Medico apps resources on clinical signs

doctorabhishekgupta 3,222 views 7 slides Aug 29, 2015
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About This Presentation

Compilation of Medical Signs


Slide Content

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[CLINICAL SIGNS]
  Clinical Signs
S. No.

Remarks
1.  Aaron's sign • Appendicitis → Epigastric distress
2.  Alder's sign • Appendicitis in pregnancy → Shifting
tenderness

3.  Cullen's sign • Ectopic pregnancy → Ec-chymosis of
umbilicus
• Hemorrhagic Pancreatitis (haemoperitoneum)

4.  Carnett's sign • Plane of Abdominal Swelling
5.  Chilaiditi's sign • Interposition of colon between liver and
diaphragm

6.  Cope's sign (Psoas
sign)
• Acute appendicitis
7.  Cope's psoas test • Acute appendicitis
8.  Courvoisier's sign • Obstructive jaundice → If gall bladder is
palpable it is not due to gall stones
(Curvoisier's law)

9.  Crowe's sign • Neurofibromatosis Axillary feckling
10.  DaRLymple sign • Grave’s ophthalmopathy → Retraction of
upper eyeLid

11.  Dance sign • Intussusception Emptiness in right iliac fossa
12.  Echo sign • Heard over hydatid cyst → P e r c u s s i o n
s o u n d resembling an echo

13.  Ewart’s sign • P e r i c a r d i a l e f f u s i o n → D u l l on
percussion at lower angle of left scapula

14.  Fox sign • Hemorrhagic Pancreatitis → Discoloration
near inguinal ligament

15.  Flush tank sign • Hydronephrosis
16.  Grey Turner sign • Hemorhagicparicreatitis → Bruising in
left flank (flanks TURn Grey)

17.  Griffith sign • Grave's ophthalmopatly → Lower lid lag on
upward gaze

18.  Guyon's sign • Ballottement → Floating kidney
19.  Homan's sign • Deep vein thrombosis of calf veins → Pain on
sudden dorsiflexion of foot

20.  Hamilton Bailey sign • Intussusception → Sausage shaped mass
21.  H i t z e l b e r g e r ' s
s i g n
• A c o u s t i c n e u r o m a → A n esthesia of
external auditory canal due to compression of
facial nerve

22.  Joffroy's sign • Grave's → Absence of wrinkling on forehead
23.  Kanavel's sign • Ulnar bursitis → Site of maximum tenderness

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24.  Kehr sign • Splenic rupture → Pain elicited in left shoulder



25.  Lesar Trelat sign • Internal malignancy of GIT → Sudden appearance
& rapid increase in size & number of "seborrhoeic
keratosis"

26.  Mc. Burney's sign • Appendicitis → Tenderness over Mc.Bumey
point

27.  Murphy's sign • Cholecystitis
28.  Moebius sign • Grave's → Inability to keep eye balls
converged

29.  Mose's sign • Deep vein thrombosis → Squeezing relaxed calf
causes pain

30.  Prehn's sign • Epididymo-orchitis → Elevation & support of
scrotum relieves pain(not in torsion)

31.  Puddle sign • Ascites → Small amount (150-500 ml)
32.  Pemberton's sign • Retrosternal thyroid
33.  Pointing sign • Appendicitis → Site of maximum pain
34.  Panda sign (Raccoon
sign)
• Trauma/fracture of floor of anterior fossa of
skull (black eye)

35.  Argyll Robertson pupil
sign
• Neurosyphilis → Light reflex lost
accommodation reflex retained

36.  Banana sign • Arnold-Chiari deformity (Hydrocepalus)
37.  Bird's sign • Hydatid disease of lung → Definite zone of
dullness

38.  Boston's sign
• [Von Graefis sign] → Thyrotoxicosis → Lid lag

39.  Bent inner tube sign
• Sigmoid volvulus

40.  Bird of Prey sign • Barium enema → Sigmoid
volvulus

41.  Carman's sign • [Meniscus sign] → Gastric ulcer
42.  Chilaiditis sign • Interposition of colon between liver and
diaphragm

