Professional Documents
Culture Documents
Gastric Cancer signs Blumber‟s shelf sign Metastasis to the rectouterine Pouch of
Douglas
Gower‟s sign Duchenne Muscular patient that has to use his hands and
Dystrophy arms to "walk" up his own body from a
squatting position due to lack of hip and
thigh muscle strength
Homan‟s sign Deep vein thrombosis A positive sign is present when there is
resistance (not pain) in the calf or
popliteal region with examiner's
abrupt dorsiflexion of the patient's foot
at the ankle while the knee is fully
extended
Watch out!
For subset of patients who do not
present with chest pain in M.I.:
Elderly
Diabetics
Post-stroke px
Obturator hernia signs Hannigton-Kiff sign there is an absent adductor reflex in the
thigh in the presence of a positive
patellar reflex
due to compression of obturator nerve
McDonald‟s sign
Rectus abdominus sheath Carnett‟s sign (+): lift the patient‟s head and shoulders
hematoma from the table to tense the abdominal
wall increased abdominal pain
Inferior epigastric vein: the (-): lift the patient‟s head only, and the
MC injured vessel abdominal pain decreases points to
an intra-abdominal cause of pain (e.g.
Appendicitis)
Splenic rupture signs Ballance‟s sign Dullness to percussion on the LUQ (due
to coagulated blood) and shifting
dullness to percussion in the right flank
(due to liquid blood)
Valentino‟s sign Perforated Peptic Ulcer Right lower quadrant pain, due to
succus/pus draining into the RLQ