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[CLINICAL SIGNS]
� Clinical Signs
S. No. Remarks
1. Aaron's sign • Appendicitis → Epigastric distress
2. Alder's sign • Appendicitis in pregnancy → Shifting
tenderness
3. Cullen's sign • Ectopic pregnancy → Ec-chymosis of
umbilicus
• Hemorrhagic Pancreatitis (haemoperitoneum)
4. Carnett's sign • Plane of Abdominal Swelling
5. Chilaiditi's sign • Interposition of colon between liver and
diaphragm
6. Cope's sign (Psoas
sign)
• Acute appendicitis
7. Cope's psoas test • Acute appendicitis
8. Courvoisier's sign • Obstructive jaundice → If gall bladder is
palpable it is not due to gall stones
(Curvoisier's law)
9. Crowe's sign • Neurofibromatosis Axillary feckling
10. DaRLymple sign • Grave’s ophthalmopathy → Retraction of
upper eyeLid
11. Dance sign • Intussusception Emptiness in right iliac fossa
12. Echo sign • Heard over hydatid cyst → P e r c u s s i o n
s o u n d resembling an echo
13. Ewart’s sign • P e r i c a r d i a l e f f u s i o n → D u l l on
percussion at lower angle of left scapula
14. Fox sign • Hemorrhagic Pancreatitis → Discoloration
near inguinal ligament
15. Flush tank sign • Hydronephrosis
16. Gr e y T ur ne r s ig n • Hem or ha gi c pa r i c r e at i t i s → Bruising in
left flank (flanks TURn Grey)
17. Griffith sign • Grave's ophthalmopatly → Lower lid lag on
upward gaze
18. Guyon's sign • Ballottement → Floating kidney
19. Homan's sign • Deep vein thrombosis of calf veins → Pain on
sudden dorsiflexion of foot
20. Hamilton Bailey sign • Intussusception → Sausage shaped mass
21. H i t z e l b e r g e r ' s
s i g n
• A c o u s t i c n e u r o m a → A n esthesia of
external auditory canal due to compression of
facial nerve
22. Joffroy's sign • Grave's → Absence of wrinkling on forehead
23. Kanavel's sign • Ulnar bursitis → Site of maximum tenderness
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24. Kehr sign • Splenic rupture → Pain elicited in left shoulder
25. Lesar Trelat sign • Internal malignancy of GIT → Sudden appearance
& rapid increase in size & number of "seborrhoeic
keratosis"
26. Mc. Burney's sign • Appendicitis → Tenderness over Mc.Bumey
point
27. Murphy's sign • Cholecystitis
28. Moebius sign • Grave's → Inability to keep eye balls
converged
29. Mose's sign • Deep vein thrombosis → Squeezing relaxed calf
causes pain
30. Prehn's sign • Epididymo-orchitis → Elevation & support of
scrotum relieves pain(not in torsion)
31. Puddle sign • Ascites → Small amount (150-500 ml)
32. Pemberton's sign • Retrosternal thyroid
33. Pointing sign • Appendicitis → Site of maximum pain
34. Panda sign (Raccoon
sign)
• Trauma/fracture of floor of anterior fossa of
skull (black eye)
35. Argyll Robertson pupil
sign
• Neurosyphilis → Light reflex lost
accommodation reflex retained
36. Banana sign • Arnold-Chiari deformity (Hydrocepalus)
37. Bird's sign • Hydatid disease of lung → Definite zone of
dullness
38. Boston's sign • [Von Graefis sign] → Thyrotoxicosis → Lid lag
39. Bent inner tube sign • Sigmoid volvulus
40. Bird of Prey sign • Barium enema → Sigmoid
volvulus
41. Carman's sign • [Meniscus sign] → Gastric ulcer
42. Chilaiditis sign • Interposition of colon between liver and
diaphragm
43. Coiled spring sign • Barium enema → Intussusception
44. Colon cut off sign • Appendicular perforation
• Acute pancreatitis
45. Cupola sign • Pneumoperitoneum → Gas under diaphragm
46. Crow foot sign • Mercedes Benz sign, Seagull's sign → Gall
stones
47. Claw sign • Ileo-colic intuscesception
48. Coffee bean sign • Volvulus of sigmoid colon
49. Double bubble sign • Duodenal obstruction (atresia)
50. Tinel's sign • Prognostic indicator of nerve recovery
51. Echo sign • Percussion sound heard over hydatid cyst
52. 'E' sign (Reverse 3 sign) • Coarctation of aorta (barium swallow)
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53. Figure of 3 Sign • Coarctation of aorta (chest x-ray)
54. Frostberg's sign • B a r i u m s t u d y → C A o f head of
pancreas involving duodenum
55. Kanavey's sign • A c u t e p a n c r e a t i t i s (kanavel sign =
Tenosynovitis)
56. Hamman's sign • Pneumo mediastinitis with esophageal
rupture → Precordial crunching
57. Kernig's sign • Meningitis
58. String sign of Kantor • Barium enema → Crohn's disease
59. Lemon sign • Arnold Chiari deformity → Scalloping of frontal
bones
60. Oliver's sign • Tracheal tug → Aneurysm of aorta
61. Omega sign • Sigmoid volulus
62. Panda sign • Raccoon sign (Black eye) Trauma, fracture of floor
of the anterior fossa of skull
