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24 maj 2023 · Sonographic Murphy sign is defined as maximal abdominal tenderness from the pressure of the ultrasound probe over the visualized gallbladder 1,2. It is a sign of local inflammation around the gallbladder along with right upper quadrant pain, tenderness, and/or a mass 2.
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. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis.
8 lut 2018 · What is Murphy’s sign? It is a finding for differentiating the cause, by physical examination of a patient having pain in the right upper quadrant of the abdomen (1). This test is positive if the patient is having acute cholecystitis (inflammation of the gallbladder) (1).
4 cze 2024 · Positive Murphy’s sign. A positive Murphy’s sign means that a person feels pain in their gallbladder when the organ contacts the healthcare professional’s hand during a breath. It implies ...
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.
10 cze 2020 · Sonographic Murphy's sign (See Video 7 above: Sonographic Murphy’s sign): Positive when maximal tenderness is directly over the gallbladder. The sensitivity of the sonographic Murphy’s sign is reported from 75-86% with a positive predictive value of 92% when combined with the finding of gallstones. 12-14.
When a positive sonographic Murphy's sign is used in conjunction with the presence of gallstones, it has a positive predictive value of 92% for diagnosing acute cholecystitis. Persons in whom a sonographic Murphy's sign may be absent include persons who are medicated; therefore, careful attention to a patient's clinical status is important.
