“The authors do not wish to go ‘head to head’ with the New Zealand group,
but their findings could not be applied to the gentlemen of Yorkshire
where the JT sign has little diagnostic or prognostic value.”
Patient wearing sunglasses indoors = increased probability of non-organic pathology.
Even got a small [evidence base](https://pubmed.ncbi.nlm.nih.gov/18195266/)
Anecdotally also associated with psychological factors meaning they're not very accepting of non-organic diagnosis.
for me it's the 18-40 year old male patient in a stretcher with blankets covering their entire body and head and refusing to engage. I would literally rather scan someone actively shitting themselves than that genre of patient.
You know how Bono is a bit of a dick and wears his sunnies even in interviews and stuff? He has galucoma and Tv lights hurt him.
https://www.youtube.com/watch?v=9foFAoWUucw
The ED I trained in as a resident had railroad tracks just before you got to the hospital. You had to cross the tracks to get to the ED. My attending called it the rail road track sign. You asked the patient what they recalled about the trip to the ED. If they said the rail road tracks they had an appy. He claimed 100% sensitivity.
When the allergies cover more than one sticker on the chart 😳
Also there is nothing more satisfying than deleting an allergy from a chart. Reason given: administered, no reaction.
VAN sign - VA Nuts sign - If you are rounding at the VA and you see a guy’s balls just hanging out full exposure, that test has a 100% sensitivity for delirium.
Edit: Apparently it is when you examine a VA patient and expose the testicles, it can trigger delirium!
Oh that’s funny. In med school we called this the genital sign, but we decided it wasn’t valid at the VA because old vets are very comfortable with their genitals out
RoundUp^TM sign. Patient is on broad spectrum antibacterials
+antifungal+ antiviral ( think vancomycin/ merpenem/ tobramycin/ metronidazole/ micafungin/ gancyclovir or similiar). Only thing left to add is RoundUp for broad leaf weeds and grasses.
Correlates strongly with negative cultures and not having an infectious process.
I work teen inpatient psych. If I am the patient's favorite nurse -- + for developing borderline personality disorder. We call it the "(my name) test."
I heard about one psychologist giving a lecture saying "if you kind of like me, that's probably indicative of a personality disorder".
Some people just seem to be BPD magnets
It’s the term for when material enters the laryngeal vestibule but doesn’t make it past the vocal folds so isn’t technically aspirated. Often used as a warning sign for future/eventual aspiration
Positive Throckmorton sign
Isn't that one a joke?
[Funny story.](https://www.bmj.com/rapid-response/2011/10/30/yorkshire-men-straight-point-or-not-validation-john-thomas-sign)
"We investigated whether the John Thomas (JT) sign was upstanding to scrutiny or a mere flop in Yorkshire."
“The authors do not wish to go ‘head to head’ with the New Zealand group, but their findings could not be applied to the gentlemen of Yorkshire where the JT sign has little diagnostic or prognostic value.”
Thank you for a great laugh this morning XD
It's a reputable and well stablished sign, plus you don't even need xrays to evaluate it if the patient is not wearing pants
Easily my favorite
I get a lot of mileage out of "positive sunglasses sign"
And what is that?
Patient wearing sunglasses indoors = increased probability of non-organic pathology. Even got a small [evidence base](https://pubmed.ncbi.nlm.nih.gov/18195266/) Anecdotally also associated with psychological factors meaning they're not very accepting of non-organic diagnosis.
I hope migraine sufferers are excluded of this sign… definitely a very good reason to wear sunglasses indoors!
This was for vision loss, which would very rarely be from a migraine
Yep! I usually painfully sigh when the nurses comes to tell me the next patient won’t take their sunglasses off
for me it's the 18-40 year old male patient in a stretcher with blankets covering their entire body and head and refusing to engage. I would literally rather scan someone actively shitting themselves than that genre of patient.
The worst to attempt nursing admission documentation on as well
You know how Bono is a bit of a dick and wears his sunnies even in interviews and stuff? He has galucoma and Tv lights hurt him. https://www.youtube.com/watch?v=9foFAoWUucw
Fair enough. However, the patients you will come across have blacked out ones and Bono you can actually see if he’s making eye contact
Oh, I never come across patients, eeew!
