Signs, signs, everywhere are signs... Flashcards Preview

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Flashcards in Signs, signs, everywhere are signs... Deck (29):
1

Auspitz's sign

droplets of blood when scale is lifted
+ for PSORIASIS

2

Koplik's spots

small white granular spot with red surrounding ring on gums
+ for ordinary measles (Rubeola)

3

Russell's sign

Bruised knuckles
r/t bulemia

4

Hirschberg test

corneal reflex test
+ if light does not reflect from congruent points
r/t strabismus

5

"Thumb sign"

thumb-shaped patch appears on Xray
+ in epiglottitis

6

Steeple sign

"steeple" shaped narrowing of the trachea
+ in croup

7

Barlow's maneuver
- goal
- procedure
- significance

Try to dislocate --

Adduction of the hip (bringing the thigh towards the midline) while applying light pressure on the knee, directing the force posteriorly.

If the hip is dislocatable - that is, if the hip can be popped out of socket with this maneuver - the test is considered positive.

The Ortolani maneuver is then used, to confirm the positive finding (i.e., that the hip actually dislocated).

8

Ortolani's sign
- goal
- procedure
- significance

Try to reduce dislocation -

1 - flex the hips and knees of a supine infant to 90 degrees
2 - examiner's index fingers placing anterior pressure on the greater trochanters
3 - gently and smoothly abducting the infant's legs using the examiner's thumb (open like a book)

+ when a distinctive 'clunk' can be heard and felt (as the femoral head relocates anteriorly into the acetabulum)

testing for posterior hip displasia

9

Galeazzi's sign
- procedure
- significance

Comparison of the height of knees on supine infant when legs are flexed - feet on surface, ankles touching buttocks

+ for unilateral hip dislocation if knee height is uneven

(if both hips are dislocated, knee height will still be even)

10

Galeazzi's sign is otherwise known as

Allis' sign

11

Fat-pad sign

elevation of anterior and posterior fat pads on lateral xray view

+ for elbow fracture

follow up with oblique view

12

String sign

+ for pyloric stenosis

13

Prehn's sign

Lifting scrotum --
+ result is relief of pain = epididymis
- result is NO relief = torsion

14

Cremasteric reflex

Stroking medial thigh elicits raising of ipsilateral testes.

Sig?

15

Kernig's sign

Flexing hip to 90 degrees, then extending knee = back pain
+ for meningitis

16

Brudzinski's sign

Flexing neck (chin to chest) causes involuntary flexion of legs
+ for meningitis

17

Phalen's sign

reproduction of symptoms after 1 minute of wrist flexion
+ for carpel tunnel

18

Tinel's sign

tapping median nerve on flexor surface = tingling from wrist to hand
+ for carpel tunnel

19

Howell-Jolly bodies

indicative of splenic dysfunction

seen in sickle cell, asplenia

20

Burtonian lines

bluish discoloration at gingival border

indicative of lead poisoning

21

Chadwick's sign

cervical cyanosis

22

Goodell's sign

softening of the cervix

23

Hegar's sign

softening of the cervico-uterine junction

24

Murphy's sign

breathe out, examiner's hands at costal margin on R side, breathe in -- "hitch" during inspiration is positive

+ for gall stones

25

Dix-Hallpike sign

Patient sitting, head turned to 45`, quickly lay back, neck extended 30` --> watch for nystagmus

if present + for vertigo

26

McMurray's test

audible or palpable click with maneuver
+ for medial meniscal injury

27

Lachman's test

also known as Drawer Test
graded 1+ to 3+
ACL/ PCL assessment

28

Apley's grind test

pain or click
+ for medial or lateral collateral ligament or meniscal injury

29

Myerson's test

automatic blink when tapped on the third eye
aka glabeller reflex
+ in Parkinson's disease