Signs of illness and injury
0 likes11 views
This document lists various signs and their associated diagnoses that can be observed during a physical examination. It includes signs such as Aaron's sign which indicates appendicitis when pain occurs near the heart or stomach upon palpating McBurney's point. Beck's triad, which includes hypotension, muffled heart tones, and elevated venous pressure, suggests cardiac tamponade. Other signs listed are Battle's sign indicating head trauma, Brudzinski's sign associated with meningitis, and Cullen's sign related to hemorrhagic pancreatitis or ectopic pregnancy. The table provides physical exam findings and their potential medical diagnoses.
Signs of illness and injury
- 1. Table of "Signs" Indicating Illness and Injury Sign Assessment/Observation Associated Diagnoses Aarons Pain or distress occurs near heart or stomach when McBurneys point (about halfway between umbilicus and head of femur) is palpated Appendicitis Balances Flank area dullness to percussion that disappears with position change Peritoneal irritation Battles Bruising behind one or both ears Head trauma or skull fracture Becks triad Systemic hypotension, muffled heart tones, elevated venous pressure, neck vein distention Cardiac tamponade Brudzinskis With patient in dorsal recumbent position, forward flexion of head results in flexion of hip and knee Meningeal irritation (meningitis) Chvosteks Facial muscle spasm in cheek and around mouth, elicited by light percussion of facial nerve adjacent to ear Tetany (acute hypocalcemia or hypomagnesemia) Cullens Bluish discoloration around umbilicus Hemorrhagic pancreatitis or ectopic pregnancy Cushings triad Increased systolic BP, decreased heart rate, widened pulse pressure Increased intracranial pressure Grey Turners Subcutaneous bruising around flanks and umbilicus Retroperitoneal hematoma Hammans crunch Crunching sound auscultated over precordium during heartbeat Alveolar rupture, esophageal tear, tracheal tear, bronchial tear, hemothorax, pneumothorax, or respiratory failure Homanss Pain in calf elicited by passive dorsiflexion of foot Deep vein thrombosis of lower leg Kehrs Pain in subscapular area; usually on left side Splenic rupture, ectopic pregnancy, or GI diseases Kernigs With patient supine, flex leg at hip and knee, then attempt to straighten knee joint; pain & resistance noted Meningeal irritation (meningitis) McBurneys Sharp pain when examiner palpates deeply about halfway between umbilicus and head of femur, then suddenly withdraws hand Appendicitis Murphys Pain when examiner presses fingers under rib cage and patient inhales deeply Gallbladder inflammation Psoas Pain in abdomen when right leg is extended while patient lies on left side, or when legs are flexed while supine Appendicitis Raccoon eyes Bruising and swelling around one or both eyes Head trauma, basilar skull fracture, or facial fracture Rovsings Pain in RLQ when pressure applied to LLQ Appendicitis Pinoy R.N. | Up-to-Date Nursing News and Information | This file was downloaded from www.PinoyRN.co.nr
- 2. Trousseaus Flexion of wrist, adduction of thumb, and extension of one or more fingers after tourniquet applied to arm Tetany (hypocalcemia or hypomagnesemia), osteomalacia Pinoy R.N. | Up-to-Date Nursing News and Information | This file was downloaded from www.PinoyRN.co.nr