Signs & Triads

Question 1

Murphy’s sign

Answer 1

Acute cholecystitis

Pt catches breath when pressed in right hypochondrium in sitting position

If done in lying down position - Moynihan’s sign

Question 2

Boa’s sign

Answer 2

Hyperesthesia in the region of 12th rib in acute cholecystitis

Question 3

Grey Turner’s sign

Answer 3

Discoloration in left flank

Acute pancreatitis

Question 4

Cullens sign

Answer 4

Bluish hue around the umbilicus

Acute pancreatitis

Question 5

Murphy’s Triad

Answer 5

Acute appendicitis

Pain
Vomiting
Fever

Question 6

Quinke’s triad

Answer 6

Hemobilia

1. Jaundice
2. Upper GI haemorrhage - melena
   mc presentation
3. Pain

Question 7

Pointing sign

Answer 7

Acute appendicitis

Question 8

Rebound Tenderness/ Blumberg sign/ Release sign

Answer 8

Acute appendicitis

Tenderness after removing palpating hand from RT iliac fossa

Question 9

Rovsing’s sign

Answer 9

Pain in RT iliac fossa on pressing left iliac fossa

Question 10

Cope psoas test

Answer 10

Acute appendicitis - retrocoecal

Hyperextension at RT hip pain in right iliac fossa

Question 11

Obturator sign

Answer 11

Flexion & internal rotation of RT hip pain in right iliac fossa

Question 12

Carney’s triad

Answer 12

Sporadic tumor

1. Gastric GIST
2. Paragangliomas
3. Pulmonary chondromas

Question 13

Macklers triad

Answer 13

Boerhaeve syndrome

Pain+ Retching/ Vomiting+ Subcutaneous emphysema

Question 14

Charcots triad

Answer 14

Choledocholithiasis

Intermittent pain
Intermittent fever
Intermittent jaundice

Question 15

Reynolds pentad

Answer 15

Choledocholithiasis

Charcots triad+
Shock
Altered mental status