List of medical triads, tetrads, and pentads
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A medical triad is a group of three signs or symptoms, the result of injury to three organs, which characterise a specific medical condition. The appearance of all three signs conjoined together in another patient, points to that the patient has the same medical condition, or diagnosis. A medical tetrad is a group of four, while a pentad is a group of five.
Triads
[edit]Name | Triad | Disease |
---|---|---|
Abdominal aortic aneurysm rupture triad | Hypotension, pulsatile abdominal mass, flank pain | Abdominal aortic aneurysm |
Achalasia triad | Increased lower esophageal sphincter (LES) tone, decreased LES relaxation, aperistalsis | Achalasia |
Allergic triad | Eczema (atopic dermatitis), allergic rhinitis, bronchitis | Atopy |
Alkaptonuria triad | Ochronotic arthritis, ochronotic pigmentation, urine darkens on standing | Alkaptonuria |
Amyand's triad | Amyand's hernia, appendicitis, undescended testis | |
Anderson triad | Subcutaneous emphysema, rapid respirations, abdominal rigidity | Esophageal rupture (likely intra-abdominal) |
Austrian syndrome triad | Pneumonia, endocarditis, meningitis (all caused by Streptococcus pneumoniae) | Austrian syndrome |
Beck's triad | Muffled heart sound, distended neck veins, hypotension | Cardiac tamponade |
Budd–Chiari syndrome | Abdominal pain, ascites, hepatomegaly | Budd–Chiari syndrome |
Charcot's cholangitis triad | Right upper quadrant pain, fever, jaundice | Ascending cholangitis |
Charcot's neurologic triad | Scanning speech, intention tremor, nystagmus | Multiple sclerosis |
Triad of congenital toxoplasmosis | Chorioretinitis, hydrocephalus, intracranial calcifications | Congenital toxoplasmosis |
Triad of congenital rubella | Cataracts, patent ductus arteriosus, sensorineural hearing loss | Congenital rubella |
Congestive heart failure triad | Tachycardia, tachypnea, tender hepatomegaly | Congestive heart failure |
Cushing's triad | Bradycardia, bradypnea, hypertension | Increased Intracranial Pressure |
Danny's triad | Painful urination, testicular pain, diarrhea | Chlamydia |
Dieulafoy's triad | Hyperesthesia of the skin, exquisite tenderness and guarding over McBurney's point | Acute appendicitis |
Dietl's crisis | Renal colic, swelling in loin which disappears after urination | Hydronephrosis |
Fanconi syndrome triad | Aminoaciduria, proteinuria, phosphaturia | Fanconi syndrome |
Female athlete triad | Eating disorders, amenorrhoea, decreased bone mineral density | Relative energy deficiency in sport |
Felty triad | Rheumatoid arthritis, neutropenia, splenomegaly | Rheumatoid arthritis complication |
Goodpasture syndrome triad | Glomerulonephritis, pulmonary hemorrhage, presence of anti-GBM antibodies | Goodpasture syndrome |
Gradenigos triad | Sixth cranial nerve palsy, persistent ear discharge, deep seated retro orbital pain | Gradenigo's syndrome |
Graves Disease triad | Goiter, exophthalmos, pretibial myxedema | Graves' disease |
Triad of opioid overdose | Respiratory depression, pinpoint pupils, CNS depression | Opioid overdose |
Triad of granulomatosis with polyangiitis | Focal necrotizing vasculitis, necrotizing granulomas in the lung and upper airway, necrotizing glomerulonephritis | Granulomatosis with polyangiitis |
Hakim triad[1] (Adams triad) | Urinary incontinence, gait disturbance, dementia | Normal pressure hydrocephalus |
Triad of Sandblom) | Malena, obstructive jaundice, biliary colic | Hemobilia |
Triad of Meigs' syndrome | Ascites, pleural effusion, benign ovarian tumor | Meigs' syndrome |
Hemolytic–uremic syndrome triad | Anemia, thrombocytopenia, kidney failure (but see pentad of TTP below) | Hemolytic–uremic syndrome |
Horner's syndrome triad | Ptosis (eyelid), miosis, anhydrosis | Horner's syndrome |
Hutchinson's triad | Hutchison's teeth, interstitial keratitis, nerve deafness | Congenital syphilis |
Kartagener syndrome triad | Bronchiectasis, recurrent sinusitis, situs inversus | Kartagener syndrome |
Leriche's syndrome triad | Bilateral hip, thigh, and buttock claudication, impotence, symmetric atrophy of the bilateral lower extremities due to chronic ischemia | Leriche's syndrome |
