signs of diseases

Question 1

peri-umbilical bruising

Answer 1

Cullen’s sign

Question 2

grey turner sign

Answer 2

bruised blanks - indicates intra abdominal haemorrhage such as AAA

Question 3

Trousseau’s sign what is it and when do people have it

Answer 3

when you get a carpal spasm after inflating a blood pressure cuff above the systemic blood pressure pressing on the brachial artery

in hypocalcaemia

Question 4

Chvostek’s sign

Answer 4

taping over parotid causes contraction of facial muscles

caused by hypocalcaemia

Question 5

what is the Phalen’s test?

Answer 5

• a test to assess for carpal tunnel syndrome
• you maximally flex the wrist and if there is numbness in the area of the median nerve distribution then its positive.

Question 6

what is the name of the sign: limb tingling when you flex neck in MS

Answer 6

Lhermitte’s sign

Question 7

what is Uhthoff;s phenomenon/ sign

Answer 7

in MS when vision worsens due to rise in body temp

Question 8

kussmaul’s sign and when is it seen

Answer 8

its a paradoxical rise in JVP on inspiration which is abnormal since inspiration normally leads to a decrease in JVP

this is seem in restrictive pericarditis and its a feature that helps distinguish it from cardiac tamponade

Question 9

pulsus paradoxus and when is this present

Answer 9

when blood pressure drops markedly (>10mmhg) on inspiration

this is present in cardiac tamponade and absent in constrictive pericarditis - distinguishing factor