Home Professionals Medical Dictionary Chandelier sign Definition: colloquial term referring to severe pain elicited during pelvic examination of patients with pelvic inflammatory disease, in which the patient responds by reaching upward toward the ceiling for relief. Search Stedman's Medical Dictionary Examples: glitazone, GI cocktail, etc. Was this page helpful? Thank you for updating your details. Published on Mar 20, 2015 Be the first to like this  what is ectopic pregnancy ?  what are different sites, high risk groups of  Outcomes of tubal pregnancy  clinical features, diagnosis and treatment of Implantation of a fertilized ovum at a site other than the Sites of Ectopic pregnancy Risk factors of ectopic Pregnancy • Previous tubal surgery. • Age over 35 years. • Many sexual partners. • Congenital anomalies of • Intrauterine contraceptive devices. • Post abortal sepsis.

• Generalized or pelvic peritonitis. Clinical features : Symptoms Dull ache Unruptured tubal Ruptured tubal pregnancy . • May persist continuously or • Its mainly uterine in origin and partly by ruptured fallopian tube. • Due to breakdown of decidua after the pregnancy dies and hormones • Subjective symptoms of pregnancy. • patient is sweating, • skin is pale, cold, clammy • low blood pressure Clinical features : Signs • Cullen’s sign (may be • Bluish discoloration of vulua • On bimanual examination: Tenderness on rocking of cervix, most constant sign of ectopic pregnancy ( chandelier • Acute ectopic pregnancy. • Chronic ectopic pregnancy. Patient presents with vague history, intermittent pain and irregular bleeding. diagnosis can easily be missed if patient is not Outcomes of ectopic pregnancy Usually the tubal pregnancy does not proceed beyond

8-10 weeks of gestation due to  Lack of decidual reaction in the tube.  The thin wall of the tube  The inadequacy of the tube lumen. more if ovum had • More common if of the tube which Tubal mole and pelvic hematoma. In tubal mole gestational sac is retained in tube and is surrounded by a blood clot. • Corpus luteum haemorrhage. • Acute pelvic inflammatory disease • Retroverted gravid uterus. • Perforated pelvic ulcer • General physical examination. • Abdominal and pelvic examination. • Most useful is Ultrasonography Empty uterine cavity, and gestational sac on side of the bodyMost reliable method of making a diagnosis of ectopic pregnancy.Positive only in the case of Hemoglobin in case of •Total leukocyte count may • Abnormal levels of b-hcG. 1. Ruptured tubal pregnancy 2. Patient is hemodynamically 4. Pregnancy is in 2. Which cannot be treated

 Unruptured tubal pregnancy less than 3 cm in  Sonographically non viable pregnancy, fetal heart  B-hcG less than 2000 IU/L. • Methotrexate (50mg with 2ml aqueous sol) • 20% potassium chloride. “Before you were conceived I wanted you. were born I loved you. Before you were here an hour I would die for you. This is the miracle of Mother's Love“ By Maureen Hawkins Click here to study/print these flashcards.chandeliers for hire in johannesburg Create your own flash cards! candelabra hire kent Monoclonal spike on serum electrophoresis (M-protein)chandelier nodier Smudge cells on peripheral smear: “Bag of worms” in scrotum Steeple sx on x-ray Thumb sx on x-ray

“Cherry red spot” (red fovea) on Fundoscopy Blood and Thunder retina” Unilateral ptosis, anhidrosis, miosis Parenchymal bullae or subpleural blebs cor pulmonale from PE ECG: S1Q3 inverted T3 pulmonary fibrosis or bronchiectasis Lung bx: nonencaseating granulomas CXR visceral pleural line or “deep sulcus sign” on supine Electrical alternans on ECG Osler nodes (pnful finger, toe, feet lesions), Janeway lesions (pnless palm and sole lesions), Roth spots (exudative retinal lesions/hemhorrages) Bite cells (loss of Heinz body) on peripheral smear G6PD def. or thalassemia Heinz bodies on peripheral smear Macro-ovalocytes and hypersegmented PMNs: Pancytopenia with circulating blasts AML (can also be ALL, but less likely) Auer rods on peripheral smear (needle-like inclusions in eosinophiles): Reed-Sternberg Cells on LN bx Rouleau Formation on peripheral smear Bence Jones Proteins in urine

