ClinicalBuzzwords.txt

Clinical Buzzwords

Monoclonal spike on serum electrophoresis (M-protein):

Smudge cells on peripheral smear:

�Palpable olive�:

�String sign� (long narrow pyloric lumen):

�Bag of worms� in scrotum:

�Boggy uterus�:

Steeple sx on x-ray:

Thumb sx on x-ray:

�Cherry red spot� (red fovea) on Fundoscopy:

�Blood and Thunder retina�:

Rust-colored sputum:

Currant Jelly sputum:

Unilateral ptosis, anhidrosis, miosis:

Parenchymal bullae or subpleural blebs:

ECG: S1Q3 inverted T3:

CXR honeycombing:

Lung bx: nonencaseating granulomas:

�Hot potato voice�:

CXR visceral pleural line or �deep sulcus sign� on supine:

Pharyngeal gray pseudomembrane:

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:

Heinz bodies on peripheral smear:

�Beefy red tongue�:

Pica:

Macro-ovalocytes and hypersegmented PMNs:

Pancytopenia with circulating blasts:

Auer rods on peripheral smear (needle-like inclusions in eosinophiles):

Blast-crisis:

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:

Currant Jelly stools:

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):

Swan 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:

Anterior fat pad sign:

Anatomical snuffbox pain:

�Bamboo appearance� on x-ray of spine:

�Cresent sign� of hip on x-ray:

Posterior Fat pad sign:

Amyloid plaques and neurofibrillary tangles:

Battle sx:

WBC casts:

Hyaline casts:

Renal Tubular Epitheleal cell casts (�muddy brown casts�):

RBC 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:

�Rope-like� on CBE:

Herald patch then �Christamas tree� appearing rash:

Oncholysis with oil spots:

Hot tub folliculitis:

Terry�s nails (white nail bed):

Azure (blue) lunulae on nails:

Absent or decreased femoral pulses with a murmur:

Kayser-Fleischer rings (brown rings btw iris and cornea):

Boot-shaped heart:

�Egg on a string� (narrow mediastinum):

Lower BP in arms vs legs:

Barking cough like a seal:

�Figure 3 sign� on CXR:

�Machine-like� murmur:

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):

�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):

�Strawberry� Cervix:

Hyphae and buds on KOH Prep:

�String sign�/ Sign of Kantor (Stricture or Stenosis) on Barium Enema:

Chandelier Sign on pelvic/speculum exam (cervical motion tenderness):

Koplik spots-grains of sand on an erythematous base (Blue-White buccal lesions):

�Sandpaper� rash (like sunburn with goosebumps):

�Strawberry tongue�:

�Honey� golden crusts on face:

Gram-positive, encapsulated, box-shaped rods in chains:

�Rice-water� diarrhea (gray, turbid, and without odor, blood, or pus):

�Pea-soup� Diarrhea:

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:

�Satellite lesions� on buttocks:

�Bull�s eye� skin lesion:

�String of Pearls� on ovarian US:

�Sack of grapes� or �grape-like vesicles� on TVU:

5 Ps (purple, planar, polygonal, pruritic papule):

Lesions that have white lines (Wickham�s striae):

�Slapped cheek� syndrome:

Cobblestoning on colonoscopy:

Dance sign (no BS in RLQ):

Rovsing sx (LLQ palpation produces RLQ pain):

Aaron sx (McBurney�s point palpation causes stomach or chest pain):

Gram (-) intracellular diplococci:

Chadwick sign (blue cervix):

Hairlike cytoplasmic projections on lymphocytes:

�Tea and Toast diet�:

Perihilar infiltrates (�butterfly pattern�):

�Floppy baby syndrome�:

Rose spots after initial infection symptoms:

(+) Widal agglutination test:

�Whirlpool� of intraluminal worms on KUB:

Pear-shaped trophozoites with 2 nuclei and 4 flagella:

Multiple ring-enhancing lesions on brain CT or MRI in HIV pt:

(+) Heterophil antibodies (monospot):

Negri bodies on brain tissue:

Vesicular rash at different stages:

Nikolsky�s Sign (manual pressure separates epidermis from the dermis):

Coral red fluorescence with Wood�s lamp:

Bile stained eggs and proglottids in stool exam:

Flagellated, curved, oxidase (+) gram (-) rods in stool:

�Coin-shaped� or �Discoid� plaques with vesicles and papules:

Encapsulated organisms on India Ink:

�Fungus ball� on CXR:

Umilicated papules:

Fruity breath:

