Physical Exams Flashcards
Brudzinski sign
Supine neck flexion cause hip and knee flexion
Kernig sign
Supine with knee flexed right angle, knee extension past 135degrees cause pain or resistance
Jolt test (adults)
Turn head horizontally 1-2 rotations per second worsens HA
Carnette sign
Abdominal tenderness on muscle tensing, suggest abdominal wall rather than visceral pain
Prehn’s sign
Scrotal elevation improved pain in epididymitis but not torsion
Lhermitte sign
For MS, with neck flexion electrical jolt through spine into limbs
Uhthoff phenomenon
MS, heat makes symptoms worse
Grower sign
Duchenne Muscular Dystrophy
Use hands to climb own body to stand
Bell’s phenomenon
Normal reflex of Upward gaze with blinking or when touching eye (not seen in LMN disorder/facial palsy)
Kayser-Fleischer rings
Wilson’s disease
Copper ring around cornea
Hutchinson’s sign
Nasal involvement in shingles, early sign of ophthalmic shingles
Russell sign
AN
Callous on MCP from teeth abrasion during self induced vomiting
Nikolsky sign
In pemphigus (bullae) rubbing cause top skin layer to slip from bottom
Mandatory investigations for new immigrants
Complete PHE including vision and hearing
> 5yo UA
11yo CXR
15yo or if known infected mom or unprotected sex HIV/syphilis testing
Eschar on immigrants from Southeast Asia on genital, breast, perineum
Think scrubs typhus
Think Rocky Mountain spotted fever (Rickettsia)
