Give the correct eponym for each clinical vignette: Flashcards
18-year-old man hit with a baseball bat presents to the ER with GCS of 4. On exam he has a large ecchymotic area behind his ear over the mastoid
Battle’s sign
26-year-old-woman who was an unrestrained driver involved in an MVC collision presents with a GCS of 8. CT scan reveals a basilar skull fracture and physical exam reveals bilateral periorbital ecchymosis
Raccoon’s sign
35-year-old-woman s/p (‘status post’) a fall from a 3-story building presents to the ER with clear bilaterally equal breath sounds; decreased heart sounds by auscultation; and hypotension. Chest x-ray is negative. Jugular venous distention (JVD) is noted in the neck
Beck’s triad of cardiac tamponade
28-year-old-woman with RUQ pain undergoes an ultrasound that reveals choledocholithiasis and dilated intrahepatic bile ducts. She has had fever with intermittent chills and is obviously jaundiced on exam
Charcot’s triad
80-year-old man with recent onset of weight loss and fatigue shows obvious jaundice on exam; he has a large mass in his RUQ that is an enlarged gallbladder on ultrasound
Courvoisier’s law
27-year-old woman
2 months postpartum with 4th child presents with RUQ pain, fever, WBC of 14,000. On exam the patient stops breathing (stops inspiration to be precise) when you palpate the RUQ under the right costal margin
Murphy’s sign
85-year-old woman presents with small bowel obstruction and pain down the inner aspect of her thigh
Howship-Romberg sign
42-year-old obese woman with RUQ pain presents to your ER with jaundice and talking nonsense. She is oriented only to name and has hypotension and a temperature of 102°F
Reynolds’ pentad
50-year-old man presents to your clinic with a history of palpitations, sweating, and several episodes of fainting. An electrolyte panel taken when he was feeling faint shows a glucose level of 46. Giving the patient some orange juice made him feel much better
Whipple’s triad
35-year-old male actor with history of recurrent peptic ulcer disease presents to the ER with fever and RLQ pain. Abdominal x-ray shows free air. On CT scan the contrast is noted to be extravasating from the duodenum
Valentino’s sign
65-year-old woman with low- flowstatefroma myocardial infarction, history of a vasculitis, andprotein C deficiency develops a clot in her lower extremity and upper extremity deep venous system
Virchow’s triad
59-year-old male with an EGD that reveals a gastric mass. Biopsy returns as gastric adenocarcinoma. On physical exam the patient has a large mass consistent with a large lymph node in the left supraclavicular fossa
Virchow’s node
18-year-old woman with pelvic inflammatorydisease (PID) has a culture positive for gonorrhea. She presents with RUQ pain. Exploratory laparoscopy reveals extensive adhesions from the liver to the abdominal wall
Fitz-Hugh-Curtis syndrome
68-year-old institutionalized man who is bedridden presents to your clinic with abdominal distention. On abdominal x-ray the entire colon is severely dilated. A low-pressure Gastrogrfin enema reveals no obstruction
Ogilvie syndrome
56-year-old man has several episodes of severe vomiting followed by severe retching. Subsequently he has terrible chest pain. On exam in the ER he has subcutaneous crepitus and a crunching sound is heard on auscultation of his heart
Boerhaave syndrome