43.  Coiled spring sign • Barium enema → Intussusception
44.  Colon cut off sign • Appendicular perforation
• Acute pancreatitis

45.  Cupola sign • Pneumoperitoneum → Gas under diaphragm
46.  Crow foot sign • Mercedes Benz sign, Seagull's sign → Gall
stones

47.  Claw sign • Ileo-colic intuscesception
48.  Coffee bean sign • Volvulus of sigmoid colon
49.  Double bubble sign • Duodenal obstruction (atresia)
50.  Tinel's sign • Prognostic indicator of nerve recovery
51.  Echo sign • Percussion sound heard over hydatid cyst
52.  'E' sign (Reverse 3 sign) • Coarctation of aorta (barium swallow)

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53.  Figure of 3 Sign • Coarctation of aorta (chest x-ray)
54.  Frostberg's sign • B a r i u m s t u d y → C A o f head of
pancreas involving duodenum

55.  Kanavey's sign • A c u t e p a n c r e a t i t i s (kanavel sign =
Tenosynovitis)

56.  Hamman's sign • Pneumo mediastinitis with esophageal
rupture → Precordial crunching

57.  Kernig's sign • Meningitis
58.  String sign of Kantor • Barium enema → Crohn's disease
59.  Lemon sign • Arnold Chiari deformity → Scalloping of frontal
bones

60.  Oliver's sign • Tracheal tug → Aneurysm of aorta
61.  Omega sign • Sigmoid volulus
62.  Panda sign • Raccoon sign (Black eye) Trauma, fracture of floor
of the anterior fossa of skull

63.  Rat tail sign • Esophageal carcinoma
64.  Trail's sign • Sternal head of sternomastoid muscle will
become prominent on the side to which trachea
is deviated

65.  Trousseau's sign • Hypocalcemia → Carpo pedal spasm
• CA pancreas → Migrating superficial
thrombophlebills

66.  Water lily sign • Hydatid cyst of the lung
67.  Rovsing sign • Acute appendicitis → When left iliac fossa is
pressed, pain is felt in right iliac fossa

68.  Stellwag's sign • Grave’s → Staring look
69.  Slip sign • Lipoma
70.  Suzmann's sign • Coarctation of aorta
71.  Von Graefe's sign • Grave's → Lagging of upper lid
72.  Tea pot sign • CSF rhinorrhea
73.  Jackson sign • Pooling of saliva in pyriform fossa in
pyriform cancer fossa

ORTOPEDICS
74.  Sagging rope sign • Perthe's disease
75.  Finger in Ballon sign • Aneurysmal bone cyst
76.  Brim sign • Page's disease involving pelvis
77.  Tripod sign • None paralytic polio
78.  Sectoral • AVN of femoral head
79.  Phalen Dickson sign • Spondylolisthesis
80.  Ludloff sign • Lesser trochanter avulsion
81.  Kanavel sign • Infection of ulnar bursa
82.  Martorell sign • Gout
83.  Aneurysmal sign • TB spine
84.  Sulcus sign • Inferior disclocation of shoulder

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85.  Wilson sign • Osteo chondritis sign
86.  Payrs sign • Meniscal sign
87.  Galleazi/Alli sign • CDH
88.  Trethovan sign • Slipped capital femoral epiphysis
• Steels metaphyseal blanch sign

89.  Vascular sign of Narath • Posterior dislocation of hip
90.  Catterall sign • Leg calve perthe disease
91.  Hot cross bun sign • Rickets
ENT SIGNS
92.  Congenital syphilis • Hennebert sign
93.  Furuncle of ear • Tragal sign
94.  Hematoma of pinna • Cauliflower ear, wrestler's ear
95.  Diffuse otitis externa • Swimmer's ear, tropical ear, Singapore ear
96.  ASOM • Cartwheel appearance, light house sign
97.  Lateral sinus thrombo-
phlebitis
• Hectic type picket fence fever, Delta sign in CT
contrast
• Griesenger sign - obstruction of mastoid
emissiary veins, Crowbeck sign