63. Rat tail sign • Esophageal carcinoma
64. Trail's sign • Sternal head of sternomastoid muscle will
become prominent on the side to which trachea
is deviated
65. Trousseau's sign • Hypocalcemia → Carpo pedal spasm
• CA pancreas → Migrating superficial
thrombophlebills
66. Water lily sign • Hydatid cyst of the lung
67. Rovsing sign • Acute appendicitis → When left iliac fossa is
pressed, pain is felt in right iliac fossa
68. Stellwag's sign • Grave’s → Staring look
69. Slip sign • Lipoma
70. Suzmann's sign • Coarctation of aorta
71. Von Graefe's sign • Grave's → Lagging of upper lid
72. Tea pot sign • CSF rhinorrhea
73. Jackson sign • Pooling of saliva in pyriform fossa in
pyriform cancer fossa
ORTOPEDICS
74. Sagging rope sign • Perthe's disease
75. Finger in Ballon sign • Aneurysmal bone cyst
76. Brim sign • Page's disease involving pelvis
77. Tripod sign • None paralytic polio
78. Sectoral • AVN of femoral head
79. Phalen Dickson sign • Spondylolisthesis
80. Ludloff sign • Lesser trochanter avulsion
81. Kanavel sign • Infection of ulnar bursa
82. Martorell sign • Gout
83. Aneurysmal sign • TB spine
84. Sulcus sign • Inferior disclocation of shoulder
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85. Wilson sign • Osteo chondritis sign
86. Payrs sign • Meniscal sign
87. Galleazi/Alli sign • CDH
88. Trethovan sign • Slipped capital femoral epiphysis
• Steels metaphyseal blanch sign
89. Vascular sign of Narath • Posterior dislocation of hip
90. Catterall sign • Leg calve perthe disease
91. Hot cross bun sign • Rickets
ENT SIGNS
92. Congenital syphilis • Hennebert sign
93. Furuncle of ear • Tragal sign
94. Hematoma of pinna • Cauliflower ear, wrestler's ear
95. Diffuse otitis externa • Swimmer's ear, tropical ear, Singapore ear
96. ASOM • Cartwheel appearance, light house sign
97. Lateral sinus thrombo-
phlebitis
• Hectic type picket fence fever, Delta sign in CT
contrast
• Griesenger sign - obstruction of mastoid
emissiary veins, Crowbeck sign
98. Acute mastioditis • Reservoir sign
99. Meniere's disease • Diplacusis, Tullio phenomenon,
• Metz recruitment phenomenon,
• Tumarken crisis (macula destruction-linear
balance is lost)
100. Otosclerosis • Schwartz sign (flamingo pink TM) Carhart
notch
101. Glomus tumor • Brown sign, rising sun appearance, Phleps sign
on CECT
102. Acoustic neuroma • Hitselberger sign
103. Exostosis • Surfer's ear
104. Chronic hypertrophic
rhinitis
• Mulberry turbinate
105. Rhinosporidiosis • Mulberry mucosa
106. Rhinophyma • Potato nose
107. Rhinoscleroma • Hard woody nose
• Russel bodies, Mikulicz cells
108. Antrochoanal polyp • Crescent sign/ Dot sign
109. Frontal mucocele • Egg shell crackling
110. Osteomyelitis of
frontal sinus • Potts puffy tumor
111. Blow out # of orbit • Tear drop appearance
112. Nasal # • Pignose deformity
113. CSF rhinorrhea • Halo sign, target sign,reservoir sign, double ring
sign
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114. Adenoid cystic
carcinoma
• Swiss cheese pattern
115. Inverted papilloma of
Nose
• Schnederian papilloma/ Ringert’s tumor
116. Nasopharyngeal
Angiofibroma
• Holman Miller sign/ Antral sign on CT frog like
facies
117. Nasopharyngeal
Carcinoma
• Lhermitte's sign
118. Quinsy • Hot potato voice
119. Ludwig angina • Woody feel
120. Kawasaki disease • Strawberry tongue
121. Wegener's Gra
nulomatosis
• Strawberry gingiva
122. Zenker's diverticulum • Boyce sign
123. Laryngomalacia • Curled up, omega shaped
• Epiglottis
• Prominent arytenoids
• Floppy aryepiglottic fold
124. Acute epiglottitis • Thumb sign on X-ray, rising sun appearance
125. Phonesthesia • Key hole appearance (both transverse and
interarytenoid)
126. TB larynx • Pseudoedema of vocal cords
• Mamillated arytenoids (swollen)
• Turban epiglottis
• Mouse nibbled ulcers
OBSTETRICS
127. Chadwick's sign/ • Bluish hue to the vestibule and
128. Jacquemier’s sign • anterior vaginal wall (Jack bluein titanic!)
129. Osiander’s sign • Pulsations in the lateral fornix (0 = P)
130. Palmer’s sign • Regular rhythmic contractions in uterus → 6 8
weeks
131. Piskacek's sign • Asymmetric growth occurs to the uterus in
initial stages of pregnancy due to thelateral
implantation of the blastocyst
132. Goodell sign • Marked softening of the cervix (good and soft)
133. Von F'ernwald's sign • Irregular softening and enlargement of the
uterine F'undus Five (5-8 weeks)
134. Hegar sign • An indication of pregnancy. Softening of the
lower parts of the uterus enables approxima-
tion of vaginal and abdominal fingers in
bimanual pelvic examination.
