What does GREY Turners sign indicate?

What does GREY Turners sign indicate?

Definition/Introduction Grey Turner’s sign is an uncommon subcutaneous manifestation of intra-abdominal pathology that manifests as ecchymosis or discoloration of the flanks. [1] Classically it correlates with severe acute necrotizing pancreatitis, often in association with Cullen’s sign (periumbilical ecchymosis).

What is a positive Turner’s sign?

Grey Turner’s sign refers to bruising of the flanks, the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration, and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity.

What does GREY Turner and Cullen sign indicate?

Cullen and Grey Turner signs indicate internal hemorrhage and warrant careful history-taking and investigations, including coagulation studies, serum lipase and amylase, and imaging. Cullen sign, first described in 1918, is superficial bruising in the subcutaneous fat around the umbilicus.

What is the difference between Cullen’s sign and Turner’s sign?

Cullen sign is a hemorrhagic discoloration of the umbilical area due to intraperitoneal hemorrhage from any cause; one of the more frequent causes is acute hemorrhagic panniculitis. Grey Turner sign is a discoloration of the left flank associated with acute hemorrhagic pancreatitis.

What causes GREY Turner’s sign of pancreatitis?

Bluish discolouration of the flanks 24–48 h after an acute attack of pancreatitis is known as Grey Turner’s sign. It is caused by subcutaneous haemorrhage from retroperitoneal blood vessels damaged by pancreatic enzymes released during an acute attack of pancreatitis.

What does bruising around the abdomen mean?

Bruising in your stomach or abdominal area is typically caused by: direct blows to your abdomen. a fall in which you injure or land on your stomach. accidents, such as a car accident.

What is a Cullen’s sign?

Cullen’s sign is described as superficial oedema with bruising in the subcutaneous fatty tissue around the peri-umbilical region. This is also known as peri-umbilical ecchymosis. It is most often recognised as a result of haemorrhagic pancreatitis.

Where is the flank?

The flank is the area on the sides and back of your abdomen, between your lower ribs and your hips. Pain in this area is called flank pain.

What does Cullen sign look like?

Primarily, Cullen sign presents as severe discoloration and bruising around the navel, accompanied by swelling in the region. The color of the bruise varies based on the severity of the condition, ranging from yellow/green in more moderate cases, to purple in severe ones.

Is Cullen sign fatal?

Among the many symptoms of cancer of the thyroid—a butterfly shaped gland in the throat—is Cullen sign. In many cases, however, this cancer can be asymptomatic, and it’s known to be highly curable if caught in a timely fashion.

Is Cullen’s sign painful?

A fifty three year old gentleman presented to the emergency department with acute epigastric and central abdominal pain. The pain radiated to his back and was constant in nature. He described the pain as being at its peak intensity three days prior to admission. His pain was associated with nausea and vomiting.

What are some symptoms of Turner syndrome?

Signs and symptoms may include short stature, premature ovarian failure, a “webbed” neck, a low hairline at the back of the neck, and swelling (lymphedema) of the hands and feet. Some people with Turner syndrome have skeletal abnormalities, kidney problems, and/or a congenital heart defect.

What is Cullen’s sign?

Cullen’s sign. Cullen’s sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is named for gynecologist Thomas Stephen Cullen (1869–1953), who first described the sign in ruptured ectopic pregnancy in 1916.

What is Turner’s sign?

Signs of Turner syndrome at birth or during infancy may include: Wide or weblike neck. Low-set ears. Broad chest with widely spaced nipples. High, narrow roof of the mouth (palate) Arms that turn outward at the elbows. Fingernails and toenails that are narrow and turned upward. Swelling of the hands and feet, especially at birth.