Grey-Turner Sign describes what finding?

Grey-Turner Sign describes what finding?

• A. Flank bruising (retroperitoneal bleed)
• B. Periumbilical bruising
• C. Left shoulder pain
• D. Bruising around the eyes

Answer: (A)

Grey-Turner sign is flank ecchymosis due to retroperitoneal hemorrhage. Blood from a retroperitoneal bleed tracks to the flanks, producing bruising that’s classically seen in acute pancreatitis or after retroperitoneal injury. It’s a late sign and indicates a significant bleed. Periumbilical bruising would be Cullen’s sign, which points to intraperitoneal bleeding. Left shoulder pain from diaphragmatic irritation is Kehr’s sign, a sign of intraperitoneal bleed or splenic injury with referred pain to the shoulder. Bruising around the eyes is raccoon eyes, associated with facial or basilar skull fractures.

Grey-Turner sign is flank ecchymosis due to retroperitoneal hemorrhage. Blood from a retroperitoneal bleed tracks to the flanks, producing bruising that’s classically seen in acute pancreatitis or after retroperitoneal injury. It’s a late sign and indicates a significant bleed.

Periumbilical bruising would be Cullen’s sign, which points to intraperitoneal bleeding. Left shoulder pain from diaphragmatic irritation is Kehr’s sign, a sign of intraperitoneal bleed or splenic injury with referred pain to the shoulder. Bruising around the eyes is raccoon eyes, associated with facial or basilar skull fractures.