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Thursday, February 12, 2009
Eponymous Signs in ENT

Below are the compilation of all the eponymous signs in ENT from all over the net.Read & enjoy..
AQUINO'S SIGN is the blanching of the tympanic mass with gentle pressure on the carotid artery.Seen in Glomus tumors .
BATTLE SIGN- Bruising behind ear at mastoid region, due to petrous temporal bone fracture (middle fossa #)
BEZOLD'S SIGN / SYMPTOM

Inflammatory edema at the tip of the mastoid process in
mastoiditis
BOCCA’S SIGN - Absence of post cricoid crackle(Muir’s crackle) in Ca post cricoid
BROWNE'S SIGN
Refers to the blanching noted when applying positive pressure{with Siege's speculum} to the tympanic membrane of a patient with Glomus tumor.
BRYCE SIGN - If combined laryngocele & external laryngocele is presenting as a neck mass, compression will cause a hissing sound as the air escapes from it into the larynx.
This test is fraught with danger in cases of combined laryngoceles because air from the external component may get forced into the internal component causing acute airway
obstruction.
DELTA SIGN
Lateral sinus thrombosis on CT or MRI with contrast shows an empty triangle appearance of the thrombosed sinus surrounded by contrast enhanced dura{since contrast may
:
flow around the clot to outline the periphery of the sinus}. It is also called as empty triangle sign.
DODD’S SIGN/CRESCENT SIGN- X-ray finding-Crescent of air between the mass and posterior pharyngeal wall. positive in AC ployp Negative in Angiofibroma
FURSTENBERG'S SIGN-Positive in Encephaloceles.Owing to the intracranial connection, there is pulsation and expansion of the mass with crying, straining, or compression of
the jugular vein (Furstenberg test).This is used to differentiate Nasal Encephaloceles from other congenital midline nasal masses like Nasal Gliomas.
GRIESINGER'S SIGN-Erythema and oedema posterior to the mastoid process resulting from septic thrombosis of the mastoid emissary vein. seen in lateral sinus thrombosis
HALO SIGN/ HANDKERCHIEF SIGN - A finding in CSF rhinorrhea when CSF is mixed with Blood.
In patients with head trauma, a mixture of blood and CSF may make the diagnosis difficult.
CSF separates from blood when it is placed on filter paper, and it produces a clinically detectable sign: the ring sign, double-ring sign, or halo sign.
CSF will separate from blood when the mixture is placed on filter paper resulting in a central area of blood with an outer ring or halo.
Blood alone does not produce a ring.
The best ring is obtained with a 50: 50 mix of blood and CSF.
More importantly, they found that the presence of a ring was not exclusive for CSF.
Blood mixed with tap water, saline, and rhinorrhea fluid also produced a ring.
The halo sign does occur, but clearly does not clinch the diagnosis.
HITSELBERGER’S SIGN - In Acoustic neuroma- loss of sensation in the postero-superior part of external auditory meatus supplied by Arnold’s nerve( branch of Vagus nerve to
ear )
HOLMAN MILLER SIGN, ANTRAL SIGN-

The anterior bowing of the posterior wall of the antrum seen on lateral skull film .Pathognomic for juvenile nasopharyngeal angiofibroma.
:
HONDOUSA SIGN–X-ray finding in Angiofibroma.
indicating infratemporal fossa involvement characterised by widening of gap between ramus of mandible and maxillary body.
HENNEBERT'S SIGN
It is a false positive fistula test when there is no evidence of middle ear disease causing fistula of horizontal semicircular canal. It is seen in 25% cases of meniere's disease or
congenital syphilis.In 25% cases of Meneire’s ,fibrous bands form connecting utricular macule to stapes footplate. In syphilis due to hypermobile stapes footplate.[Hennebert sign
pressure induced nystagmus, Hennebert symptom- pressure induced dizziness]
IRWIN MOORE’S SIGN——– positive squeeze test in chronic tonsillitis.
LAUGIER'S SIGN-Blood behind the eardrum suggests basilar skull fracture.
LEUDET'S SIGN-Inflammation of the eustachian tube can produce a bright clicking sound heard by the examiner through the otoscope while the patient experiences it as
tinnitus.caused by reflex spasm of the tensor palati muscle.
LIGHT HOUSE SIGN—A small pin hole perforation with a pulsatile ear discharge is seen in Acute suppurative otitis media.
LYRE’S SIGN - splaying of carotid vessels( at junction of External & internal carotid artery) in carotid body tumor.
:
MILIAN’S EAR SIGN- Erysipelas can spread to pinna(cuticular affection), where as cellulitis cannot.
Cellulitis and erysipelas manifest as areas of skin erythema, edema and warmth in the absence of underlying suppurative foci.
They differ in that erysipelas involves the upper dermis and superficial lymphatics, whereas cellulitis involves the deeper dermis and subcutaneous fat.
As a result, erysipelas has more distinctive anatomic features than cellulitis; erysipelas lesions are raised above the level of surrounding skin, and there is a clear line of
demarcation between involved and uninvolved tissue.
Classic descriptions of erysipelas note "butterfly" involvement of the face.
Involvement of the ear (Milian's ear sign) is a distinguishing feature for erysipelas since this region does not contain deeper dermis tissue.
OMEGA SIGN -INFANTILE OMEGA SHAPED EPIGLOTTIS SEEN IN LARINGOMALACIA.
Paul Dudley White's winking ear lobe sign-Movement of the ear lobe coincident with the pulse suggests tricuspid insufficiency.
PHELP’S SIGN - loss of crest of bone (as seen in CT-scan) between carotid canal and jugular canal in glomus jugulare.
RAT TAIL SIGN /“Bird-beak” sign-Sign in barium swallow of achalasia. The oesophagus is dilated, and contrast material passes slowly into the stomach as the sphincter opens
intermittently. The distal oesophagus has a narrow segment and the image resembles a bird's beak.
:
This is in contrast to the rat's tail appearance of carcinoma of oesophagus.Barium swallow shows characteristic rat tail appearance with irregular mucosa margins in carcinoma
esophagus.
RISING SUN SIGN