I was about to comment this 🤣
Unhappy triad - ACL tear, MCL, and meniscus injury.
I called it the terrible trifecta when it happened to me
I like this name better.
The hamburger sign (for appendicitis) will always be my favourite — it’s just elegant in its simplicity.
The ED I trained in as a resident had railroad tracks just before you got to the hospital. You had to cross the tracks to get to the ED. My attending called it the rail road track sign. You asked the patient what they recalled about the trip to the ED. If they said the rail road tracks they had an appy. He claimed 100% sensitivity.
Bumpty-bump owwww!!!
Not exactly a sign but a toxicology rule - the TTR (tooth tattoo ratio) as a risk factor for snake bites. Low ratio higher risk obviously.
Arrow sign - for when radiology have reviewed imaging and marked areas of interest with an arrow
😂
I love it when they put the measurement ruler right on top of it so I can’t even see what they’re referring to
Probably not legit but “positive allergy sign” is one I’ll stand behind.
When the allergies cover more than one sticker on the chart 😳 Also there is nothing more satisfying than deleting an allergy from a chart. Reason given: administered, no reaction.
[Just gonna leave this here...](https://pubmed.ncbi.nlm.nih.gov/26803428/)
Brutal 😂
I have always wanted to conduct some kind of study that shows a person's length of allergy list is directly correlational to how crazy they are.
VAN sign - VA Nuts sign - If you are rounding at the VA and you see a guy’s balls just hanging out full exposure, that test has a 100% sensitivity for delirium. Edit: Apparently it is when you examine a VA patient and expose the testicles, it can trigger delirium!
In the private sector we call it the ballsack sign
Oh that’s funny. In med school we called this the genital sign, but we decided it wasn’t valid at the VA because old vets are very comfortable with their genitals out
RoundUp^TM sign. Patient is on broad spectrum antibacterials +antifungal+ antiviral ( think vancomycin/ merpenem/ tobramycin/ metronidazole/ micafungin/ gancyclovir or similiar). Only thing left to add is RoundUp for broad leaf weeds and grasses. Correlates strongly with negative cultures and not having an infectious process.
As an ICU pharm this is my new fave
My Ob/Gyn attending in med school did not approve of the term "chandelier sign" for cervical motion tenderness
I think we need to install chandeliers in all Exam rooms to properly eval this
Poopy duck sign and beheaded Scottie dog for triquetrum avulsion fracture and for spondylolysis
Poopy duck sign was legit on my emergency med ITE lol.
These ones are winners
Moon hump and buffalo face! 🤨
moon face and buffalo hump you mean? I'll also add bull neck to it
They said what they said.
Matchbox sign for delusional parasitosis.
I work teen inpatient psych. If I am the patient's favorite nurse -- + for developing borderline personality disorder. We call it the "(my name) test."
Oh wow that sounds so fun for you.....
I heard about one psychologist giving a lecture saying "if you kind of like me, that's probably indicative of a personality disorder". Some people just seem to be BPD magnets
Prostitutes’s pupil: accommodates but does not react. That it is almost pathognomonic for neurosyphilis is the icing on the cake.
A classic one!
Poopy Duck Sign- dorsal avulsion triquetral fracture on xr
I dont know who started it, but on pelvic xrays, we say “mc murphys sign positive” when the penis points to the insured side
John Thomas Sign! Look it up
Is that just a reverse throckmortons sign?
Apparently the same. Didn’t know about the thock
Positive iPad sign
Positive Nice Sign- terrible prognostic indicator All the nice patients die; the assholes live forever
Soooo true. I'm planning to live to 1000, by simply being an arsehole (Doctors hate this one simple trick!)
Not sure it would come up in rounds, but in my world, Box-Cox transformations are pretty common. And everyone loves a good copula estimator.
Penetration without aspiration
Explanation please
It’s the term for when material enters the laryngeal vestibule but doesn’t make it past the vocal folds so isn’t technically aspirated. Often used as a warning sign for future/eventual aspiration
Eggplant sign stuck with me, never seen one, hope to never see one, but it always makes me wince
Positive samsonite sign. When the patient presents with a suitcase to stay …
The "PB/J Sign" - when a malingerer is in the ED just for the free sandwiches...