Icm Signs

Front 1

aaron

Back 1

referred pain or feeling of distress in epigastrium or precordial region on continued firm pressure over McBurneys point

Hint 1

acute appendicitis

Front 2

ballance

Back 2

presence of dull percussion in both flanks; constant on but shifting with change of position on right side

Hint 2

ruptured spleen

Front 3

bassler

Back 3

sharp pain ellicited by pinching appendix between thumb of examiner and iliacus muscle

Hint 3

chronic appedicitis

Front 4

beevor

Back 4

upward movement of umbilicus

Hint 4

paralysis of lower portions of rectus abdominus muscle

Front 5

blumberg

Back 5

transient abdominal wall rebound tenderness

Hint 5

peritoneal inflammation

Front 6

carnett

Back 6

disappearance of abdominal tenderness when anterior abdominal muscles are contracted

Hint 6

abdominal pain of intra-abdominal origin

Front 7

chandelier

Back 7

intense lower abdominal and pelvic pain on manipulation of cervix

Hint 7

PID

Front 8

charcot

Back 8

intermittent right upper quadrant abdominal pain, jaundice, and fever

Hint 8

choledocholithiasis

Front 9

chaussler

Back 9

severe epigastric pain in gravid female

Hint 9

prodrome of eclampsia

Front 10

claybrook

Back 10

transmission of breath and heart sounds through abdominal wall

Hint 10

ruptured abdominal viscus

Front 11

courvoisier

Back 11

palpable, nontender gallbladder in presence of clinical jaundice

Hint 11

periampullary neoplasm (where common bile duct and pancreatic duct join)

Front 12

Cruveilhier

Back 12

vericose veins radiating from umbilicus (caput medusae)

Hint 12

portal HTN

Front 13

cullen

Back 13

periumbilical darkening of skin from blood

Hint 13

hemoperitoneum (esp in ruptured ectopic pregnancy)

Front 14

cutaneous hyperesthesia

Back 14

increased abdominal wall sensation to light touch

Hint 14

parietal peritoneal inflammation secondary to inflammatory intra-abdominal pathology

Front 15

dance

Back 15

slight retraction in area of right iliac fossa

Hint 15

intussusception

Front 16

danforth

Back 16

shoulder pain of inspiration

Hint 16

hemoperitoneum (esp in ruptured ectopic pregnancy)

Front 17

direct abdominal wall tenderness

Back 17

(blank)

Hint 17

localized inflammation of abdominal wall, peritoneum, or intra-abdominal viscus

Front 18

fothergill

Back 18

abdominal wall mass that does not cross midline and remains palpable when rectu muscle is tense

Hint 18

rectus muscle hematoma

Front 19

grey turner

Back 19

local areas of discoloration around umbilicus and flanks

Hint 19

acute hemorrhagic pancreatis

Front 20

iliopsoas (Psoas sign)

Back 20

elevation and extension of leg against pressure of examiner's hand causes pain

Hint 20

appendicitis (retrocecal); pelvic abscess; an inflammatory mass in contact with muscle

Front 21

kehr

Back 21

left shoulder pain when patient is supine or in Trenlendenburg's position (pain may occur spontaneously or after application of pressure to left subcostal region)

Hint 21

hemoperitoneum (esp ruptured spleen)

Front 22

kustner

Back 22

palpable mass anterior to uterus

Hint 22

dermoid cyst of ovary

Front 23

mannkopf

Back 23

acceleration of pulse when a painful point is pressed on by examiner

Hint 23

absent in factitious abdominal pain

Front 24

McClintock

Back 24

heart rate >100bpm 1 hr post partum

Hint 24

postpartum hemorrhage

Front 25

murphy

Back 25

palpation of right upper abdominal quadrant during deep inspiration results in RUQ abdominal pain

Hint 25

acute cholecystitis

Front 26

obturator

Back 26

flexion of right thigh at right ankles to trunk and external rotation of same leg in supine position result in hypogastric pain

Hint 26

appendicitis (pelvic appendix); pelvic abscess; an inflammatory mass in contact with muscle

Front 27

puddle

Back 27

alteration in intensity of transmitted sound in intra-abdominal cavity secondary to percussion when patient is positioned on all fours and stethoscope is gradually moved towards flank opposite percussion

Hint 27

free peritoneal fluid

Front 28

ransohoff

Back 28

yellow pigmentation in umbilical region

Hint 28

ruptured common bile duct

Front 29

rovsing

Back 29

pain referred to mcburneys point on application of pressure to descending colon

Hint 29

acute appendicitis

Front 30

subcutaneous crepitance

Back 30

palpable crepitus in abdominal wall

Hint 30

subcutaneous emphysema or gas gangrene

Front 31

summer

Back 31

increased abdominal muscle tone on exceedingly gentle palpation of right or left iliac fossa

Hint 31

early appendicitis; nephrolithiasis; ureterolithiasis; ovarian torsion

Front 32

ten horn

Back 32

pain caused by gentle traction on right spermatic cord

Hint 32

acute appendicitis

Front 33

torna

Back 33

right sided tympany and left sided dullness in supine position as a result of peritoneal inflammation of subsequent mesenteric contraction of intestine to right side of abdominal cavity

Hint 33

inflammatory ascites