There is red vascular hue seen behind the intact tympanic membrane. it is seen in glomus tumour, high jugular bulb and aberant carotid artery in the floor of middle ear
RACCOON SIGN-Indicate subgaleal hemorrhage,and not necessarly base of skull .
SCHWARTZ SIGN
It is also called flamingo flush sign. it is seen because of increased vascularity in submucous layer of promontory in active phase of otosclerosis(otospongiosis).
STEEPLE SIGN- X-ray finding in Acute laryngotracheobronchitis (CROUP).The steeple sign is produced by the presence of edema in the trachea, which results in elevation
the tracheal mucosa and loss of the normal shouldering (lateral convexities) of the air column.
STANKIEWICK’S SIGN - indicate orbital injury during FESS. fat protrude in to nasal cavity on compression of eye ball from outside .
TEAR DROP SIGN
Seen in Orbital floor fracture. It is defined as tear drop shaped opacification seen hanging from the roof of the maxillary sinus on water's view. The floor of the orbit is the most
common portion of the orbit to sustain fracture. A classic radiographic finding in blow-out fractures is the presence of a polypoid mass (the tear-drop) protruding from the floor of the
orbit into the maxillary antrum The tear-drop represents the herniated orbital contents, periorbital fat and inferior rectus muscle.
:
THUMB SIGN
It is a thumb like impression (due to enlarged epiglottis) seen on X-ray lateral view neck in patients with acute epiglottitis.Direct visualization of the epiglottis by laryngoscope, if
attempted, reveals a beefy red, edematous epiglottis.
TRAGUS SIGN
In acute otitis externa there is marked tenderness when tragus is pressed against the pinna.
TEA POT SIGN is seen in CSF rhinorrhoea.This could be related to the relationship of the sphenoid ostium to the sinus floor. The sphenoid ostium lies at an appreciable distance
anterosupe-rior from the sinus floor. An increase in the CSF rhinorrhea therefore occurs in a case of sphenoid sinus leak when the patient bends forward as an increasing amount of
CSF gains access to the ostium "teapot" sign.
uvula pointing sign - uvula points to side of palatal palsy
Uvula pointing sign- seen in rhinoscleroma .when scleroma involve nasopharynx ,uvula point towards roof of nasopharynx.
WOODS SIGN—– palpable jugulodigastric lymphnodes.
Labels: ENT
:
252 comments:
1 – 200 of 252 Newer› Newest»
Unknown said...
very good info
February 23, 2010 at 2:24 PM
Anonymous said...
really amazing
March 25, 2010 at 11:39 PM
Dr.LalDarsan said...
all confusing terms n signs in ENT made unforgettable here..hats off to the effort.!
June 11, 2010 at 8:30 PM
MK said...
Awesome collection... thnx
June 28, 2010 at 10:43 PM
Anonymous said...
great refresher for ENT residents! THANKS FOR YOUR WORK!
September 18, 2010 at 9:09 PM
dr deepthi said...
its awsome..i wish we can have even syndromes of ENT..pleaseeee
October 30, 2010 at 2:43 PM
Anonymous said...
Good work, these signs are sometimes confusing!!!!
Augustin
November 5, 2010 at 4:00 PM
Anonymous said...
really thanks .......
December 1, 2010 at 10:47 PM
Anonymous said...
Thanks a lot for this wonderful post..helps me a lot
Doctorji said...
picture of thumb sign-- wrongly placed arrow indicating thyroid cartilage calcification !!
March 30, 2011 at 5:02 PM
DOCTORJI said...
WONDERFUL COMPILATION !!
March 30, 2011 at 5:04 PM
Anonymous said...
really really cool
June 11, 2011 at 9:35 PM
Anonymous said...
hmm,,,good,,thnks,,
June 15, 2011 at 10:29 AM
Anonymous said...
came across very late.....but very useful
June 25, 2011 at 10:23 PM
thomas antony said...

