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82 Possible Causes for Biliary Colic, Murphy's Sign

  • Gallbladder Empyema

    sign – Gallstones usually (but not always) present • Empyema CECT : Distended GB with intraluminal contents 15 HU – Wall thickening with pericholecystic fat stranding and[] By Nevit Dilmen [CC BY-SA 3.0], via Wikimedia Commons Figure 2 – Gallstone found incidentally on US scan in an asymptomatic patient Biliary Colic Biliary colic occurs when[] sign - palpation of the inflamed gallbladder during inspiration that results in pain), as well as poor general condition, can point to gallbladder empyema.[]

  • Acute Cholecystitis

    Physical examination revealed a positive Murphy's sign. Laboratory data showed leukocytosis and mild increasement of liver enzymes.[] Laboratory results are usually normal in patients with biliary colic.[] Diagnosis: — Murphy’s sign — Patients with acute cholecystitis frequently have a positive “ Murphy’s sign “.[]

  • Choledocholithiasis

    Symptoms During physical examination , Murphy’s sign is usually negative , which helps to distinguish choledocholithiasis from cholecystitis .[] DDx Biliary leaks Liver abscess Infected choledochal cysts Cholecystitis Mirizzi syndrome Right lower lobe pneumonia/empyema Lab values Biliary Colic Cholecystitis Choledocholithiasis[] Signs and symptoms [ edit ] Murphy's sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis.[]

  • Pericholecystic Abscess

    Cholelithiasis, sonographic Murphy sign, and GB wall thickening • CT findings Distended GB (measuring 5 cm in short axis) GB wall thickening ( 3 mm) with mural and mucosal[] Biliary colic Biliary colic occurs when a gallstone impacts in the neck of the gallbladder obstructing the cystic duct.[] May progress to complicated cholecystitis rapidly and w/o warning Physical Exam/Signs General, Vitals: fever, guarded, positive Murphy sign, jaundice (15%) Murphy's sign[]

  • Cholelithiasis

    The sitting version was described by John Murphy (hence the name, Murphy's sign ).[] A small fraction of patients undergoing cholecystectomy for biliary colic are subsequently diagnosed with an obstructive pancreatic head mass.[] DDx Biliary leaks Liver abscess Infected choledochal cysts Cholecystitis Mirizzi syndrome Right lower lobe pneumonia/empyema Lab values Biliary Colic Cholecystitis Choledocholithiasis[]

  • Ascending Cholangitis

    sign, anorexia, weight loss; spontaneous remission is rare.[] Compare & contrast the S & Sx of RUQ P, fever/ WCC, & jaundice in biliary colic, acute cholecystitis, & cholangitis.[] That is more representative of biliary colic (even though biliary colic itself is often persistent) and maybe choledocholithiasis.[]

  • Chronic Cholecystitis

    On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign.[] Diagnosis Chronic cholecystitis is suspected in patients with recurrent biliary colic plus gallstones.[] sign in sitting position during deep inspiration while palpating the right hypochondrium the patient winces in pain moynihan's sign same as murphy's sign but elicited in[]

  • Cholestasis

    Physical examination The presence of jaundice, fever, abdominal tenderness, or Murphy's sign should be noted.[] Hepatitis Consequences Jaundice Pruritus Biliary colic Ascending cholangitis Blood culture. Malabsorption, especially Vitamin K deficiency Osteomalacia Biliary cirrhosis[]

  • Choledochal Cyst

    On clinical examination there was no palpable mass: Murphy’s sign was positive. Oral cholecystogram showed non-functioning gall bladder.[] Note that biliary colic usually does not cause derangement of liver functions.[] Pain may mimic biliary colic. Neonates frequently present with biliary obstruction, whereas older youths suffer from jaundice and abdominal pain.[]

  • Gallbladder Disease

    Physical examination: A physical examination of the abdomen is necessary including Murphy’s signs.[] Surgery residents were involved in 61.2% of the biliary colic versus 53.9% of FGBD cases (P .001).[] Murphys sign is demonstrated by asking the patient to inspire whilst the examiner palpates deeply in the right subcostal region.[]

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