�Pill-rolling� tremor:

�Moon facies and buffalo hump�:

Spontaneous Hemarthroses:

Triple Layered sputum:

Cafe aulait spots and rubbery skin nodules:

�Stuck on� waxy lesion:

(+) Scotch tape test:

Anatomical Snuffbox tenderness:

Spontaneous Hemarthroses:

Distended neck veins, decreased BP, muffled heart sounds- Beck's Triad:

Double bubble sign on abd xray:

Auspitz sign (pin point bleed on peeling of scab):

�Onion skin" appearance on x-ray :

Rodent ulcer:

Prominent epicanthal folds, sandal toe, and simian creases:

Heavy, painless vaginal bleeding in the 2nd or 3rd trimester:

Heavy, painful vaginal bleeding in the 2nd or 3rd trimester:

Presence of a paratesticular nodule at the superior aspect of the testicle, with its characteristic blue-dot appearance (Blue-dot sign):

Delta waves on EKG:

Kerley B lines on CXR:

�Ring of fire� on US:

Dinner fork deformity:

Tearing chest pain radiating to the back in a very tall male with long, slender hands/fingers:

�Dew drops on a rose petal�:

Drusen spots (hard yellow-white deposits in the macula under pigment epithelium):

Brushfield spots (on the iris):

Fund: Arteriolar constriction, flame hemorrhages, cotton wool spots, hard exudates:

Fund: Cotton wool spots, hemorrhages, microaneurysms, hard exudates, venous dilatation:

Fund: Cotton wool spots, hemorrhages, microaneurysms, hard exudates, neovascularization:

Negative Birefringent needle-shaped crystals (parallel and yellow):

Positive Birefringent rhomboid-shaped crystals (Perpendicular and blue):

�Sunburst� on bone x-ray:

Bubbly lytic lesion on x-ray (�ground-glass�):

�Corkscrew� esophagus on barium swallow:

Cullen and Grey-Turner sxs:

Sausage digits:

�Shaggy� mucosa on barium swallow:

Multiple, small, volcanic-shaped ulcers on barium swallow:

Large, deep linear ulcers on barium swallow:

Hazy/steamy cornea with a fixed, dilated pupil:

Bell-clapper deformity:

Prehn sign (pain relieved with elevation of scrotum):

�Racoon eyes�:

CSF oligoclonal bands:

Lhermitte sign (electrical feeling down the back with neck flexion):

Hemorrhagic necrosis of temporal lobes on CT:

Intravenous inclusions/Pick bodies:

Pellagra (diarrhea, dermatitis, dementia):

Diffuse vacuolar changes of gray matter with reactive astrocytosis on cortical bx: Creutzfeldt-Jakob Dz.

�Eggshell� pattern from calcified LNs on CXR:

Low plasma rennin with increased 24 hour urine aldosterone:

Dimple sx on ant. Medial surface of the knee:

Yellow CSF from hemolysis (xanthochromia):

Hanging teardrop sign (herniation of orbital fat into max. sinus):

Open bomb-bay door sign (bone fragments in the sinus):

Silver, copper-wiring and AV nicking on Fund.:

Westmark sign (regional area of decreased pulm. Vascularity on CXR:

Peripheral wedge-shaped consolidation/shadow on pleural surface (Hamptom hump):

Shoulder sx (bulge of pyloric m. into the antrum):

Kayser-Fleisher rings (green-yellow ring around cornea):

Synovial proliferation with pannus formation:

Codman�s sign (peri-osteal elevation that forms an angle with the bone cortex):

Bilious vomiting and abdominal distention in a newborn:

A single or hypoechoic ring with a hyperechoic center (target/donut sign) on US: Intussusception

�Sentinel Loop� or �Colon cut-off sx� of gas pattern on KUB:

Curschmann spirals (mucus casts in small airways):

Signet Ring (thick bronchial walls) on CXR:

Schaumann�s bodies and asteroid bodies:

Virchow�s node (L supraclavicular LAD):

Anti-glomerular Basement membrane Abs with hematuria and hemoptysis:

Honey-combing with calcified parietal pleural plaques:

Kerley B lines:

Pericardial Friction rub:

�Water bottle� appearance of cardiac silhouette:

Erythema Marginatum (�bathing suit distribution�):

Murmur with wide pulse pressure:

Osborn wave aka. J wave (upward deflection of S wave):

�Diamond-shaped murmur� (crescendo-decrescendo) on precordial chest:

Mid-systolic click:

Opening snap murmur: