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Surgery Pancreas 2b4c4807

Cullens sign is seen in

A
Hemorrhagic pancreatitis
B
Ectopic pregnancy
C
Liver cirrhosis
D
Biliary cirrhosis
High-Yield Explanation
Ans. is 'a > b' i.e., Hemorrhagic pancreatitis > Ectopic pregnancy * Bleeding into the fascial planes can produce bluish discolouration of the flanks (Grey Turner's sign) or umbilicus (Cullen's sign).* These are seen in acute pancreatitis but are not pathognomic for the same.* Cullens sign was first described in association with rupture of an ectopic pregnancy.Specific signs in abdomina examinationSignDescriptionPathologyCourvoisierPalpable gall bladder and jaundiceCarcinoma of the head of the pancreasCullenPeri-umbilical bruisingHaemorrhagic pancreatitis or ectopic pregnancyGrey turnerBruising of flankHaemorrhagic pancreatitisRovsingPain on extension of the hip joint (due to psoas irritation)Retrocaecal appendicitisMurphyRight upper quadrant tenderness exacerbated by inspirationAcute cholecystitisVirchowPalpable left supraclavicular fossa lymph nodeOesophagogastric carcinoma

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