Signs Notes
Signs Notes
12. Apley grind test Meniscal lesions manoeuvres to elicit knee pain
31. Bart hemoglobin Indicates a specific cause of Loss of all four alpha-globin genes
death in some stillborns (total alpha-thalassemia) leads to
severely anemic stillborn babies with
small amounts of an abnormal
hemoglobin composed of four gamma
sub-units (Bart's Hemoglobin)
32. Bastian–Bruns sign Spinal cord transection loss of muscle tone and reflexes below
lesion level
33. Battle's sign Basal skull fracture mastoid ecchymosis
34. Beau's lines Multiple, including trauma transverse ridges on nails
37. Beevor's sign Spinal trauma at T10 caudal movement of navel on cervical
ALS (Amyotrophic lateral flexion
sclerosis)
FSMD (facio
scapulohumeral muscular
dystrophy)
38. Bekhterev– Pyramidal tract lesions stroking dorsal radial skin, with
Jacobsohn reflex forearm in supination, elicits wrist and
finger flexion
39. Bekhterev–Mendel Pyramidal tract lesions toe flexion on percussion of dorsum of
reflex foot
40. Bence Jones Multiple myeloma
protein
41. Benedict solution Diabetes mellitus reagent for presence of
monosaccharides
42. Berger wave Normal physiology electroencephalographic alpha wave
(rhythm)
43. Bezold–Jarisch Effect of certain alkaloids apnea, bradycardia, hypotension
reflex
44. Bielschowsky's Lesions of cranial nerve IV test for palsy of superior oblique
head tilt test muscle
45. Bing's sign Pyramidal tract lesions extension of the great toe on pricking
the dorsum of the foot with a pin
46. Biot's respiration Brain stem herniation quick shallow respirations followed
by period of apnea
47. Bitot's spots Vitamin A deficiency spots of keratin deposition in the
conjunctiva
48. Bjerrum scotoma Glaucoma comet shaped visual field defect,
extending temporally from the
physiological blind spot
49. Blumberg sign Peritonitis rebound tenderness
50. Boas' point Gastric ulcer dermal hyperaesthesia just left of T12
71. Bruns ataxia Frontal lobe lesions difficulty moving feet in contact with
floor, tendency to fall backwards
72. Bruns nystagmus Cerebellopontine angle nystagmus that coarsens in amplitude
tumor on lateral gaze
Vestibular schwannoma
73. Brushfield spots Downs' syndrome or non- greyish-white spots at periphery of iris
pathological
74. Buerger's test Peripheral artery disease pallor of the leg upon elevation
87. Charcot's triad Ascending cholangitis jaundice, fever and chills, RUQ pain
130. Forchheimer spots Rubella small red spots on the soft palate
131. Fothergill's sign Rectus sheath hematoma anterior abdominal mass which does
not cross the midline and is still
palpable when abdominal wall
muscles are tensed
132. Fox's sign Haemorrhagic pancreatitis ecchymosis of inguinal ligament
(blood tracks retroperitoneally)
133. Frank's sign Ischaemic heart disease ear crease indicating risk of heart
disease (disputed)
134. Friedreich's sign Constrictive pericarditis, collapse of distended neck veins in
tricuspid insufficiency diastole
135. Froment's sign Ulnar nerve palsy patient required to hold paper between
thumb and palm (against attempt to
withdraw);ability to do so is assessed
136. Gallavardin Aortic stenosis dissociation of musical and noisy
phenomenon elements in ejection murmur
137. Gamna–Favre Lymphogranuloma venereum basophilic cytoplasmic inclusion
bodies bodies
138. Gandy–Gamna Splenomegaly due to portal small yellow-brown foci in the spleen
nodules hypertension and sickle cell
disease
139. Garrod's pads Repeated extreme tension of thickening of skin and tissue over
extensor tendon in interphalangeal joint
interphalangeal joint
140. Gerhardt's sign controversial[permanent dead link]:
see references
141. Glasgow Coma A neurological scale which The sum of Eye, Motor and Verbal
Scale aims to give a reliable and responses.
objective way of recording the
conscious state of a person for
initial as well as subsequent
assessment.