Mackler's triad | Vomiting, pain, subcutaneous emphysema | Boerhaave syndrome |
Three C's of measles | Cough, coryza, conjunctivitis | Measles |
Meltzer's triad | Purpura, arthralgias, weakness/myalgias | Cryoglobulinemia |
Triad of reactive arthritis | Urethritis, conjunctivitis and anterior uveitis, arthritis | Reactive arthritis |
Saint's triad | Gallstones, diverticulosis, hiatus hernia | |
Samter's triad (also known as acetylsalicylic acid triad, Widal's triad[citation needed], Francis' triad[citation needed] or aspirin triad) | Aspirin sensitivity, nasal polyps, asthma | Aspirin-exacerbated respiratory disease |
Tetany in children triad | Stridor, carpopedal spasm, convulsions | Tetany |
Trauma triad of death | Coagulopathy, hypothermia, acidosis | Death |
Triad of albinism | Black locks, oculocutaneous albinism, sensorineural deafness | Albinism |
Triad of Alport syndrome | Sensorineural deafness, progressive kidney failure, ocular anomalies | Alport syndrome |
Triad of Behcet's syndrome | Recurrent oral ulcers, genital ulcers, iridocyclitis | Behçet's disease |
Triad of causes of biotin deficiency | Glossitis, alopecia, dermatitis | Biotin deficiency |
Triad of Henoch–Schönlein purpura | Palpable purpura on buttock/legs, arthralgias, abdominal pain | IgA vasculitis |
Triad of Hypernephroma | Pain, hematuria, renal mass | Hypernephroma |
Triad of Kwashiorkor | Growth retardation, mental changes, edema | Kwashiorkor |
Triad of Plummer–Vinson syndrome | Iron deficiency anemia, dysphagia, esophageal webs | Plummer–Vinson syndrome |
Triad of Renal cell carcinoma | Hematuria, palpable abdominal mass, flank pain | Renal cell carcinoma |
Triple test | Estimation of hCG, estriol, AFP | Fetal chromosomal abnormalities |
Trotter's triad | Conductive deafness, immobility of homolateral soft palate, trigeminal neuralgia | Nasopharyngeal carcinoma |
Unhappy triad (Also known as O'Donoghue's triad or a blown knee) | Injury to the ACL, MCL, and meniscus (either medial or lateral) | Knee injury |
Virchow's triad | Stasis, hypercoagulability, vessel injury | Venous thrombosis |
Triad of Wernicke encephalopathy | Confusion, ophthalmoplegia, ataxia | Wernicke encephalopathy |
Whipple's triad | Hypoglycaemia during attacks, resolution of symptoms upon correction of blood glucose, symptoms brought about by low glucose states. | Insulinoma |
Triad of aortic stenosis | Chest pain, heart failure, syncope | Aortic stenosis |
Murphy's triad | Pain, vomiting, fever | Acute appendicitis |
Tillaux's triad | Soft fluctuant swelling in umbilical region, swelling moves perpendicular to mesentery, zone of resonance all around swelling | Mesenteric cyst |
Rigler's triad | Small bowel obstruction, a gallstone outside the gallbladder, air in the bile ducts | Gallstone ileus |
Wilkie's syndrome (SMA syndrome) | Chronic peptic ulcer, chronic appendicitis, chronic calcular cholecystitis | gastro-vascular disorder |
Tetrads
[edit]Name | Tetrad | Disease |
---|---|---|
Tetralogy of Fallot | Pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, overriding aorta | Tetralogy of Fallot |
Ménière's disease | Vertigo, tinnitus, fluctuating low frequency hearing loss, aural fullness | Ménière's disease |
Zoonotic tetrad | Scrub typhus, chiggers, rodents and birds, scrub vegetation |
Pentads
[edit]Name | Pentad | Disease |
---|---|---|
Pentad of TTP | Remembered by the mnemonic "FAT RN" (or alternatively "ART FaN"): fever, anemia (microangiopathic hemolytic anemia), thrombocytopenia, renal failure, neurologic disturbances | Thrombotic thrombocytopenic purpura |
Pentalogy of Cantrell | Omphalocele, anterior diaphragmatic hernia, sternal cleft, ectopia cordis, intracardiac defect | Thoracoabdominal syndrome |
Pentalogy of Fallot | Fallot's tetralogy with a patent foramen ovale or atrial septum defect | |
Pentad of primary hyperparathyroidism | Stones (kidney stones), bones (bone-related complications), thrones (polyuria), abdominal groans (gastro-intestinal symptoms), psychiatric overtones (psychiatric and neurological symptoms) | Primary hyperparathyroidism |
Reynold's pentad | Right upper quadrant abdominal pain, fever, jaundice, shock, depression of central nervous system function | Acute suppurative cholangitis |