NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

You are called to the home of a 50-year-old man complaining of pain in his lower abdomen. He states the pain started suddenly the previous day.

When you examine the patient, there is bruising in the left flank area, but the patient states he has not sustained any trauma to that area.

What is this type of bruising referred to as?
  1. Cushing sign
  2. Grey Turner sign
  3. Cullen sign
  4. Colles' sign
Explanation
Answer: B- The Grey Turner sign is bruising in the flank areas and represents internal bleeding.

Grey-Turner Bruising
 

Cullen's sign also represents internal bleeding but is indicated by bruising in the area of the umbilicus. 

Both indicators warrant detailed history documentation and further testing in the hospital setting.
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