135. Ladin's sign • Softening in the mid line of the sterus anteriorly
at the junction of the uterus andcervix (6
weeks gestation)
136. McDonald sign • Flexible uterus =8 weeks (McDonalds = flexible
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price)
137. Banana sign /Lemon
sign
• Ultrasound sign in open spina bifida. Shows
abnormal anterior curvature of cerebellum
due to the associated ArnoldChiari
malformation.
138. Blob sign • Mass is separate from the ovary
139. Bagel sign ( T u b a l
r i n g s i g n )
• Ectopic pregnancy → G e s t a P o n a l s a c i n
t h e a d n e x a with hyperechoic ring. (also
remember salpingitis isthmica nodosa)
140. Bishop's sign • Abdominal ectopic pregnancy
141. Interstitial line sign • Interstitial ectopic pregnancy
142. Danforth sign • Shoulder pain in ruptured ectopic
143. Bathroom sign • Blood in pouch of Douglas → in ruptured
ectopic
144. C u l l e n s i g n • B l u i s h d i s c o l o r a t i o n o f s k i n around
umbilicus. Seen in ruptured ectopic pregnancy
145. S t a l l w o r t h y ' s
s i g n
• P o s t e r i o r p l a c e n t a p r a e v i a →
Slowing of fetal heart rate on pressing
the head down into the pelvis and
prompt. Recovery on release of pressure.
146. K u s t n e r ' s s i g n • S i g n o f p l a c e n t a l s e p a r a t i o n . O n
pushing the uterus upwards does not move
the cord with it (due to the separation)
147. S c h r o d e r ' s s i g n • P l a c e n t a l s e p a r a t i o n . U t e r u s rises
up when the separated placenta ispassed
downwards
148. R o b e r t ' s s i g n • E a r l i e s t s i g n o f i n t r a u t e r i n e f e t a l
death. X-ray shows presence of gas in the fetal
great vessels
149. S p a l d i n g s i g n • S i g n o f i n t r a u t e r i n e f e t a l d e a t h .
Overlapping of skull bones after fetal
death(USG)
150. B a l l s i g n • S i g n o f i n t r a u t e r i n e f e t a l
d e a t h . X-ray shows crumpled up spine
of the fetus
151. Double decidual sac
sign
• USG appearance of intrauterine gestational sac
152. T’ sign • USG sign seen in monochromic twins
153. USG sign seen in
monochromic twins
• U S G s i g n s e e n i n d i c h o r i o n i c
pregnancies. Due to the chorionic tissue in
between the two layers of the membrane
between the twins
154. Stuck twin sign • Seen in twin to twin transfusion syndrome.
Due to the severe oligohydramnios smaller
twin is held in a fixed position along the
uterine wall. This is called stuck twin sign.
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DERMATOGY
155. Hunterian chancre • primary syphilis
156. Ollendorf sign • secondary syphilis
157. Moth eaten alopecia • secondary syphilis
158. Kassowitz law, Pseudoparalysis of
parrot, Moons molars, Cluttons
joints, sabre tibia
• Congenital syphilis
159. Esthiomene, Groove sign • LGV
160. Onycholysis, oil drop sign, sub unga I
hvperkeratosis, Pencil in cup deformity,
Munroe microabscesses, Candle
grease sign, Grattage test, Ingram
regimen
• Psoriasis
161. Wickhams striae, Civatte bodies, Koebners
phenomenon, Band infiltrate,
Pterygium
• Lichen Planus
162. Christmas fir tree appearance, Herald
pattern, Cigarette paper like scales,
Collarette of scales
• Pityriasis rosea
163. Dennie Morgan fold,Head light sign • Atopic dermatitis
164. Cradle crap • Infantile seborrheic dermatitis
165. Nikolsky sign, Asboe Hansen sign,
Row of tombstones, Chicken wire
appearance, Fish net appearance
• Pemphigus Vulgaris
166. Dermatitis Herpetiforrnis • Duhrings disease
167. Orentriech sign (Tonsure alopecia) • Trichotillomania
168. Plucked chicken skin appearance,
Angioid streaks
• Psudoxanthoma elasticurn
169. Casals necklace, Cravat • Pellagra
170. Lesar Trelat sign • Seborrhoeic keratosis
171. Nevus of O'ta • O’cular
172. Nevus of I'to • I'ntercostal
173. Stroke bite, Angels kiss • Salmon patch
174. Pautriers micro abscesses,
Epidermotropism
• Mycosis fungoides
175. Crowd sign, Patrick Yesudian sign • Neurofibromatosis
176. Shagreen patches, Angiomyolipoma,
Periungal fibroma (Koenen tumors),
Ash leaf macules
• Tuberous sclerosis
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