nursing journal article physical trauma kehr sign

#Nursing journal article physical trauma kehr sign skin#

Cardarelli’s sign– a lateral pulsation of the trachea associated with aneurysm or dilation of the aortic arch.

Kussmaul sign– paradoxical rise in jugular venous pressure and resultant distention of the jugular veins during inspiration caused by chronic obstructive airway disease, right ventricular failure, early cardiac tamponade or constrictive pericarditis.

Coopernail sign– ecchymosis of the perineum, scrotum, or labia indicative of a pelvic fracture.indicative of basilar skull fracture/traumatic brain injury. Battle’s sign– ecchymosis behind the ear and around the mastoid process that develops within 24-48 hr.Inspiration causes the gallbladder to descend into the fingers, producing pain indicative of gallbladder inflammation. Murphy’s sign– the patient is asked to inhale as the clinician’s fingers are hooked under the liver border at the bottom of the rib cage.Grey Turner sign– ecchymosis on the lateral abdominal walls between the 12 thrib and top of the hip caused by retroperitoneal bleeding from pancreatic hemorrhage, blunt abdominal trauma, aortic rupture, or ruptured ectopic pregnancy.caused by acute pancreatitis, bleeding from blunt abdominal trauma, aortic rupture, or ruptured ectopic pregnancy. Cullen’s sign– ecchymosis around the umbilicus that develops within 24-48 hr.Kehr sign– severe pain referred to the left shoulder secondary to splenic rupture and bleeding.The following are some common eponyms discovered during a patient assessment and their associated pathology. A medical eponym is any word related to medicine whose name is derived from a person, typically a physician. Interestingly, there is a subset of signs known as eponyms. 2 Recognizing these help a clinician differentially diagnose, guide patient management and make appropriate transport decisions. 1A sign is defined as an objective finding, usually detected on physical examination, from a laboratory test, or on an x-ray, that indicates the presence of abnormality or disease. A symptom is defined as a subjective indication of a disease or a change in condition as perceived by the patient.

This includes taking into consideration all presenting signs and symptoms. Getting to that conclusion requires that an assessment be as complete as possible. going to kill a patient the quickest? Once that question is answered, strategies can be adapted to render the best treatment. Now, which of these remainders is the most critical i.e. Done thoroughly, it whittles numerous possible pathologies down to one, two, or maybe three. Clarification can be ascertained by imagining the assessment as a process to eliminate what is not wrong. What is the primary issue? Is there more than one? What do the scene, history, physical exam, vital signs, and other diagnostics reveal? What is the best course of management? Sometimes the answers are crystal clear, but often they are not. No remarkable findings on the posterior neck, trunk, buttocks or legs.Įven experienced clinicians can be stumped when patients present with multiple pathologies. Lower extremities reveal bilateral 1+ pitting edema and decorticate movement when stimulated. Slight bilateral rhonchi are auscultated over the bronchovesicular area. The neck is unremarkable for JVD or tracheal deviation.

The head exam reveals ecchymosis behind the left ear as well as bilateral nystagmus. The EMS crew quickly conducts a detailed physical assessment. Too weak to get up, the patient was assisted back to bed by the staff member. At that time, the patient stated he was walking back to bed after vomiting in his bathroom. He became lightheaded and fell onto the floor, hitting his head and vomiting once again. Blood pressure is 98/60.Ī staff member states the patient has become progressively less responsive the past 24 hours, and was found near the bed by another staff member early yesterday morning. Blood glucose is 200 mg/dL, tympanic temperature is 100 F, nasal CO 2 is 32 mmHg, and ECG reveals sinus bradycardia without ectopy.

#Nursing journal article physical trauma kehr sign skin#

His skin is very warm to the touch, dry, and flushed. Breathing is slightly labored and tachypneic pulse oximetry on room air is 95%. The patient’s airway is clear, with noticeable dry lips and mucosa.

His eyes remain closed, has noticeable bilateral hand tremors, and upper extremity decorticate posturing. Upon arrival, the crew observes an 89-year-old male lying in bed supine, not responding to their presence. At 1200 hours, EMS responds to an extended care facility for a seizure.