142. Goetz sign Right ventriculography in the the negative contrast effect seen in the
setting of a patent ductus pulmonary artery from non-contrast
arteriosus enhanced blood shunting left to right
from the aorta
143. Gonda's sign Pyramidal tract lesions flexing then suddenly releasing the
4th toe elicits an extensor plantar
response
144. Goodell's sign Pregnancy softening of the vaginal part of the
cervix during the first trimester
145. Goodsall's rule Anal fistula anatomical relationships,
differentiation of fistula types
146. Gordon's sign Pyramidal tract lesions squeezing the calf muscle elicits an
extensor plantar response
147. Gottron's papules Dermatomyositis Scaling, erythematous eruption or
dusky red patches over the knuckles,
elbows and knees
148. Gowers' sign[3] Muscular dystrophy
151. Griffith's sign Graves' ophthalmopathy lid lag of the lower eyelid on upward
eye movement
152. Gunn's sign Hypertension AV "nicking" or "nipping"
in hypertensive retinopathy
153. Hamman's sign Oesophageal perforation w/ crepitus in sync w/ heartbeat but not
pneumomediastinum respiration
154. Hampton's hump Pulmonary embolus with wedge shaped consolidation at
infarct periphery with base on the pleura
155. Hampton's line Peptic ulcer line on barium meal indicating
mucosal oedema associated with ulcer
156. Hannington-Kiff Obturator hernia absent thigh adductor reflex with
sign positive patellar reflex
157. Harrison's groove Rickets rib deformity at the lower thorax
189. Kernig's sign Meningism hip and knee fully flexed, extension of
Meningitis knee elicits pain and/or opisthotonus
Subarachnoid haemorrhage
190. Kocher's sign Hyperthyroidism In fixation on a fast upwards
Basedow's disease movement there occurs a convulsive
retraction of the eyelid
191. Koebner's Various conditions
phenomenon
192. Koeppe's nodules Uveitis granulomatous nodules at pupillary
margin
193. Koplik's spots Measles
211. Lombard effect Malingering due to simulated automatic rise in the loudness of a
deafness person's voice when they speak in
noise
212. Louvel's sign Deep venous thrombosis increased pain along vein with
valsalva; proximal pressure prevents
this
213. Lowenberg's sign Deep vein thrombosis immediate pain on inflating blood
pressure cuff around calf
214. MacDonald triad Sociopathic personality eneuresis, firesetting and animal
disorder torture predictive of future criminal
behaviour
215. Macewen's sign Hydrocephalus, brain abscess resonance on percussion of fronto-
temporo-parietal suture
216. Magnan's sign Cocaine dependence feeling of moving foreign body under
the skin
217. Mantoux test Tuberculosis intradermal protein derivative –
diameter of wheal evaluated
218. Marcus Gunn pupil Severe retinal disease Relative pupil dilatation when light
Lesion of optic nerve swings to the affected side
anterior to chiasm
219. Markle sign Appendicitis RLQ pain on dropping from standing
on toes to heels
220. Mayne's sign Aortic insufficiency diastolic blood pressure drop of
>15mmHg on raising arm
221. McBurney's point Appendicitis 2/3 of the way lateral on a line from
umbilicus to anterior superior iliac
spine (corresponds to junction of
vermiform appendix and cecum)
222. McConnell's sign Pulmonary embolism echocardiography finding of akinesia
of the mid-free wall of the right
ventricle but normal motion of the
apex
223. McMurray test Meniscal tear knee extended, valgus stress applied,
leg rotated produces palpable or
audible click
224. Means–Lerman Hyperthyroidism systolic heart murmur similar to
scratch pericardial rub
225. Mees' lines Arsenic or heavy metal transverse white lines across the nails
poisoning
226. Mellinghoff's sign Cutaneous decompression coughing or Valsalve accentuates the
sickness venous markings of an erysipeloid
rash
227. Mentzer index Microcytic anemia differentiates iron deficiency anaemia
from beta thalassaemia
228. Miller Fisher test Normal pressure Improvement in cognitive function
