Signs in ent part 2

OMEGA SIGN -INFANTILE OMEGA SHAPED EPIGLOTTIS SEEN IN LARINGOMALACIA .
Paul Dudley White's winking ear lobe sign -Movement of the ear lobe coincident with the pulse suggests tricuspid insufficiency .
PHELP’S SIGN - loss of crest of bone (as seen in CT-scan) between carotid canal and jugular canal in glomus jugulare .
RAT TAIL SIGN /“Bird-beak” sign -Sign in barium swallow of achalasia . The oesophagus is dilated, and contrast material passes slowly into the stomach as the sphincter opens intermittently. The distal oesophagus has a narrow segment and the image resembles a bird's beak.
This is in contrast to the rat's tail appearance of carcinoma of oesophagus.Barium swallow shows characteristic rat tail appearance with irregular mucosa margins in carcinoma esophagus .
RISING SUN SIGN
There is red vascular hue seen behind the intact tympanic membrane. it is seen in glomus tumour, high jugular bulb and aberant carotid artery in the floor of middle ear .
RACCOON SIGN -Indicate subgaleal hemorrhage,and not necessarly base of skull .
SCHWARTZ SIGN
It is also called flamingo flush sign. it is seen because of increased vascularity in submucous layer of promontory in active phase of otosclerosis (otospongiosis).
STEEPLE SIGN- X-ray finding in Acute laryngotracheobronchitis (CROUP).The steeple sign is produced by the presence of edema in the trachea, which results in elevation of the trachealmucosa and loss of the normal shouldering (lateral convexities) of the air column.
STANKIEWICK’S SIGN - indicate orbital injury during FESS . fat protrude in to nasal cavity on compression of eye ball from outside .
TEAR DROP SIGN
Seen in Orbital floor fracture . It is defined as tear drop shaped opacification seen hanging from the roof of the maxillary sinus onwater's view. The floor of the orbit is the most common portion of the orbit to sustain fracture. A classic radiographic finding in blow-out fractures is the presence of a polypoid mass (the tear-drop) protruding from the floor of the orbit into the maxillary antrum The tear-drop represents the herniated orbital contents, periorbital fat and inferior rectus muscle.
THUMB SIGN
It is a thumb like impression (dueto enlarged epiglottis) seen on X-ray lateral view neck in patientswith acute epiglottitis .Direct visualization of the epiglottis by laryngoscope, if attempted, reveals a beefy red, edematous epiglottis.
TRAGUS SIGN
In acute otitis externa there is marked tenderness when tragus is pressed against the pinna.
TEA POT SIGN is seen in CSF rhinorrhoea .This could be related to the relationship of the sphenoid ostium to the sinus floor. The sphenoid ostium lies atan appreciable distance anterosupe-rior from the sinus floor. An increase in the CSF rhinorrhea therefore occurs in a case of sphenoid sinus leak when the patient bends forward as an increasing amount of CSF gains access to the ostium "teapot" sign.
uvula pointing sign - uvula points to side of palatal palsy
Uvula pointing sign - seen in rhinoscleroma .when scleroma involve nasopharynx ,uvula point towards roof of nasopharynx.
WOODS SIGN —– palpable jugulodigastric lymphnodes. Courtesy:internet