Clinical Signs Flashcards
Involuntary extension of the “paralysed” leg occurs when flexing the contralateral leg against resistance
Hoovers’ sign
positive = non-organic paresis
Raise arms above head to exacerbate Superior Vena Cava Obstruction symptoms
Pemberton’s sign
= positive is symptoms are worsened
Carpal spasm when taking BP
- seen in hypocalcaemia
Trousseau’s sign
Tapping on facial nerve anterior to the ear induces twitching of the facial muscles due to hyper-excitability
- seen in hypocalcaemia
Chvostek’s sign
Enlarged Virchow’s node in the left supraclavicular fossa
Troisier’s sign
- upper GI malignancy
Air present on both sides of the intestine on XR indicating pneumoperitoneum
Rigler’s sign
indicating pneumoperitoneum
Periumbilical bruising
Cullen’s sign
associated with pancreatitis
RUQ pain on inspiration when gall bladder is palpated
Murphy’s sign
- positive in acute cholecystitis
Palpable nodule at the umbilicus
Sister Joseph’s nodule
- associated with intra-abdominal neoplastic disease
Irregular/ decreased RR (cheyre-strokes)
Bradycardia
HTN
Wide pulse pressure
Cushing’s triad
- seen in increased ICP
- pre-terminal event
Axillary freckling in Neurofibromatosis Type 1
Crowe’s sign
Clinician has the patient extend their neck and turn their head to the side that is being tested. The patient then holds their breath and the radial pulse is palpated.
Tests for thoracic outlet syndrome
Adson’s test
- Positive if no pulse/ change in pulse
An involuntary flexion movement of the thumb and or index finger when the examiner flicks the fingernail of the middle finger down. The reflexive pathway causes the thumb to flex and adduct quickly
Tests for Degenerative Cervical myelopathy
Hoffman’s sign
Balance with eyes closed
Test for proprioception
Romberg’s test
Vision becomes worse with increased body temperature
Seen in MS
Uhthoff’s phenomenon