hydrocephalus after withdrawal of CSF
during lumbar puncture used to
confirm diagnosis
229. Moniz sign Pyramidal tract lesions forceful plantar flexion of the ankle
elicits an extensor plantar response
230. Möbius sign Thyrotoxicosis inability to maintain convergence of
eyes
231. Muehrcke's lines Hypoalbuminaemia, chemother paired transverse white lines on nail
apy bed
232. Mulder's sign Morton's neuroma transverse compression of the forefoot
elicits pain in the distribution of the
affected nerve
233. Müller's maneuver Collapsed section of airway patient attempts to breathe in with
nose and mouth closed (opposite
of Valsalva maneuver)
234. Müller's sign Aortic insufficiency visible pulsation or bobbing of uvula
252. Peabody's sign Deep vein thrombosis calf muscle spasm when raising the
affected leg with the foot extended
253. Pemberton's sign Retrosternal mass arms elevated over head elicits facial
with superior vena cava plethora, distended neck veins and
syndrome inspiratory stridor
254. Phalen's maneuver Carpal tunnel syndrome 30–60 seconds of full forced flexion
of wrist elicits symptoms
255. Piskaçek's sign Normal pregnancy palpable lateral bulge at tubal-uterine
junction; present at 7–8 weeks
256. Plummer's nail Thyrotoxicosis onycholysis especially of ring and
little fingers
257. Pratt's sign Deep venous thrombosis pain elicited by compression of
posterior calf
258. Queckenstedt's Spinal stenosis bilateral jugular vein pressure
maneuver during lumbar puncture causes sudden
rise in CSF pressure
259. Quincke's sign Aortic insufficiency visible pulsation in ungual capillary
bed
260. Reynolds' pentad Ascending cholangitis Charcot's triad + hypotension and
altered mental state
261. Riesman's sign Thyrotoxicosis bruit over globe of the eye
262. Rigler's sign[6] Pneumoperitoneum gas outlines both mucosal and serosal
surfaces of bowel
263. Rinne test Hearing impairment comparison of air conduction to bone
conduction differentiates
sensorineural from conductive
deafness
264. Romaña's sign Chagas' disease painless unilateral periorbital swelling
265. Romberg test Dorsal column lesions inability to maintain posture with eyes
Cerebllar lesions closed
Alcohol intoxication
266. Rose's sign Deep vein thrombosis Warm, stiff feeling of skin when
affected leg is pinched
267. Rosenbach's test Bilirubinuria colour produced on addition of nitric
acid
268. Rosenstein's sign Appendicitis tenderness in the right lower quadrant
increases when the patient moves
from the supine position to a
recumbent posture on the left side
269. Rossolimo's sign Pyramidal tract lesions percussion of the tips of the toes
causes exaggerated flexion of the toes
270. Roth's spots SBE retinal haemorrhages with pale centres
Systemic vasculitides seen at fundoscopy
271. Rovsing's sign Appendicitis palpation of LLQ elicits pain in RLQ
272. Rumpel–Leede sign Capillary fragility petechiae seen after compression by
tourniquet
273. Russell's sign Bulimia nervosa scarring of the dorsum of one hand
(contact with incisors when purging)
274. Salus's sign Hypertension deflection of retinal veins at right
angle junctions due to elongation or
shortening of connected arterioles
275. Schaeffer's sign Pyramidal tract lesions squeezing the Achilles tendon elicits
an extensor plantar response
276. Schamroth's Chronic hypoxia identifies clubbing of distal phalanges
window test
277. Schiller's test Cervical cancer affected areas of cervix fail to stain
brown with iodine solution
278. Schilling test Pernicious anaemia B12 radioassay; rare
Coeliac disease
Other malabsorption
disorders
279. Schirmer's test Keratoconjunctivitis sicca, as quantifies lacrimal secretion
in Sjögren's syndrome
280. Schober test Various disorders of lumbar quantifies lumbar flexion
vertebrae
281. Sherren's triangle Appendicitis area of hyperaesthesia over the right
lower abdomen
282. Shone's complex Congenital heart defect supravalvular mitral ring, parachute