Very useful.Thanks for sharing this..
chanukya said...
too good... thanks...
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Anonymous said...
This is a wonderful effort! An immensely helpful website! Not just for the theory but also for viva-voce! Thanks a lot :)
November 19, 2011 at 11:45 AM
Anonymous said...
very relevant and compact!
December 8, 2011 at 10:45 AM
Anonymous said...
Cooll...
Dr Vaibhav Deshpande said...

wONDERFULL ITS REALLY WORTH
HELPS IN RETENTION OF ALL THOSE FANCY NAMES OF DIFFERENT SIGNS...
thanks again...
If possible Add more..
- Dr.Vaibhav Deshpande
Anonymous said...
what is trotter s sign
January 11, 2012 at 9:52 PM
Anonymous said...
Thank You very much...great help!!
Anonymous said...
GREAT WORK
May 10, 2012 at 4:38 PM
Anonymous said...
Really a good piece of work.
June 26, 2012 at 6:54 PM
Anonymous said...
awesome
July 10, 2012 at 8:07 PM
Unknown said...
very nice
Anonymous said...
heartfelt thanks to the provider , it was truely reliable and useful :)
ismail said...
thanks, i have an ENT exam in 10 days from now.....it is very helpful...
January 20, 2013 at 4:06 AM
Anonymous said...
very nice dr..
April 25, 2013 at 11:21 AM
Unknown said...
Excellent information! One minor correction. On the x-ray of the Thumb Sign the arrow is showing the larynx. Not the "thumb" which is above.
April 30, 2013 at 11:07 PM
Unknown said...
IT PROVES UR INTREST IN D SUBJECT N HARD WORK.IF WAS UR EXAMINER IN MS I WILL RECOMMEND A GOLD. KEEPIT UP ; B CREATIVE.DR VIJAY
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May 3, 2013 at 3:40 PM
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Rahul Gupta said...
Great collection!
May 10, 2013 at 11:32 AM
Anonymous said...
very useful
July 14, 2013 at 8:49 PM
Anonymous said...
Really helpful.. Thank u
Ahmad said...
coooool stuff thanks
April 5, 2014 at 11:43 AM
Anonymous said...
jackson's sign: pooling of saliva in PFS
Unknown said...
Thankx bandu
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Unknown said...
Thankx bandu
March 25, 2015 at 5:10 PM
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sandeep sharma said...

nice compilation. great job....
June 30, 2015 at 10:10 AM
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This is very informative and great.very inspiration blog.!
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Anonymous said...
amazing
Unknown said...
V NYC work
Thank u
March 19, 2016 at 2:50 PM
Unknown said...
Excellent compilation
May 31, 2016 at 4:19 PM
Unknown said...
Excellent compilation
May 31, 2016 at 4:22 PM
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Excellent
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Medicine Decoded - Eponymous Signs in ENT

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Thursday, February 12, 2009

Eponymous Signs in ENT

BEZOLD'S SIGN / SYMPTOM

BOCCA’S SIGN - Absence of post cricoid crackle(Muir’s crackle) in Ca post cricoid

Blood alone does not produce a ring.

HOLMAN MILLER SIGN, ANTRAL SIGN-

IRWIN MOORE’S SIGN——– positive squeeze test in chronic tonsillitis.

LAUGIER'S SIGN-Blood behind the eardrum suggests basilar skull fracture.

Classic descriptions of erysipelas note "butterfly" involvement of the face.

OMEGA SIGN -INFANTILE OMEGA SHAPED EPIGLOTTIS SEEN IN LARINGOMALACIA.

RISING SUN SIGN

RACCOON SIGN-Indicate subgaleal hemorrhage,and not necessarly base of skull .

TEAR DROP SIGN

uvula pointing sign - uvula points to side of palatal palsy

WOODS SIGN—– palpable jugulodigastric lymphnodes.

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