Signs

Discussion in 'Emergency Medicine' started by docB, Apr 17, 2004.

  1. docB

    docB Chronically painful
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    Someone didn't know what Throckmorton's sign was. Clearly we need to make sure that others know what we're talking about so let's define:
    O sign
    Q sign
    Supratentorial
    Code Brown
    DFO
    BBB2H and BBB2B
    PID shuffle
    I imagine most know these. Others?
     
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  2. Apollyon

    Apollyon Screw the GST
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    I don't know this one - what is it?
     
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  3. emedpa

    emedpa GlobalDoc
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    lolnad=little old lady in no apparent distress
    pb3= pine box by bedside
    tfte= too fat to evaluate
     
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  4. HamSandwich

    HamSandwich Member
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    please define the above for those that dont know
     
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  5. southerndoc

    southerndoc life is good
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    OK OK, just single me out! It was me, I didn't know what a Throckmorton sign was! And to think I actually love eponyms and I'm usually the one to remember them all!

    As if that's not bad enough, I have to admit that I have no clue what BBB2H and BBB2B are.

    Maybe my past four years of medical school and 11 years of working EMS taught me nothing. :(

    (Redemption note: I do know what the others are!)
     
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  6. Apollyon

    Apollyon Screw the GST
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    O sign - gorked patient with mouth open (the "O")
    Q sign - gorked patient with mouth open and tongue hanging out (the "Q") - a/k/a the "dotted O"
    Supratentorial - crazy/insane
    Code Brown - bowel movement - a/k/a "the deuce", '10-200'
    DFO - "done fell out"; related to the DFOIC - "done fell out in church"
    BBB2H and BBB2B - I got no idea
    PID shuffle - the way a patient with PID walks - this minimizes cervical motion tenderness, since this moves the cervix minimally; once you see it, you won't miss it.
    FDGB - fell down, go boom
     
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  7. mikecwru

    mikecwru M.D. = Massive Debt
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    You forgot the most important part:

    The O Sign is reversible.

    The Q Sign is not.

    mike
     
  8. Homunculus

    Homunculus SDN Caveman Administrator
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    throckmorten sign is the radiographic finding associated with pelvic films in males where the penis points to the side of the lesion.

    i haven't heard the BBB2H or BBB2B, either.

    i'll throw this one in from experience though. "polyringia"-- if a patient has more than 3 rings per hand, they will have a comorbid psychiatric Axis II disorder. :cool:
     
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  9. docB

    docB Chronically painful
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    Base Ball Bat to Head and Base Ball Bat to Belly. Often seen together in the same patient.
    Microdeckia- Pt not playing with a full deck.
    Life saving penile intubation- The foley that the trauma team wants in ASAP (remember in ATLS it's AFBCD).
    BRBPR- Bright red blood per rectum
     
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  10. Apollyon

    Apollyon Screw the GST
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    You know, this one is ABSOLUTELY RIGHT - in rads conference last week, they were talking about a trauma where the chief went batsh*t wanting that Foley in YESTERDAY. (This was in a woman, though).
     
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  11. Docgeorge

    Docgeorge Bent Over and Violated
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    You know I was just at the Throckmorton Surgical Society meeting. I wonder if it's the guy who came up with the sign.
     
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  12. ERMudPhud

    ERMudPhud Back for a visit
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    TDFD=Too Drunk for Detox
    BTJ=Back to Jail -in some ways the easiest dispo
    WTBC=Wacky and Tachy by Cracky
    WADAO=Weak and Dizzy all over
     
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  13. Sessamoid

    Sessamoid 1K Member
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    One that a medic buddy of mine liked a lot for non-transportable cases:

    DRT = "Dead Right There"

    STFUnGTFO = "Shut The Fsck Up and Get The Fsck Out"

    TSTL = "Too Stupid To Live" for Darwin Award candidates, something I always thought should have been included in the DSM-IV.
     
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  14. Apollyon

    Apollyon Screw the GST
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    Oh, "DRT" reminded me of:

    CTD - "circling the drain"
     
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  15. docB

    docB Chronically painful
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    YOYOMF = You're On Your Own My Friend (of course other MF phrases can be substituted for My Friend)

    WATBC = Wacky and Tachy by Cracky - Never heard that! Too cool. I got three of these in my ED tonight. One woman comes in with the CC: I've been doing meth for a week and I feel all hyper.
    ME (in a perfect world): Sounds like you got your money's worth. Get the hell out of my ER.
    ME (in reality): Well lets work your dumb ass up so it'll be harder for you to sue me for the MI you'll eventually give yourself.
     
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  16. po' boy

    po' boy Senior Member
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    HONDA - Hispanic Obese Non-insulin dependent Diabetic with Asthma.

    Heard that one was used alot at NYU.
     
  17. DrQuinn

    DrQuinn My name is Neo
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    HLF: Hysterical Latin Female
    JFN: Just F*cking Nuts

    Q, DO
     
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  18. *Wing of Zock*

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    PPP = Piss Poor Protoplasm

    WPC = worthless piece of crap

    TTRE = Tattoo-to-tooth ratio equal

    RHPAW = Rode hard put away wet (my favorite nursing description for those 24 yr old girls that look 40with her 6 kids by bedside)

    OBTO = On Back Too Often (how those girls got that way) Also, a great answer to the age old questions--Happies??? how did I catch them?