deformity of mitral valve, subaortic
stenosis and coarctation of the aorta
283. Siegrist streaks Malignant hypertension hyperpigmented sreaks parallel to
choroidal vessels
284. Simmonds' test Achilles tendon rupture squeezing of calf fails to produce
plantar flexion
285. Sims–Huhner test Infertility determination of sperm count and
motility in a sample taken from
the cervical canal within an hour
of intercourse
286. Sister Mary Joseph Various abdominal palpable lymph node in the umbilicus
nodule[7] malignancies
287. Spurling's test Cervical radiculopathy axial compression and rotation of
cervical spine to the side of symptoms
causes pain
288. Stellwag's sign Thyrotoxicosis infrequent and/or incomplete blinking,
accompanied by Dalrymple's sign
289. Still's murmur Subaortic stenosis systolic ejection sound ;
Small Ventricular septal vibratory/musical; best heard at left
defect lower sternal border
290. Stransky's sign Pyramidal tract lesions sudden abduction and release of little
toe causes extensor plantar response
291. Stroop test ADHD reaction times for incongruent stimuli
Schizophrenia (e.g., word red printed in blue)
292. Strümpell's sign Spastic pareses of the lower failure of abrupt passive flexion of the
extremity hip and/or knee to elicit dorsiflexion
and adduction of foot
293. Terry's nails Hepatic failure white 'ground glass' nails;absence of
lunula
294. Terry Thomas sign Scapho-lunate dissociation Gap between the scaphoid and lunate
bones on AP wrist radiograph
295. Thomas test Fixed flexion deformity of hip Supine patient flexes one hip whilst
keeping other leg flat; back arches if
flexion deformity is present
296. Throckmorton's Pyramidal tract lesions pressure over dorsal big toe MTP joint
reflex elicits an extensor plantar response
297. Tinel's sign Neuritis 'DTP' – distal tingling on percussion
Compression disorders
298. Todd's paresis Seizure disorders focal weakness for as much as 48
hours after seizure
299. Traube's sign Splenomegaly dull percussion sound over Traube's
space
300. Trendelenburg's Inferior gluteal palsy pelvic tilt contralateral to 'stance leg'
sign Other causes of hip
abductors weakness
301. Troisier's sign Various abdominal Enlargement of the
malignancies, left supraclavicular lymph
especially stomach cancer node (=Virchow's node)
302. Trousseau's sign of various malignancies, spontaneous thrombosis of multiple
malignancy including pancreatic veins, including portal circulation
303. Trousseau's sign of Hypocalcaemia in hypocalcaemia, occlusion of
latent tetany brachial artery induces carpal spasm
304. Uhthoff's Multiple sclerosis ↑ in neurological symptoms with
phenomenon exercise or other increase in body
temperature
305. Unterberger test Vestibular lesions patient walks in place with eyes
closed;direction of rotation indicates
vestibular lesion on that side
306. Virchow's node Various abdominal Enlargement of the
malignancies, left supraclavicular lymph
especially stomach cancer node (=Troisier's sign)
307. Virchow's triad Etiology of thrombosis Hypercoagulability, Hemodynamic
changes (stasis, turbulence) and
Endothelial injury/dysfunction
308. Von Braun- Pregnancy softening of the uterine fundus at the
Fernwald's sign site of implantation at 4–5 weeks
gestation
309. Von Graefe sign Graves' disease ' lid lag'; immobility of upper lid on
downward gaze
310. Wada test Epilepsy short acting barbiturate injected in
Anatomical lesions of internal carotid; lateralizes language
cerebrum function
311. Waddell's signs Chronic pain identify non-organic sources of low
back pain
312. Waddell's triad Child pedestrian struck by Head trauma, thoracic and/or
motor vehicle abdominal trauma, femoral fracture
313. Watson's water Aortic regurgitation bounding forceful pulse elicited with
hammer pulse postural manoeuvres
314. Wellens' sign or Severe stenosis of LAD characteristic ekg changes
warning
315. Westermark sign Pulmonary embolism Area of oligaemia on chest x-ray