“Parrot-beaked” esophagus (dilated esophagus taper to the distal obstruction) on barium swallow Cobblestone-pattern filling defects with segmental areas of involvement (skip lesions) on Barium enema or CT Sausage-like mass on abdominal exam Chvostek’s Sign (twitch facial nerve on tap) Trousseau’s Sign (carpal tunnel spasm with BP cuff for 3 min.) Herberden’s nodes (DIP nodes) Bouchard’s nodes (PIP nodes) wan neck deformity (flexed DIP, extended PIP, flexed MCP) Boutinniere deformity (extended DIP, flexed PIP) Subcutaneous nodules on extensor surfaces Koebner’s phenomenon (maculopapular rash elicited by scratching that appears in the evening) “Cup and Saucer” appearance of proximal phalanx on x-ray: Tinel’s sign (percussion of volar wrist causes tingling) Phalen’s sign (wrist flexion for 1 min causes pain) Fx of 5th MC neck: Distal radial fx with dorsal angulation Distal radial fx with volar angulation

Sprain of ulnar collateral ligament of thumb hemarthrosis in radial head fx Anterior fat pad sign “Bamboo appearance” on x-ray of spine Avascular necrosis of hip Cresent sign” of hip on x-ray Posterior Fat pad sign Amyloid plaques and neurofibrillary tangles: ARF (or normal in athletes) Renal Tubular Epitheleal cell casts (“muddy brown casts”) Positive Finkelstein (pain with fist ulnar deviation Pedunculated bone mass capped in cartilage Gottron’s sx (scaly, papule rash on dorsal hands) Heliotrope rash (eyelid erythema) Low morning cortisol with elevated ACTH More than 125 mg/dL urine cortisol in 24 hours Milkman lines or Looser zones (pseudofractures) Eruptive and tendious xanthomas Petechial rash with meningeal sxs: KOH hyphae and spores (“spaghetti and meatballs”) S-shaped burrows on skin “Snowstorm” on TVU with elevated BHcg Herald patch then “Christamas tree” appearing rash

Oncholysis with oil spots: Terry’s nails (white nail bed) Azure (blue) lunulae on nails Coarctation of the aorta Absent or decreased femoral pulses with a murmur Kayser-Fleischer rings (brown rings btw iris and cornea) Transposition of Great Vessels “Egg on a string” (narrow mediastinum) Lower BP in arms vs legs Barking cough like a seal “Figure 3 sign” on CXR Absence of “Scottie-Dog” sign on spinal film Inability to pass NGT in an infant Palpable, non-tender gallbladder (Courvoisier’s sign) Charcot’s triad (fever, chills, RUQ pain, jaundice) Achalasia or Sigmoid Volvulus “Bird beak” deformity on x-ray Apple-core lesion on Barium Enema Lead pipe deformity (loss of normal haustral markings) on Barium Enema Clue cells on wet-prep and positive Whiff test (amine odor) Hyphae and buds on KOH Prep: “String sign”/ Sign of Kantor (Stricture or Stenosis) on Barium Enema

“String sign” (long narrow pyloric lumen) Koplik spots-grains of sand on an erythematous base (Blue-White buccal lesions) Chandelier Sign on pelvic/speculum exam (cervical motion tenderness) “Sandpaper” rash (like sunburn with goosebumps): “Honey” golden crusts on face Gram-positive, encapsulated, box-shaped rods in chains “Rice-water” diarrhea (gray, turbid, and without odor, blood, or pus) Hyperplastic prickle cells with excess keratin Koilocytotic squamous cells or vacuolated Squamous epithelial cells in clumps on Pap Multinucleated giant cells on Tzanck Smear Intracytoplasmic inclusions (“owl’s eyes”) on tissue biopsy “Pizza pie” (neovascularization with profliferation) on Fund Diaper dermatitis with candida “Satellite lesions” on buttocks Erythema Migrans from Lyme Dz. “Bull’s eye” skin lesion “String of Pearls” on ovarian US “Sack of grapes” or “grape-like vesicles” on TVU