GI Signs

Question 1

Ecchymosis around the umbilicus

Answer 1

Cullen’s sign (hemoperitoneum - pancreatitis; ectopic pregnancy)

Question 2

Rebound tenderness

Answer 2

Peritoneal inflammation

Question 3

Rebound tenderness 1/3 from from ASIS to umbilicus

Answer 3

McBurney’s point (appendicitis or peritoneal irritation)

Question 4

Pain in RLQ during left sided pressure referred rebound tenderness

Answer 4

Rovsings sign (appendicitis)

Question 5

Pain during Deep palpate on during inspiration

Answer 5

Murphy’s sign (acute cholecystitis)

Question 6

Enlarged non-tender gallbladder

Answer 6

Courvoisiers sign (secondary to pancreatic disease or cancer)

Question 7

Supine - flex hip against resistance - increased abdominal pain

Answer 7

Iliopsoas muscle test (irritation of psoas muscle from an inflamed appendix)

Question 8

Supine - flex and internally rotate hip - right hypo gastric pain

Answer 8

Obturator muscle test (irritation of the obturator muscle from an inflamed appendix)

Question 9

Supine - doc strikes patient’s heel. Pain upon striking

Answer 9

Heel strike (appendicitis)

Question 10

Ecchymosis of the flanks

Answer 10

Grey Turner’s sign - hemoperitoneum (pancreatitis)