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Differentiating upper right quadrant pain In medicine , Murphy's sign (also known as Sweeney’s sign ) is a maneuver during a physical examination as part of the abdominal examination . [ 1 ] It is useful for differentiating pain in the right upper quadrant .
Fitz-Hugh–Curtis syndrome occurs almost exclusively in women, though it can be seen in males rarely. [5] It is complication of pelvic inflammatory disease (PID) caused by Chlamydia trachomatis (Chlamydia) or Neisseria gonorrhoeae (Gonorrhea) though other bacteria such as Bacteroides, Gardnerella, E. coli and Streptococcus have also been found to cause Fitz-Hugh–Curtis syndrome on occasion. [6]
Pain with deep inspiration leading to termination of the breath while pressing on the right upper quadrant of the abdomen usually causes severe pain (Murphy's sign). [15] Yellowing of the skin (jaundice) may occur but is often mild. Severe jaundice suggests another cause of symptoms such as choledocholithiasis. [14]
The right upper quadrant of the abdomen contains bones, muscles, organs and other tissues. ... Pain on the upper right side can also be a sign of a kidney issue. We have two kidneys, one on either ...
[1] [2] The division into four quadrants allows the localisation of pain and tenderness, scars, lumps, and other items of interest, narrowing in on which organs and tissues may be involved. The quadrants are referred to as the left lower quadrant, left upper quadrant, right upper quadrant and right lower quadrant.
The CVA is an anatomic concept of the relationship of the 12th rib to the transverse processes of the lumbar vertebrae. [1] There is one CVA on each side of the spine. [2] The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. [1]
Pain is the most common presenting symptom. It is usually described as sharp, crampy, dull or severe right upper quadrant pain, which may radiate to the right shoulder, or less commonly, behind the breastbone. [7] Nausea and vomiting can be associated with biliary colic.
It is also a useful test to investigate acute abdominal pain (especially of the lower quadrants, whereas ultrasound is the preferred first line investigation for right upper quadrant pain). Renal stones , appendicitis , pancreatitis , diverticulitis , abdominal aortic aneurysm , and bowel obstruction are conditions that are readily diagnosed ...