<prompt> Troisiers sign isMetastatic left supraclavicular lymphadenopathyCarpopedal spasm in hypocalcemiaMigratory thromboplebitisAny of the above  <response>: Ans. a. Metastatic left supraclavicular lymphadenopathy Ref: Bailey and Love 26,hpg.l048, 1046, 777In Ca stomach, lymphatic spread may be extensive, the tumour even appearing in the supraclavicular nodes Troisiers sign. Unlike malignancies such as breast cancer, nodal involvement does not imply systemic dissemination.Troisiers sign Metastasis to supraclavicular group of node e.g. as in Ca stomachTrousseaus sign In advanced cancers e.g. gastric cancer non-metastatic effects of malignancy are seen, particularly thrombophlebitis migratory.Trousseaus sign In hypoparathyroidism with hypocalcemia Carpopedal spasm can be induced by occlusion of the arm with a pressure cuff for 3 minutes. 