Examination signs Flashcards
Gottrons papules
Erythema on interphalangeal joints
Dermatomyositis
Sister Mary Josephs nodule
Palpable periumbilical lymph node
Metastatic pelvic/abdominal tumour
Hutchinson’s sign
Vesicle on nose tip
Herpes zoster ophthalmicus
Kehr’s sign
Left shoulder tip pain
Peritonism
Courvoiseirs Law
Painless jaundice and palpable gallbladder
Pancreatic cancer
Claybrook sign
Heart and breath sounds heard via abdomen
Perforated abdominal viscus
Blumberg sign
Rebound tenderness
Peritonism
Tinels test
Tapping the flexor retinaculum causes paraesthesia
Carpal tunnel
Finkelsteins test
Thumb in palm and held by the fingers then ulnar deviated, pain over radial styloid
DeQuervian’s tenosynovitis
Lachmann’s test
Fancy version of anterior drawer - leg dangling off examination table
ACL injury
McMurrays test
Knee bent then extended with foot internally rotated and knee in valgus (repeated externall rotated and in varus), palpate the joint line for a click
Meniscal tears
Muller sign
Visible pulsation of the uvula
Aortic regurg
DeMussets
Head bobbing with pulse
Aortic regurg
Corrigans pulse
Rapid and forceful pulse with abrupt collapse
Aortic regurg
Quinke
Nailbeds pulsating
Aortic regurg
Hill sign
BP in lower extremity higher than in the upper
Aortic regurg
Holmes Adie pupil
Dilated pupil, poorly reactive to light but normal/slow accommodation
Ciliary nerve damage
Auer rods
AML
Beck’s triad
Hypotension, distended JVP, distant heart sounds
Cardiac tamponade
Becker’s sign
Visible pulsation of retinal arteries
Thyrotoxicosis
Bouchards nodes
PIPJ bony growths
OA
Buergers test
Pallor of leg on elevation
Peripheral arterial disease
Carvallos sign
Increase in murmur volume on inspiration
Tricuspid regurg
Chvostek’s sign
Tapping over facial nerve causes twitching
Hypocalcaemia
Cushings triad
Elevated systolic, bradycardia, irregular respiration
Elevated ICP
Forchheimer spots
Red spots on soft palate
Rubella
Gower’s sign
Climbing up legs with hands
DMD
Heberdens nodes
Disital IPJ bony growth
OA
Hoffmans sign
Flicking a finger causes twitching of the others
Cervical myelopathy
Hoovers sign
Ask patient to SRL with your hand underneath the other heel, pressure on your hand means that leg is not paralysed
Differentiating between organic and non-organic paresis
Kayser-Fleischer
Copper rings in iris
Wilson’s
Myerson’s sign
Tapping glabellar causes blinking
Parkinsons
Nikolsky
Shearing of epidermis with pressure
Pemphigus
Trosseaus sign of latent tetany
Inflate BP cuff and cause carpal spasm
Hypocalcaemia
Virchow’s node
Enlarged L subclavian node due to gastric (and other abdominal) malignancy