    OU = Ohio Unit--1 Ohio Unit equals roughly 150 pounds. Patients greater than 3 OU are TFTE.
     
  19. jashanley

    jashanley Senior Member
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    Forgot one of the basics: FLK = Funny Looking Kid

    Or the popular as in the previous post:
    Positive Tattoo to Tooth Ratio: The more tattoos they have and the fewer teeth they have, the more likely they will survive a major trauma.


    My favorite on the wards:
    LGFD = Looks good from door (written by attending)
    LGFDWWP = as above plus "while walking past"
     
  20. emedpa

    emedpa GlobalDoc
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    wing- for my money: ht <6 ft and > 2 o.u.= tfte
    there is also something about wt/arm length ratio. the jist is above a certain wt you can't wipe yourself because your arms are too short
     
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  21. southerndoc

    southerndoc life is good
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    I much prefer STD - Spinnin' the Drain :)
     
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  22. freakanegg

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    FOS or TERDOMA- full of sh**(on abdomenal X-ray)
     
  23. AmoryBlaine

    AmoryBlaine the last tycoon
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    Somebody posted a "status hispanicus" on one of these things awhile ago. I laughed hard.
     
  24. AmoryBlaine

    AmoryBlaine the last tycoon
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    When I first read that word I thought it was going to be about the patient that doesn't put their Razr on vibrate so at mutliple times during the interview you get to hear "Buy You a Drank" or whatever the latest sh!tty overplayed hip-hop song du jour happens to be.
     
  25. leviathan

    leviathan Drinking from the hydrant
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    Money ain't a thing, Amory. :smuggrin:
     
  26. GeneralVeers

    GeneralVeers Globus Hystericus
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    TMD = "todo me duele"
    OTD = "out the door"
     
  27. RxnMan

    RxnMan Who, me? A doctor?
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    Here's a great explanation from MDOD.

    Also from MDOD, the Emmerson Biggins Sign.
     
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  28. acrunchyfrog

    acrunchyfrog In memory of Riley
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    Horrendioma= a case that's gonna be a PITA, often due to the TFTE, TTR, and of course my fave, the "45" diagnosis.

    45= one chromosome short of a fully functioning person's 46.
     
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  29. ERresponsible

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    I learned a different one for HONDA:

    Hypertensive, Obese, Nicotine dependent, Diabetic Asthmatic
     
  30. docB

    docB Chronically painful
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    Holy Crap! It lives. Return of the living dead thread!

    DDTC - Dolor del todo cuerpo, it part of the disease spectrum that includes todo me duele.
     
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  31. SCER2005

    SCER2005 Junior Member
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    HIBGIA = Had It Before Got It Again
     
  32. Peter Parker

    Peter Parker Senior Member
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    KKFCCP -- Koo Koo For Cocoa Puffs.
     
  33. ccfccp

    ccfccp Stays crunchy in milk!
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    Excuse me... I believe you spelled that wrong:laugh:
     
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  34. ccfccp

    ccfccp Stays crunchy in milk!
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    Ok... this one's my favorite being in San Antonio... probably the DM2 capital of the United States
     
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  35. ccfccp

    ccfccp Stays crunchy in milk!
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    I can't believe no one's put this one:

    GOMER: Get out of my emergency room.

    another one I like:

    JACOB Syndrome: No matter how piss drunk someone is passed out on the floor (or vomiting on the floor...) they've had "Just A Couple Of Beers!" (Honest!)
     
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  36. ditch doctor

    ditch doctor Junior Member
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    A good all purpose psyche diagnosis:

    CAASHaR Syndrome: Crazy As A **** House Rat

    ATL w/ PJC's: Acute Tachy-Lordia with Premature Jesus Complexes
    (Interestingly, there is a positive corrolation between ATL and TFTE; the higher the OU, the faster the ATL rate. 3OU correlates to ATL of ~140)
     
  37. polygonal

    polygonal Junior Member
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  38. lucky_deadman

    lucky_deadman Working Class Hero
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    I've also heard it referred to as the throgmartin sign :D
     
  39. hyperbaric

    hyperbaric Cool under pressure.
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  40. Buck E Badger

    Buck E Badger From the land of cheese

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  41. willow18

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    Jesus what a bump. I remember this from a while back and had another good laugh today.

    TBD - total body dolor
     
  42. TallScrubs

    TallScrubs Coude Rockin' Everywhere
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    Here's a few from Emergency by Mark Brown:

    Chartomegaly
    Negative or Positive Wallet Biopsy
    Dwindles- failure to thrive in GOMERs
    FTD- fixin' to die
    Gomergram- shotgun approach to diagnosis because, by definition, GOMERs are too senile to describe their symptoms
    Goombah- a worrisome mass or tumor
    Porcelain level- crock of ****
    Pre-orgasmic Syndome or Irritable Male Syndome
    Positive taillight sign- taillights of family dropping off gomer
    SPOTAs- I need a written excuse cuz i was spota go to work
    terrasphere- dirtball
    WNL- we never looked
     
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  43. njac

    njac Senior Member
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    I learned HONDA as Hypertensive Obese Neurotic Diabetic Alcoholic.
     
  44. deuist

    deuist Stealthfully Sarcastic
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    I believe the newer, more acceptable term is status hispanicus.
     
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