Local signs of a traumatic spleen

Submitted by DrFifi on Sat, 31/10/2009 - 06:56
in

"DOKS" 

  • Debelt's sign
  • O'Connel's sign
  • Kehr's sign
  • Saegesser's sign

 

Or, "SKODa"

 

 

4

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imageO'Connel's sign: It is Kehr's sign elicited with patient in Trendelenburg position. As it is usually becomes positive before the Kehr's sign, it is at times recommended to elicit O'Connel's sign as well.
imageKehr's sign: Pain in the left shoulder caused by irritation of the undersurface of the diaphragm by blood leaking from a ruptured spleen. The pain impulses are referred along the phrenic nerve.
imageSaegesser's sign: Compression of phrenic point (along the border of the sternocleidomastoid muscle, 2-4 cm above the clavicle) causes sudden contraction of homolateral hemidiaphragm and severe pain along the lateral border of rectus abdominis muscle. It indicates a rupture or intracapsular bleeding of the spleen.

Comments

Submitted by Guest (not verified) on Wed, 11/05/2011 - 14:40.

Plz explain debelt's sign

Submitted by DrFifi on Fri, 06/11/2009 - 20:21.

O'Connel's sign - is the Kehr's sign when the pacient is in the Trendelenurg position...... is actually seen before the Kehr's sign so at times its recommended to put the pacient in this position to see if pain will be elicited in the left shuolder :)

Submitted by Nishanth_koda on Sat, 07/11/2009 - 19:54.

Have added the detail in Quick Facts.

-Thank you.

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