Cullen Versus Grey Turner

Cullen Sign

  • Umbilical bruising
  • Memory aid: Cullenbilical

Grey Turner Sign

  • Flank bruising
  • Memory aid: the one that is not Cullenbilical

Similarities

  • Both are indicative of abdominal wall haemorrhage, acute pancreatitis

References

  1. Wright WF. Cullen Sign and Grey Turner Sign Revisited. J Am Osteopath Assoc 2016;116(6):398–401. doi: 10.7556/jaoa.2016.081.
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Pancreatic Enzyme Tests

Enzymes

Lipase is more specific for pancreatic disorders than amylase.

Memory Aid

Lipase has a p in it. So does pancreas.

Amylase has nothing.

It’s magic!

References

  1. Healthline. (2018). Amylase and Lipase Tests: Preparation, Procedure, and Results. [online] Available at: https://www.healthline.com/health/amylase-and-lipase-tests#understanding-your-results [Accessed 12 Jul. 2018].

Plaster Makes Warmth

After you apply some wrapping around wet plaster, you might notice that the patient’s limb feels warm.

Is this simply a product of insulation?

No, it’s not just this reason.

It’s primarily because plaster and water form an exothermic reaction, so heat is released.

People can be burned by this!

https://howtowinfriendsandinfluenza.files.wordpress.com/2017/04/aa165-milpool.png?w=842

References

  1. Burghardt, R. D., Anderson, J. G., Reed, R. A., & Herzenberg, J. E. (2014). Exothermic properties of plaster–synthetic composite casts. Journal of Children’s Orthopaedics, 8(2), 193-201. doi:10.1007/s11832-014-0563-6