Pinoy R.N.

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Table of "Signs" Indicating Illness and Injury

Sign
Aarons

Assessment/Observation
Pain or distress occurs near heart or stomach when McBurneys point (about halfway between umbilicus and head of femur) is palpated Flank area dullness to percussion that disappears with position change Bruising behind one or both ears Systemic hypotension, muffled heart tones, elevated venous pressure, neck vein distention With patient in dorsal recumbent position, forward flexion of head results in flexion of hip and knee Facial muscle spasm in cheek and around mouth, elicited by light percussion of facial nerve adjacent to ear Bluish discoloration around umbilicus Increased systolic BP, decreased heart rate, widened pulse pressure Subcutaneous bruising around flanks and umbilicus Crunching sound auscultated over precordium during heartbeat

Associated Diagnoses
Appendicitis

Balances Battles Becks triad Brudzinskis Chvosteks

Peritoneal irritation Head trauma or skull fracture Cardiac tamponade Meningeal irritation (meningitis) Tetany (acute hypocalcemia or hypomagnesemia) Hemorrhagic pancreatitis or ectopic pregnancy Increased intracranial pressure Retroperitoneal hematoma Alveolar rupture, esophageal tear, tracheal tear, bronchial tear, hemothorax, pneumothorax, or respiratory failure Deep vein thrombosis of lower leg Splenic rupture, ectopic pregnancy, or GI diseases Meningeal irritation (meningitis)

Cullens Cushings triad Grey Turners Hammans crunch

Homanss Kehrs Kernigs

Pain in calf elicited by passive dorsiflexion of foot Pain in subscapular area; usually on left side With patient supine, flex leg at hip and knee, then attempt to straighten knee joint; pain & resistance noted Sharp pain when examiner palpates deeply about halfway between umbilicus and head of femur, then suddenly withdraws hand

McBurneys

Appendicitis

Murphys Psoas

Pain when examiner presses fingers under rib cage and Gallbladder inflammation patient inhales deeply 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 Rovsings Pain in RLQ when pressure applied to LLQ

Head trauma, basilar skull fracture, or facial fracture Appendicitis

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