Pathognomonic Signs
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Transcript of Pathognomonic Signs
PATHOGNOMONIC SIGNSDISEASEPATHOGNOMONIC SIGN
Cytomegalovirus (CMV) Infectionowls eye appearance of cells (huge nucleus in cells hence the name)
HypocalcemiaChvostek sign (tapping of facial nerve elicits abnormal muscle contraction on other side of face)Trousseau sign (occlusion of brachial artery induces wrist spasm)
Tetanusrisus sardonicus (sustained spasm of facial muscles)
Bulimia nervosachipmunk facies (parotid gland swelling)
Leprosyleonine facies (thickened folded facial skin)
MeaslesKopliks spots (clustered white lesions on buccal mucosa)
Diphtheriapseudomembranes in oral cavity
PancreatitisCullens sign (ecchymosis around umbilicus)Grey-Turners Sign (flank ecchymosis)
Cholerarice water stool (murky watery stool with sediments)washer womans hands (wrinkled hands from dehydration)
Typhoid Feverrose spots
MeningitisKernigs sign (bend hip and knee then flex the knee produces pain)Brudzinskis sign (pressure on the cheek flexes the forearm)
CholecystitisMurphys sign (hesitation on inspiration if gall bladder is palpated)
Angina Pectoris and MILevines sign (clutching of fist on chest)
Patent Ductus Arteriosusmachine-like murmur
Parkinsons Diseasepill-rolling tremor
Pericarditispericardial friction rub
Hodgkins Lymphoma & MononucleosisReed-Sternberg Cells (large multi-nucleated cells)
Rheumatic FeverAschoff bodies (areas of inflammation in the heart)
Rabieshydrophobia
Acute Myelogenous LeukemiaAuer rods (rod-like inclusions in bone marrow cells)
Chronic Obstructive Pulmonary Diseasebarrel-chested
Scarlet Fever & Kawasaki Diseasestrawberry tongue
Systemic Lupus Erythematosus (SLE)butterfly rash on the face
AppendicitisMcBurneys point (rebound tenderness)Rovsing sign (palpation of LLQ elicits pain in RLQ)Psoas sign (pain from flexing the thigh to the hip)
ThrombophlebitisHomans sign (bend knee, dorsiflex ankle, pain at popliteal area)
Pyloric Stenosisolive-shaped mass
Hyperthyroidismexophthalmos (protrusion of eyeballs)
Addisons Diseasebronze-colored skin
Cushings Syndromebuffalo hump at napemoon face
Asthmawheezing
Chokingholding of throat
Downs Syndromesingle transverse palmar crease
Tetralogy of Fallotventricular septal defectpulmonary stenosisoverriding aortaright ventricular hypertrophy
Glaucomatunnel vision
Retinal Detachmentflashes of lightshadow with curtain across vision
Myasthenia Gravisptosis (drooping of eyelids)
Dengue FeverHermans sign (petechial rash)
Amoebiasisbloody mucoid stool
Pertussiswhoop sound from inspiration of air after cough
Pneumoniarusty sputum
Peritonitisrigid, board-like abdomen
Basilar Skull Fractureraccoon eyes (periorbital ecchymosis)Battles sign (mastoid ecchymosis)
Buergers Diseaseintermittent claudication (pain at buttocks or legs from poor circulation resulting in impaired walking)
Chickenpoxvesiculopapular rash
Diabetic Ketoacidosisacetone breath
Pregnancy Induced Hypertensionproteinuriahypertensionedema
Diabetes Mellituspolydipsiapolyphagiapolyuria
Gastroesophageal Reflux Disease (GERD)heartburn
Hirschsprungs Disease (Toxic Megacolon)ribbon-like stool
Volvulus and Intussusceptioncurrant jelly stool
Increase Intracranial PressureCushings Triad (increased BP, decrease RR & HR)
Leptospirosisorange eyes
Multiple Sclerosisdescending paralysis
Guillaine-Barre Syndromeascending paralysis
Oral Thrush/Candidiasiswhite spots on tongue
Osteoporosiskyphosis
Acute Renal Failureazotemia (nitrogen compounds in urine)uremic frost (urea deposits in skin)uremic fetor (ammoniacal breath)
STDMALEFEMALE
Herpes Simples Type IIpainful vesicles on genitalia
Genital Wartswarts 1-2mm in diameter
Syphilispainless chancres
Chancroidpainful chancres
Gonorrheagreen, creamy discharge and dysuria
Chlamydiamilky discharge and dysuria
TrichomoniasisN/Ayellow, itchy, frothy, foul-smelling vaginal discharges
CandidiasisN/Awhite cheesy odorless vaginal discharges