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CCRN Latest Update with Verified Solutions

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CCRN Latest Update with Verified Solutions Turner's Sign blue discoloration of the flank, indicating retroperitoneal bleeding Cullen's Sign blue discoloration of periumbilical area, indicating intra-abdominal bleeding Coopernail's Sign bruising of the scrotum or labia, indicating pelvic bleeding Kehr's Sign deferred left shoulder pain (phrenic nerve irritation related to splenic rupture) Chvostek's Sign facial muscle twitching, seen when cheek is tapped; indicates hypocalcemia Trousseau's Sign carpal pedal (hand) spasm when BP cuff is inflated beyond systolic pressure (must occur within 3 minutes of stimulus); indicates hypocalcemia Virchow's Triad factors that contribute to thrombosis: 1. hypercoagulability 2. hemodynamic changes (stasis, turbulence) 3. blood vessel injury/dysfunction Beck's Triad associated with acute cardiac tamponade: - low arterial blood pressure - distended neck veins - distant, muffled heart sounds Ashman's Phenomenon long R-R interval followed by short R-R interval Eisenmenger's Syndrome occurs when the increased pressure of the blood flow in the lung becomes so great that the direction of blood flow through the shunt reverses Kernig's Sign positive when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful (leading to resistance). This may indicate subarachnoid hemorrhage or meningitis. Brudzinski's Sign involuntary flexion of the hip and knee when the neck is bent forward, indicates meningitis Preload measure of VOLUME of blood that causes stretch in the myocardial cells just prior to systole determines if


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