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16 Possible Causes for Abdominal Rebound Tenderness, Gallbladder Tenderness, Murphy's Sign

  • Acute Cholecystitis

    Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation.[merckmanuals.com] These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[sonoworld.com] Murphy's sign was absent in 3 (10%) of 29 of these patients.[ncbi.nlm.nih.gov]

  • Gallbladder Empyema

    The initial diagnosis of acute cholecystitis should be made based on clinical criteria, and in the setting of very high fever, abdominal pain that is accompanied by rebound[symptoma.com] As the condition of empyema gallbladder progresses, empyema from the gallbladder might be associated with a palpable distended gallbladder that is markedly tender on even[laparoscopyhospital.com] sign – Gallstones usually (but not always) present • Empyema CECT : Distended GB with intraluminal contents 15 HU – Wall thickening with pericholecystic fat stranding and[clinicalgate.com]

  • Choledocholithiasis

    Abdominal exam demonstrates right upper quadrant and epigastric tenderness without guarding or rebound.[medbullets.com] gallbladder, weight loss Fever, right subcostal tenderness on inspiration (Murphy's sign), palpable gallbladder, mild jaundice Abdominal tenderness, abnormal liver chemistries[clinicaladvisor.com] Symptoms During physical examination, Murphy’s sign is usually negative, which helps to distinguish choledocholithiasis from cholecystitis.[ahealthgroup.com]

  • Cholecystitis

    Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation.[merckmanuals.com] These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[sonoworld.com] Murphy's sign was absent in 3 (10%) of 29 of these patients.[ncbi.nlm.nih.gov]

  • Chronic Cholecystitis

    The physical examination may reveal fever, tachycardia, and tenderness in the RUQ or epigastric region, often with guarding or rebound.[emedicine.medscape.com] Cholecystitis is inflammation of the wall of gallbladder that results in pain in right upper quadrant of abdomen along with tenderness.[tandurust.com] On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign.[ncbi.nlm.nih.gov]

  • Omental Infarction

    A 75-year-old woman presented with acute lower abdominal and left flank pain with rebound tenderness.[ncbi.nlm.nih.gov] On examination, the patient was tender and Murphy’s sign was elicited.[cureus.com] She had severe generalized abdominal tenderness with rebound tenderness and guarding, mainly on the right lower abdominal quadrant, with all other system examinations normal[dovepress.com]

  • Acute Pancreatitis

    tenderness without guarding or rebound diminished bowel sounds from a localized ileus Hemorrhagic pancreatitis indicated by Jaundice is rare Evaluation Treatment Acute management[medbullets.com] During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid.[merckmanuals.com] Physical examination has a positive Murphy sign and appeared lethargic. She has no past history of any chronic systemic illness or malignancy.[ncbi.nlm.nih.gov]

  • Pancreatitis

    The epigastrum is typically tender to palpation, but there is no guarding or rebound unless perforation has occurred.[clinicaladvisor.com] During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid.[merckmanuals.com] Physical examination has a positive Murphy sign and appeared lethargic. She has no past history of any chronic systemic illness or malignancy.[ncbi.nlm.nih.gov]

  • Left-sided Appendicitis

    Signs that suggest an acute surgical abdomen include involuntary guarding or rigidity, marked abdominal distention, marked abdominal tenderness, and rebound abdominal tenderness[aafp.org] The imaging appearance of cholecystis consists of an enlarged hydropic (meaning non-compressible) gallbladder with a thickened wall in the region of maximum tenderness (the[radiologyassistant.nl] The presentation consists of periumbilical discomfort followed by acute left lower quadrant pain and rebound tenderness.[symptoma.com]

  • Abdominal Visceral Abscess

    The classic signs and symptoms of peritonitis are fever, abdominal pain, and rebound tenderness. These may be mild or completely absent in cirrhotic patients.[accessmedicine.mhmedical.com] The imaging appearance of cholecystis consists of an enlarged hydropic (meaning non-compressible) gallbladder with a thickened wall in the region of maximum tenderness (the[radiologyassistant.nl] . — Acute cholecystitis – Symptoms include prolonged, steady, severe right upper quadrant or epigastric pain, fever, abdominal guarding, a positive Murphy’s sign, and leukocytosis[medical-institution.com]