Famous Clinical Signs

  • Dorsiflexion of the big toe after stimulation of the lateral sole. 
  • It is normal for toes/great toe to curl down (flexion), but positive Babinski if toes curl up (dorsiflexion)
  • Normal in children up to 2 years of age.
  • Associated with corticospinal tract lesions in adults

  • In newborns, reddening of one side of the body while the other is pale or has no color change.  It is due to temporary vasomotor disturbance.
  • Benign due to autonomic nervous immaturity in infants.
  • Abnormal in adults. Needs MRI to find neurological problem.
  • Name comes from this funny looking clown character who wears clothes with different color on each side.

  • Severe neck stiffness that causes a patient’s hips and knees to flex when the neck is flexed.
  • Due to meningeal irritation (Meningitis).

 

  • Patient is kept in supine position, hip and knee are flexed to a right angle, and then knee is slowly extended by the examiner. Pain during extension of the patient’s knees beyond 135 degrees constitutes a positive Kernig’s sign meningeal irritation (meningitis)

 

  • Bluish Discoloration around the umbilicus
  • Seen in acute pancreatitis

  • Deep Tenderness at the Mcburney’s point.
  • Sign of appendicitis

  • Pain in the right lower quadrant when pressure applied to left lower quadrant.
  • A sign of appendicitis

  • Softening of the fundus of the uterus.
  • Associated with first trimester pregnancy
  • The fundus is the top area.

  • Cyanosis of vaginal and cervical mucosa.
  • Associated with pregnancy.

  • Facial muscle spasm induced by tapping on the facial nerve (in front of earlobe) due to hypocalcemia

  • Carpopedal spasms by inflatting blood pressure cuff.

  • Pain behind the knee, induced by dorsiflexion of the foot.
  • Indicates possible deep vein thrombosis.
  • The pain is caused by the compression of the clot against the vessel with dorsiflexion.

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