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30 wrz 2010 · Murphy’s sign. 1. Position your fingers at the right costal margin in the mid-clavicular line at the liver’s edge. 2. Ask the patient to take a deep breath. If the patient suddenly stops mid-breath due to pain, this suggests the presence of cholecystitis (known as “Murphy’s sign positive”). Palpate the spleen. 1.
With your fingers clasped under the right costal margin, a positive Murphy sign refers to a “catch” in the patient’s breath when asked to inhale deeply, indicating pain when the gallbladder touches the examiner’s fingers.
To perform the Murphy's sign test, follow these steps: Have the patient lie supine on the exam table. Position your left hand, with fingers pointing toward the midline, on the patient's lowermost right anterior rib cage. Your index finger should rest on the most inferior rib.
Murphy’s sign is performed by palpating the subcostal region during inspiration. If pain is elicited and the patient suddenly stops their inspiratory effort. If pain occurs when the inflamed gallbladder comes into contact with the examiner’s hand, Murphy’s sign is positive.
17 mar 2023 · Here I have explained how to examine Murphy's sign of an acute cholecystitis patient. It is an important examination for acute cholecystitis to be diagnosed....
Technique. Have the patient lie supine on the exam table. Place your left hand, fingers pointing toward the midline, on the patient's lowermost right anterior rib cage so that your index finger is resting on the most inferior rib. Extend your left thumb and push it into the patient's belly and hold.
Classically, Murphy's sign is tested for during an abdominal examination in supine position; it is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the mid-clavicular line (the approximate location of the gallbladder).
