Signs/Triads

Question 1

Ballance’s Sign

Answer 1

Constant dullness to percussion of left flank/LUQ and resonance to percussion in the right flank.

Splenic Rupture/Hematoma

Question 2

Battle’s sign

Answer 2

ecchymosis over the mastoid process

Basilar skull fracture

Question 3

Blumer’s Shelf

Answer 3

metastatic disease to the rectouterine (Pouch of Douglas) or rectovesical pouch creating a “shelf” that is palpable on rectal exam

Question 4

Carcinoid traid

Answer 4

Flushing
Diarrhea
Right side HF

seen w/ Carcinoid Syndrome

Question 5

Chvostek’s Sign

Answer 5

Facial muscle twitching upon tapping facial nerve in patients with Hypocalcemia

Question 6

Courvoisier’s Sign/law

Answer 6

enlarged nontender Gallbladder seen with obstruction of the common bile duct, MC with Pancreatic Cancer

Question 7

Reynolds’ Pentad

Answer 7

1. Fever
2. Jaundice
3. RUQ pain
4. AMS
5. Shock/sepsis

suppurative cholangitis

Question 8

Virchow’s node

Answer 8

metastatic tumor to left supraclavicular node

classically 2/2 gastric cancer

Question 9

Trousseau’s sign

Answer 9

carpal spasm after occlusion of blood to the forearm with a BP cuff in a patient with hypocalcemia

Question 10

Whipple’s Triad

Answer 10

evidence of Insulinoma

1. Hypoglycemia
2. CNS and vasomotor symptoms (syncope, diaphoresis)
3. Symptoms resolve with administration of glucose