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Flashcards in SR 1 - Overview Deck (44):
1

ABCDs of melanoma?

Asymmetric
Border irregularities
Color variation
Diameter >0.6cm and Dark color

2

Allen's test?

Patency of ulnar artery
Used before placing a radial arterial line or ABG

3

Ballance's sign

Constant dullness to percusion in left flank/LUQ
Resonance to percussion in the right flank
ssociated with splenic rupture/hematoma

4

Beck's triad

Cardiac tamponade
- JVD
- Decreased/muffled heart sounds
- Decreased blood pressure

5

Bergman's triad

Fat emboli syndrome
- Mental status change
- Petechiae (axilla, thorax)
- Dyspnea

6

Blumer's shelf

Metastatic disease to rectouterine (pouch of douglas) or rectovesical pouch
Shelf is palpable on rectal exam

7

Boas' sign

Right subscapular pain resulting form cholelithiasis

8

Brochardt's triad

Gastric volvus
- Emesis followed by retching
- Epigastric distention
- Failure to pass an NGT

9

Carcinoid triad

Flushing
Diarrhea
Right-sided heart failure

10

Charcot's triad

Cholangitis
- Fever
- Jaundice
- RUQ pain

11

Courvoisier's law

Enlarged, nontender gallbladder
Seen with obstruction of common bile duct
Associated with pancreatic cancer
(Not seen with gallstone obstruction due to scaring secondary to chronic cholelithiasis)

12

Cullen's sign

Periumbilical area
Retroperitoneal hemorrhage
Associated with acute hemorrhagic pancreatitis

13

Cushing's triad

Increased ICP
- Hypertension
- Bradycardia
- Irregularly respirations

14

Dance's sign

Empty RLQ in children with ileocecal intussusception

15

Fothergill's sign

Differentiates an intra-abdominal mass from one in the abdominal wall
If mass is felt with tension in the muscle, the the mass is in the wall

16

Fox's sign

Bruising in the inguinal ligament
Retroperitoneal bleeding

17

Goodsall's rule

Anal fistulae course in a straight path anteriorly and curved path posteriorly from midline

18

Grey Turner's sign

Brusing of the flank
Retroperitoneal hemorrhage

19

Hamman's sign

Cruching shound on auscultation
Emphysematous mediastinum
Seen with Boerhaave's syndrome, pneumomediastinum, etc.

20

Howship-Romberg sign

Pain along inner aspect of the thigh
Seen with an obturater hernia
Result of nerve compression

21

Kehr's sign

Severe left shoulder pain in splenic rupture (referred pain from diaphragmatic irritation)

22

Kelly's sign

Visible peristalsis of ureter in response to squeezing or retraction

23

Laplace's law

Wall tension = pressure x radius
(Colon perforates due to increased wall tension)

24

Obturator sign

Pain upon internal rotation of leg with hip and knee flexed
Seen in appendicitis, pelvic abscess

25

Pheochromocytoma triad

Palpitations
Headache
Episodic diaphoresis

26

Posas sign

Pain elicited by extending the hip with the knee in full extension
Seen in appendicitis, psoas inflammation

27

Reynold's pentad

Suppurative cholangitis
- Fever
- Jaundice
- RUQ pain
- Mental status changes
- Shock/sepsis (hypotension)

28

Rovsing's sign

Palpation of the LLQ resulting in pain in the RLQ
Appendicitis

29

Saint's triad

Cholelithiasis
Hiatal hernia
Diverticular disease

30

Silk glove sign

Indirect hernia sac in pediatric patient
Feels like a finger of a silk glove when rolled under the examining finger

31

Virchow's triad

Requirements for thrombosis
- Stasis
- Abnormal endothelium
- Hypercoagulability

32

Valentino's sign

RLQ pain from perforated peptic ulcer due to succus/pus draining into the RLQ

33

Westermark's sign

Decreased pulmonary vascular markings on CXR in a patient with PE

34

Whipple's triad

Evidence of insulinoma
- Hypoglycemia (

35

Achlorhydria

Absence of hydrochloric acid in teh stomach

36

Acholic stool

Light-colored stool as a result of decreased bile content

37

Amaurosis fugax

Transient visual loss in one eye

38

Celiotomy

Surgical incision into the peritoneal cavity
(Laparotomy = celiotomy)

39

Enterolysis

Lysis of peritoneal adhesions
(DIFFERENT from enteroclysis - contrast study of the small bowel)

40

Hidradenitis

Inflammation of the apocrine glands
Caused by blockage of the glands

41

Inpissated

Hard

42

Lieno-

Denotin th spleen

43

-pexy

Fixation

44

Phlebolith

Calcification in a vein
Vein stone