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| __NOTOC__
| | #REDIRECT [[Grey Turner's sign]] |
| {{SI}}
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| {{CMG}}
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| ==Overview==
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| '''Grey Turner's sign''' refers to [[bruise|bruising]] of the flanks, appearing as a blue discoloration.<ref name=Cecil />
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| This sign takes 24–48 hours. It can predict a severe attack of [[acute pancreatitis]],<ref name="pmid19332225">{{cite journal |author=Bosmann M, Schreiner O, Galle PR |title=Coexistence of Cullen's and Grey Turner's signs in acute pancreatitis |journal=Am. J. Med. |volume=122 |issue=4 |pages=333–4 |date=April 2009 |pmid=19332225 |doi=10.1016/j.amjmed.2008.08.032 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(08)01059-0}}</ref> with mortality rising from 8-10% to 40%. It is a sign of retroperitoneal hemorrhage.
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| It may be accompanied by [[Cullen's sign]], which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding.
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| It is named after British [[surgeon]] [[George Grey Turner]].<ref>{{WhoNamedIt|synd|3347}}</ref><ref>{{cite journal|last=Turner|first=G. Grey|title=Local discoloration of the abdominal wall as a sign of acute pancreatitis|journal=British Journal of Surgery|date=1919|volume=7|issue=27|pages=394–395|doi=10.1002/bjs.1800072711}}</ref>
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| ==Causes==
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| * [[Acute pancreatitis]], whereby methemalbumin formed from digested blood tracks [[subcutaneous]]ly around the abdomen from the inflamed pancreas.
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| * Pancreatic hemorrhage<ref name=Cecil />
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| * Retroperitoneal hemorrhage<ref name=Cecil />
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| * Blunt abdominal [[Blunt force trauma|trauma]]
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| * Ruptured [[abdominal aortic aneurysm]]<ref name=Cecil>{{cite book|last=Goldman|first=Lee|title=Goldman's Cecil Medicine|publisher=Elsevier Saunders|location=Philadelphia|isbn=1437727883|pages=837|edition=24th ed.}}</ref>
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| * Ruptured / hemorrhagic [[ectopic pregnancy]]
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| * Spontaneous bleeding secondary to coagulopathy (congenital or acquired)
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| ==References==
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| {{reflist|2}}
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| {{Eponymous medical signs for digestive system and general abdominal signs}}
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| [[Category:Medical signs]]
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