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118 Possible Causes for Abdominal Pain, Murphy's Sign, Right Flank Pain, Tenderness in the Right Upper Quadrant

  • Choledocholithiasis

    Symptoms During physical examination, Murphy’s sign is usually negative, which helps to distinguish choledocholithiasis from cholecystitis.[] OBJECTIVES: Although abdominal pain is a cardinal feature of choledocholithiasis, there has been little formal study of the features of pain in this condition.[] upper quadrant.[] Signs and symptoms [ edit ] Murphy's sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis.[]

  • Acute Cholecystitis

    Murphy's sign was absent in 3 (10%) of 29 of these patients.[] A 61-year-old man presented with upper abdominal pain and jaundice.[] We report the case of a 47-year-old male patient who presented with right upper quadrant pain, tenderness, mild jaundice, moderately elevated liver function tests, and ultrasound[] On hospital day 54, he developed fever and right upper quadrant tenderness.[]

  • Biliary Colic

    Pain in the right hypochondrium, referred pain, and Murphy's sign were scored before and after treatment. Data indicate that ceruletide is effective in biliary colic.[] View larger version (213K) Fig. 3A — Acute cholecystitis in 67-year-old woman with Murphy sign and right upper quadrant and right flank pain.[] On physical examination the right upper quadrant of the patient may show tenderness.[] Abdominal Pain from Gallstones Abdominal Pain from Gallstones (Biliary Colic) Alberto Marin, M.D. What is biliary colic?[]

  • Cholelithiasis

    . • MURPHY’s SIGN Patient winces in pain with catch of breath when inflamed gall bladder strikes palpating fingers on inspiration 7.[] Charcot triad: fever, jaundice, right upper quadrant pain Reynolds pentad: fever, jaundice, right upper quadrant pain, hemodynamic instability, mental status changes; classically[] We describe a case of a toddler with sickle cell disease initially presenting with abdominal pain who was found to have symptomatic cholelithiasis.[] Murphy sign is often not as easy to illicit in children. Evaluation Normal LFTs, Lipase, and WBC do not rule out the condition.[]

  • Liver Abscess

    Initial evaluation showed a patient without acute stress, with normal vital signs and right upper quadrant tenderness with positive Murphy’s sign.[] Brucella has been known to cause pyrexia of unknown origin. 9-year-old boy with fever and abdominal pain; multiple abscesses within the liver on ultrasonography.[] right upper quadrant, which may radiate to the epigastrium or right flank.[] On systemic examination there was mild tenderness of the right upper quadrant of the abdomen.[]

  • Pyogenic Liver Abscess

    Murphy sign was negative and there were no signs of peritonitis. Labs revealed significant leucocytosis (22.82 10 3 /µl) with 94.2% neutrophils.[] CONCLUSION: Pyogenic liver abscess should be considered in children presenting with fever, abdominal pain, and leukocytosis with a high CRP level.[] There was no rebound tenderness. A lesion with heterogeneous radiodensity was noted in the right upper abdomen on chest radiography (Panel A, arrowheads).[] pain of 10 days duration.[]

  • Subphrenic Abscess

    One patient was readmitted 11 days after laparoscopic cholecystectomy with severe upper abdominal pain and a false aneurysm of a branch of the right hepatic artery.[] He had tenderness in the right upper quadrant but no rebound tenderness.[] Physical examination revealed severe tenderness in the epigastrium and in the right upper quadrant.[] A 39-year-old woman presented with abdominal pain after tubal sterilization.[]

    Missing: Murphy's Sign
  • Subcapsular Liver Hematoma

    pain.[] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[] Patient was admitted presenting fever and abdominal pain postoperative month 1.[] In a patient with undifferentiated right upper quadrant abdominal pain, bedside ultrasonography is a rapid and effective modality in the diagnosis of liver masses, including[]

    Missing: Right Flank Pain
  • Hepatic Rupture

    Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension.[] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[] Lesser hemorrhage or hematomas cause right upper quadrant abdominal pain and tenderness.[] pain.[]

    Missing: Right Flank Pain
  • Amebic Liver Abscess

    Common clinical symptoms were fever (93%) and abdominal pain (93%). Common signs were right upper quadrant tenderness (60%), hepatomegaly (67%).[] CONCLUSIONS: In travelers with fever, abdominal pain, and hepatomegaly amebic liver abscess must be considered.[] His abdomen was diffusely tender, but more so over the right upper quadrant. The patient had a reducible ventral hernia along his surgical scar.[] Fever Pain right hypochondrium Chills Rigors Toxicity Right upper quadrant discomfort Diarrhea weight loss Intercostal tendreness Swelling in the right hypo chondrium or epigastrium[]

    Missing: Murphy's Sign

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