Trauma Signs
Allis' |
Relaxation of the fascia
between the crest of the ilium and the greater trochanter; a sign of femoral
neck fracture. |
Artisan's |
A spasm of muscles exposed to
prolonged work requiring delicate coordination; occurs only while performing
that particular work. (also known as writer's cramp) |
Ballance's |
Resonances of the right flank
when the patient lies on the left side; associated with splenic rupture. |
Barre's Pyramidals |
Inability of a patient who is
paralyzed on the one side to remain in a flexed position. When the patient
lies face down, with the legs flexed at the knee, the leg on the paralyzed
side straightens. |
|
Brushing over the mastoid
process; indicative of basal skull frature. |
Bowditch'a |
A combination of signs
including decreased breath sounds at the left base, tympany over left chest,
bowel sounds in left chest, cardiac dullness (displaced to the right) and
immobile left hemithorax; indicative of traumatic herniation of the
diaphragm. |
Bull's eye |
On a gauze pad, a drop of blood
diffuses to form a circle of blood surrounded by an outer circle of clear
fluid; associated with leaking cerebrospinal fluid from a basal skull
fracture. (Also known as the "Halo test".) |
Cleemann's |
Creasing of the skin just
above the patella; indicative of fracture of the femur. |
Comolli's |
Shortly after injury, a
triangular swelling reproducing the shape of the scapula appears in the
scapular region; associated with scapular fracture. |
Coopernail's |
Ecchymosis on the perineum and
scrotum or labia; a sign of pelvic fracture. |
Cullen's |
A bluish discoloration of the
skin around the umbilicus associated with intraperitoneal hemorrhage. |
Drawer |
In a suspected knee injury,
instability and excessive anterior movement of the tibia; associated with a
tear of the anterior cruciate ligament (ACL). Excessive posterior motion is
associated with a tear of the posterior cruciate ligament (PCL) |
Gunstock |
Deformity in which the long
axis of the extended forearm turns outwardly from the arm, caused by fracture
of the elbow |
Ice Rink |
In cases of corneal abrasion,
the cornea takes on the scarred appearance of an ice rink when viewed
laterally. |
Jump |
An involuntary reaction to
stimulation of a tender area or trigger point. May take the form of wincing
or sudden jerking of the part being examined. |
Kehr's |
Severe pain in the left
shoulder/scapular region; seen in some cases of splenic rupture |
Langoria's |
Relaxation of the extensor
muscles of the thigh. A symptom of intracapsular fracture of the femur. |
McMurry's |
Occurrence of a cartilage
click on manipulation of the knee, showing injury to the cartilage in the
kneecap. |
Nightshade |
The patient describes field of
vision as though a shade is being pulled down over his eyes; with images
appearing only at the bottom of the visual field; a sign of retinal
detachment. |
Raccoon's |
Ecchymosis, contusion or
abrasion across lower abdomen; associated with trauma caused by seat belts. |
Silver Fork |
Deformity of the wrist and
hand resembling curve of the back of a fork, indicative of distal radius and
ulna fracture; also known as Colle's fracture. |
Neurological Signs
Babinski's |
Extension of the big toe
upwards and fanning of the other toes when the sole of the foot is stroked;
abnormal in children and adults, in whom it may indicate brain injury |
Barre's |
Retardation of the iris
contraction; associated with mental deterioration |
Cantelli's |
Dissociation between the
movements of the head and eyes, also known as "doll's eyes." The eyes stay stationary as the head is moved. |
Charcot's triad |
The combination of nystagmus,
intention tremor and scanning speech; frequently associated with multiple
sclerosis. |
Chvostek's |
|
Cushing's |
Hypertension, bradycardia, and
abnormal breathing pattern; associated with increased intracranial |
Echo |
Repetition of closing word of
a sentence; a sign of epilepsy or other brain condition. |
Gordon's |
Abnormal changes in the
Babinski reflex. Compressing the calf muscles results in stretching of the
great toe and fanning of the other toes. Indicates disease of childhood. |
Hahn's |
Persistent movement of the
head from side to side in cereballar disease of the central nervous system. |
Hoffmann's |
An abnormal reflex brought
about by sudden forceful striking of the nail of the index, middle or ring
finger, resulting in a bending of the thumb and the middle and end joints of
one of the other fingers; a possible sign of motor nerve disease |