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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. Gr e y T ur ne r s ig n • Hem or ha gi c pa r i c r e at i t i s → 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





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)





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





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





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





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 u s t n e r ' s s i g n • S i g n o f p l a c e n t a l s e p a r a t i o n . O n

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 b e r t ' s s i g n • E a r l i e s t s i g n o f i n t r a u t e r i n e f e t a 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.





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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