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Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
A Sonographic Murphy sign is a finding when performing diagnostic medical sonography.It is different from the Murphy sign found on physical examination, but both signs are associated with cholecystitis [1] When the sonographer presses directly over the gallbladder, and the patient expresses pain, more than when the sonographer presses anywhere else, this is said to be a positive sonographic ...
Pain-> Vomiting -> Fever: Acute appendicitis: Tillaux's triad: soft fluctuant swelling in umbilical region, swelling moves perpendicular to messentery, zone of resonance all around swelling: Mesenteric cyst: Rigler's triad: small bowel obstruction, a gallstone outside the gallbladder, and air in the bile ducts: Gallstone ileus: Wilkie's ...
Left kidney and adrenal gland; Splenic flexure of colon; Parts of transverse and descending colon; The right upper quadrant (RUQ) extends from the median plane to the right of the patient, and from the umbilical plane to the right ribcage. The equivalent term for animals is right anterior quadrant. Important organs here are: Liver; Gall bladder ...
Since the biliary tract is an internal organ, it has no somatic nerve supply, and biliary colic due to infection and inflammation of the biliary tract is not a somatic pain. Rather, pain may be caused by luminal distension, which causes stretching of the wall. This is the same mechanism that causes pain in bowel obstructions. [13]
If the patient must have the gallbladder removed for gallstones, the surgeon may choose to proceed with the surgery, and obtain a cholangiogram during the surgery. If the cholangiogram shows a stone in the bile duct, the surgeon may attempt to treat the problem by flushing the stone into the intestine or retrieve the stone back through the ...
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The kidney lies directly below this area, so is the place where, with percussion (Latin: sucussio renalis), pain is elicited when the person has kidney inflammation. The presence of pain is marked as a positive Murphy's punch sign or as costovertebral angle tenderness. [2]