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Murphy's sign

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A positive Murphy's sign is seen in acute cholecystitis:

  • refers to where the patient stops breathing due to pain when an examiner touches the inflamed gallbladder
  • elicited by firmly placing a hand at the costal margin in the right upper abdominal quadrant and asking the patient to breathe deeply
  • if the gallbladder is inflamed, the patient will experience pain and catch their breath as the gallbladder descends and comes in contact with the palpating hand

A similar manoeuvre in the left upper quadrant should not elicit discomfort.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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