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CEN Review: Vocab.

Terms to review for the CEN (Certified Emergency Nurse) exam

Babinski’s Sign Loss of Achilles tendon reflex. Great toe extends and other toes fan out when sole of foot is stroked. Should be absent in those over 2 years old. Spinal cord damage
Balance Sign Resonance over the right flank with the patient lying on their left side. Splenic rupture
Beck’s Triad JVD, hypotension, muffled heart tones Cardiac Tamponade
Bitot’s Spots Superficial foamy gray, triangular spots on the conjunctiva. Vitamin A deficiency
Brudzinski’s Sign Flexion of the neck results in flexion of the hip and knee. Meningitis
Chvostek’s Sign Spasm of facial muscles when tapping cheek (anterior to ear and below zygoma). Tetany = hypocalcemia
Copper Nails Sign Bruising of the scrotum or labia. Pelvic Fracture
Cullen’s Sign Periumbilical bluish discoloration. Retroperitoneal bleed
Cushing’s Response HTN (increased SBO, widening pulse pressure), irregular respirations, and bradycardia. Increased ICP
Hill’s Sign Disproportionate femoral systolic hypertension. Chronic aortic insufficiency
Grey-Turner Sign Bluish discoloration to the flanks. Retroperitoneal bleed
Janeway Lesions Petechial lesions on hands and feet. Endocarditis
Kehr’s Sign Referred left shoulder pain. Splenic rupture or peritoneal irritation
Kernig’s Sign Flexing hips to 90 degrees, then extending knees causes pain. Meningitis
Koplik’s Spots Tiny bluish-white lesions on the buccal mucosa. Measles
Kussmaul Respirations Hyperventilation, deep gasping respiratory patters. DKA, Metabolic acidosis
Kussmaul’s Sign JVD during inspiration. Right ventricular MI, right-sided heart failure, constrictive pericarditis
Lhermitte’s Sign “Electric shock” pain to entire body with neck flexion. C-spine injury, MS, tumor, spondylosis
McBurney’s Point Midway between umbilicus and right iliac crest. Pain on palpation = appendicitis
Murphy’s Sign Unable to take deep breath during palpation beneath right costal margin (RCM). Gallbladder or liver disease
Osler’s Nodes Painful lesions to fingertips. Endocarditis
Prehn’s Sign Scrotal pain that is relieved with elevation of the scrotum. Epididymitis
Psoas Sign RLQ pain with hyperextension of right hip and elevation of right leg while patient is lying on left side. Appendicitis
Quincke’s Sign Alternating blanching and flushing of the nail bed with each pulse. Aortic insufficiency
Roth’s Spots Oval white spots with central hemorrhages on retina. Endocarditis
Rovsing’s Sign LLQ pressure intensifies RLQ pain. Appendicitis
Splinter Hemorrhages Small linear hemorrhages on nail beds. Endocarditis
Trousseau’s Sign Spasmodic contractions of muscles provoked by pressure on nerves (BP cuff inflated on arm causes contractions of hand/wrist). Tetany = hypocalcemia
Created by: AmandaWalter80