List of medical triads, tetrads, and pentads explained

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

NameTriadDisease
Abdominal aortic aneurysm rupture Triad hypotension, pulsatile abdominal mass, flank pain
Achalasia Triad increased lower esophageal sphincter (LES) tone, decreased LES relaxation, aperistalsis
Allergic Triad Eczema (Atopic Dermatitis), Allergic Rhinitis, bronchitis Atopy or Atopic Triad
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, and abdominal rigidity Esophageal rupture (likely intra-abdominal)
Austrian syndrome Triad Pneumonia, Endocarditis, Meningitis (all caused by Streptococcus pneumoniae) Austrian syndrome
Beck's triadMuffled heart sound, Distended neck veins, HypotensionCardiac tamponade
abdominal pain, ascites, hepatomegalyBudd–Chiari syndrome
Charcot's cholangitis triadRight Upper Quadrant Pain, Fever, Jaundice Ascending cholangitis
scanning speech, intention tremor, nystagmusMultiple 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 of Increased Intracranial Pressure Bradycardia, Bradypnea, Hypertension Head injuries
Painful urination, testicular pain, diarrhea Chlamydia
Dieulafoy's triadhyperesthesia of the skin, exquisite tenderness and guarding over McBurney's pointAcute appendicitis
Dietl's crisisRenal colic, swelling in loin which disappears after urinationHydronephrosis
Fanconi syndrome triad Aminoaciduria, Proteinuria, Phosphaturia Fanconi syndrome
Female athlete triadeating disorders, amenorrhoea, decreased bone mineral density Relative energy deficiency in sport
Felty triadRheumatoid arthritis, neutropenia, splenomegaly Rheumatoid arthritis complication
Gradenigos Triad Sixth cranial n. 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 (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 Anaemia, Thrombocytopenia, Kidney failure (But see Pentad of TTP below) Hemolytic–uremic syndrome
Horner's Syndrome Triad Horner's syndrome
Hutchinson's triadHutchison's teeth, Interstitial keratitis, Nerve deafness Congenital syphilis
Kartagener Syndrome Triad Triad of bronchiectasis, Recurrent sinusitis, and, Situs inversus, Kartagener syndrome
Leriche's syndrome Triad Triad of bilateral hip, thigh, and buttock claudication, impotence, and symmetric atrophy of the bilateral lower extremities due to chronic ischemia Leriche's syndrome
Mackler's triad vomiting, pain and subcutaneous emphysema Boerhaave syndrome
Measles
purpura, arthralgias, weakness/myalgias Cryoglobulinemia
Triad of Reactive arthritisUrethritis, conjunctivitis and anterior uveitis, arthritis Reactive arthritis
Saint's TriadGall stones, Diverticulosis, Hiatus hernia
Samter's triad (also known as Acetylsalicylic acid triad or Widal's triad or Francis' triad or Aspirin triad) Aspirin sensitivity, Nasal polyps, Asthma Aspirin-exacerbated respiratory disease
Tetany in Children - Triad Stridor, Carpopedal spasm, Convulsions Tetany
Coagulopathy, Hypothermia, Acidosis Death
Triad of Albinism Black locks, Occulo-cutaneous Albinism, Deafness of sensorineural type 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 purpuraPalpable 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 syndromeIron deficiency anemia, dysphagia, esophageal webs Plummer–Vinson syndrome
Triad of Renal cell carcinomahematuria, palpable abdominal mass, flank pain Renal cell carcinoma
Triple Test (for diagnosis of downs syndrome) Estimation of hcg, Estriol, and AFP Down's Syndrome
Trotter's triadConductive 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 triadStasis, Hypercoagulability, Vessel injury Venous thrombosis
Triad of Wernicke encephalopathyConfusion, ophthalmoplegia, ataxia Wernicke encephalopathy
Whipple's TriadHypoglycaemia 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 triadPain-> Vomiting -> Fever Acute appendicitis
Tillaux's triadsoft fluctuant swelling in umbilical region, swelling moves perpendicular to messentery, zone of resonance all around swelling Mesenteric cyst
Rigler's triadsmall bowel obstruction, a gallstone outside the gallbladder, and air in the bile ducts Gallstone ileus
Wilkie's syndrome (SMA syndrome)Chronic peptic ulcer, chronic appendicitis and chronic calcular cholecystitisgastro-vascular disorder

Tetrads

NameTetradDisease
Tetralogy of Fallot
vertigo, tinnitus, fluctuating low frequency hearing loss, aural fullness Ménière's disease
scrub typhus, chiggers, rodents and birds, scrub vegetation

Pentads

NamePentadDisease
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 septal defect.
"Stones", "Bones", "Abdominal groans", "Thrones", "Psychiatric overtones" Primary hyperparathyroidism
Reynold's Pentad Right Upper Quadrant Abdominal pain, Fever, Jaundice, Shock and Depression of central nervous system function Acute suppurative cholangitis

See also

Notes and References

  1. 1524-4040. 67. 1. 155–159; discussion 159. Wallenstein. Matthew B.. McKhann. Guy M.. Salomón Hakim and the discovery of normal-pressure hydrocephalus. Neurosurgery. July 2010. 20568668. 10.1227/01.neu.0000370058.12120.0e.