Signs

Question 1

Battle’s Sign

Answer 1

Basilar Skull Fracture

ecchymosis over mastoid process

Question 2

Beck’s Triad

Answer 2

Cardiac Tamponade

JVD, muffled heart sounds, decreased BP

Question 3

Bergman’s Triad

Answer 3

Fat Embolism

mental status change, petechiae, dyspnea

Question 4

Blumer’s Shelf

Answer 4

metastatic disease in pouch of Douglas or retrovesical pouch creating a shelf palpable on rectal exam

Question 5

Boas’ Sign

Answer 5

R subscapular pain from cholelithiasis

Question 6

Borchardt’s Triad

Answer 6

Gastric Volvulus

emesis w/ retching, epigastric distention, failure to pass NG tube

Question 7

Carcinoid Triad

Answer 7

FDR

flushing, diarrhea, R heart failure

Question 8

Charcot’s Triade

Answer 8

Cholangitis

fever, jaundice, RUQ pain

Question 9

Chvostek’s Sign

Answer 9

twitch of face muscles upon tapping in hypocalcemia

Question 10

Courvoisier’s Law

Answer 10

enlarged non-tender gallbladder due to common bile duct obstruction 2/2 pancreatic cancer

Question 11

Cullen’s Sign

Answer 11

blue discoloration periumbilical 2/2 retroperitoneal hemorrhage tracking through fascial planes

Question 12

Cushing Triad

Answer 12

Inc Intracranial Pressure

HTN, bradycardia, irregular respiration

Question 13

Dance’s Sign

Answer 13

empty RLQ in child 2/2 ileocecal intussusception

Question 14

Fothergill’s Sign

Answer 14

diff intra-abdominal v. abdominal wall mass

if felt with ab wall tight/flexed, is wall mass

Question 15

Fox’s Sign

Answer 15

ecchymosis of inguinal ligament 2/2 retroperitoneal bleeding

Question 16

Goodsall’s Rule

Answer 16

Anal Fissures take straight path anteriorly , cured path posteriorly from the midline

Question 17

Grey Turner’s Sign

Answer 17

ecchymosis on flank 2/2 retroperitoneal hemorrhage

Question 18

Hamman’s Sign

Answer 18

crunch sound on auscultation of heart due to gas in mediastinum

Question 19

Howship-Romberg Sign

Answer 19

pain on inner thigh 2/2 obturator hernia

Question 20

Kehr’s Sign

Answer 20

severe L shoulder pain 2/2 splenic rupture

Question 21

Krukenberg Tumor

Answer 21

met to ovary usually from gastric cancer

Question 22

LaPlace’s Law

Answer 22

T=PxR (colon perfs preferentially at cecum b/c inc R)

Question 23

Meckel’s Rule of 2

Answer 23

2% people have it, 2% of those become symptomatic, usually w/in 2 ft. of ileocecal valve

Question 24

Mittelschmerz

Answer 24

LLQ pain 2/2 ovulation

Question 25

Murphy’s Sign

Answer 25

Acute Cholecystitis

stop inspiration due to pain when angry gallbladder hits pressure (aka your fingers)

Question 26

Obturator Sign

Answer 26

Appendicitis or Pelvic Abscess

hip/knee flex + internal rotate leg causing pain

Question 27

Pheo Rule of 10

Answer 27

episodic palpitations, HA, and diaphoresis

10% bilat, 10% malignant, 10% in children, 10% extra-adrenal, 10% multiple tumors

Question 28

Psoas Sign

Answer 28

Appendicitis (retrocecal) or Psoas Inflam

pain w/ hip/knee extension

Question 29

Raccoon Eyes

Answer 29

Basilar Skull Fracture

bilat black eyes

Question 30

Reynold’s Pentad

Answer 30

Suppurative Cholangitis

Charcot + mental status change and shock/sepsis

Question 31

Rovsing’s Sign

Answer 31

Appendicitis w/ peritoneal injury

palpation LLQ causes rebound in RLQ

Question 32

Saint’s Triad

Answer 32

Cholelithasis + Hiatal Hernia + Diverticular disease

Question 33

Silk Glove Sign

Answer 33

feeling of indirect hernia in pediatrics

Question 34

Sister Mary Joseph Node

Answer 34

met to periumbilical node

Question 35

Virchow’s Node

Answer 35

met to L supraclavicular node (usually gastric in origin)

Question 36

Trousseau’s Sign

Answer 36

carpal spasm w/ blood occlusion (i.e. taking BP) 2/2 hypocalcemia

Question 37

Valentino’s Sign

Answer 37

RLQ pain 2/2 perforated peptic ulcer

Question 38

Westermark’s Sign

Answer 38

Dec pulm vascular marking on CXR 2/2 PE

Question 39

Whipple’s Triad

Answer 39

Insulinomas

hypoglycemia, CNS/vasomotor (syncope/diaphoresis), relief with glucose