient’s face)

Liver palpation

Spleen palpation

Kidney palpation

Bladder percussion

Ascites (Bonus if able to describe shifting dullness and fluid thrill)

Abdominal Auscultation: Bowel sounds

Abdominal Auscultation: Abdominal Aortic bruits

Abdominal Auscultation: Renal bruits

Summarize coherently

Logical follow-ups and possible Differentials, if applicable

Show empathy to patient

Total Score