98.  Acute mastioditis • Reservoir sign
99.  Meniere's disease • Diplacusis, Tullio phenomenon,
• Metz recruitment phenomenon,
• Tumarken crisis (macula destruction-linear
balance is lost)

100. Otosclerosis • Schwartz sign (flamingo pink TM) Carhart
notch

101. Glomus tumor • Brown sign, rising sun appearance, Phleps sign
on CECT

102. Acoustic neuroma • Hitselberger sign
103. Exostosis • Surfer's ear
104. Chronic hypertrophic
rhinitis
• Mulberry turbinate
105. Rhinosporidiosis • Mulberry mucosa
106. Rhinophyma • Potato nose
107. Rhinoscleroma • Hard woody nose
• Russel bodies, Mikulicz cells

108. Antrochoanal polyp • Crescent sign/ Dot sign
109. Frontal mucocele • Egg shell crackling
110. Osteomyelitis of
frontal sinus
• Potts puffy tumor

111. Blow out # of orbit
• Tear drop appearance

112. Nasal # • Pignose deformity
113. CSF rhinorrhea • Halo sign, target sign,reservoir sign, double ring
sign

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114. Adenoid cystic
carcinoma
• Swiss cheese pattern
115. Inverted papilloma of
Nose
• Schnederian papilloma/ Ringert’s tumor
116. Nasopharyngeal
Angiofibroma
• Holman Miller sign/ Antral sign on CT frog like
facies

117. Nasopharyngeal
Carcinoma
• Lhermitte's sign
118. Quinsy • Hot potato voice
119. Ludwig angina • Woody feel
120. Kawasaki disease • Strawberry tongue
121. Wegener's Gra
nulomatosis
• Strawberry gingiva
122. Zenker's diverticulum • Boyce sign
123. Laryngomalacia • Curled up, omega shaped
• Epiglottis
• Prominent arytenoids
• Floppy aryepiglottic fold

124. Acute epiglottitis • Thumb sign on X-ray, rising sun appearance
125. Phonesthesia • Key hole appearance (both transverse and
interarytenoid)

126. TB larynx • Pseudoedema of vocal cords
• Mamillated arytenoids (swollen)
• Turban epiglottis
• Mouse nibbled ulcers

OBSTETRICS
127. Chadwick's sign/ • Bluish hue to the vestibule and
128. Jacquemier’s sign • anterior vaginal wall (Jack bluein titanic!)
129. Osiander’s sign • Pulsations in the lateral fornix (0 = P)
130. Palmer’s sign • Regular rhythmic contractions in uterus → 6 8
weeks

131. Piskacek's sign • Asymmetric growth occurs to the uterus in
initial stages of pregnancy due to thelateral
implantation of the blastocyst

132. Goodell sign • Marked softening of the cervix (good and soft)
133. Von F'ernwald's sign • Irregular softening and enlargement of the
uterine F'undus Five (5-8 weeks)

134. Hegar sign • An indication of pregnancy. Softening of the
lower parts of the uterus enables approxima-
tion of vaginal and abdominal fingers in
bimanual pelvic examination.

135. Ladin's sign • Softening in the mid line of the sterus anteriorly
at the junction of the uterus andcervix (6
weeks gestation)

136. McDonald sign • Flexible uterus =8 weeks (McDonalds = flexible

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price)
137. Banana sign /Lemon
sign
• Ultrasound sign in open spina bifida. Shows
abnormal anterior curvature of cerebellum
due to the associated ArnoldChiari
malformation.

