History & examinationFree in the app
Clinical signs
What the sign is and what it points to.
Source: Standard teachingSign
| Cervical motion tenderness | Peritoneal irritation — PID, ectopic. |
|---|---|
| Adnexal mass/tenderness | Ectopic, torsion, tubo-ovarian abscess, cyst. |
| Fixed retroverted uterus | Endometriosis (with uterosacral nodules). |
| Cullen’s | Periumbilical bruising — intra/retroperitoneal bleed incl. ruptured ectopic. |
| Grey Turner’s | Flank bruising — retroperitoneal bleed. |
| Kehr’s | Shoulder-tip pain — blood under diaphragm (ruptured ectopic). |
| Os open vs closed | Open: inevitable/incomplete miscarriage. Closed: threatened/complete. |
| Turtle sign | Head retracts against perineum — shoulder dystocia. |
| Bandl’s ring | Obstructed labour — rupture risk. |
| Woody hard uterus | Placental abruption. |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.