138. Blob sign • Mass is separate from the ovary
139. Bagel sign ( T u b a l
r i n g s i g n )
• Ectopic pregnancy → G e s t a P o n a l s a c i n
t h e a d n e x a with hyperechoic ring. (also
remember salpingitis isthmica nodosa)

140. Bishop's sign • Abdominal ectopic pregnancy
141. Interstitial line sign • Interstitial ectopic pregnancy
142. Danforth sign • Shoulder pain in ruptured ectopic
143. Bathroom sign • Blood in pouch of Douglas → in ruptured
ectopic

144. C u l l e n s i g n • B l u i s h d i s c o l o r a t i o n o f s k i n around
umbilicus. Seen in ruptured ectopic pregnancy

145. S t a l l w o r t h y ' s
s i g n
• P o s t e r i o r p l a c e n t a p r a e v i a→
Slowing of fetal heart rate on pressing
the head down into the pelvis and
prompt. Recovery on release of pressure.

146. K us t ner 's s i g n • S i gn of pl a cen ta l s ep ar at i on . On
pushing the uterus upwards does not move
the cord with it (due to the separation)

147. S c h r o d e r ' s s i g n • P l a c e n t a l s e p a r a t i o n . U t e r u s rises
up when the separated placenta ispassed
downwards

148. R o be r t' s s i g n • E a r l i e s t s i g n o f i n tra u t er i ne f e ta l
death. X-ray shows presence of gas in the fetal
great vessels

149. S p a l d i n g s i g n • S i g n o f i n t r a u t e r i n e f e t a l d e a t h .
Overlapping of skull bones after fetal
death(USG)

150. B a l l s i g n • S i g n o f i n t r a u t e r i n e f e t a l
d e a t h . X-ray shows crumpled up spine
of the fetus

151. Double decidual sac
sign
• USG appearance of intrauterine gestational sac
152. T’ sign • USG sign seen in monochromic twins
153. USG sign seen in
monochromic twins
• U S G s i g n s e e n i n d i c h o r i o n i c
pregnancies. Due to the chorionic tissue in
between the two layers of the membrane
between the twins

154. Stuck twin sign • Seen in twin to twin transfusion syndrome.
Due to the severe oligohydramnios smaller
twin is held in a fixed position along the
uterine wall. This is called stuck twin sign.

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DERMATOGY
155. Hunterian chancre • primary syphilis
156. Ollendorf sign • secondary syphilis
157. Moth eaten alopecia • secondary syphilis
158. Kassowitz law, Pseudoparalysis of
parrot, Moons molars, Cluttons
joints, sabre tibia
• Congenital syphilis
159. Esthiomene, Groove sign • LGV
160. Onycholysis, oil drop sign, sub unga I
hvperkeratosis, Pencil in cup deformity,
Munroe microabscesses, Candle
grease sign, Grattage test, Ingram
regimen

• Psoriasis
161. Wickhams striae, Civatte bodies, Koebners
phenomenon, Band infiltrate,
Pterygium
• Lichen Planus
162. Christmas fir tree appearance, Herald
pattern, Cigarette paper like scales,
Collarette of scales
• Pityriasis rosea
163. Dennie Morgan fold,Head light sign • Atopic dermatitis
164. Cradle crap • Infantile seborrheic dermatitis
165. Nikolsky sign, Asboe Hansen sign,
Row of tombstones, Chicken wire
appearance, Fish net appearance
• Pemphigus Vulgaris
166. Dermatitis Herpetiforrnis • Duhrings disease
167. Orentriech sign (Tonsure alopecia) • Trichotillomania
168. Plucked chicken skin appearance,
Angioid streaks
• Psudoxanthoma elasticurn
169. Casals necklace, Cravat • Pellagra
170. Lesar Trelat sign • Seborrhoeic keratosis
171. Nevus of O'ta • O’cular
172. Nevus of I'to • I'ntercostal
173. Stroke bite, Angels kiss • Salmon patch
174. Pautriers micro abscesses,
Epidermotropism
• Mycosis fungoides
175. Crowd sign, Patrick Yesudian sign • Neurofibromatosis
176. Shagreen patches, Angiomyolipoma,
Periungal fibroma (Koenen tumors),
Ash leaf macules
• Tuberous sclerosis

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