Create issue ticket

14 Possible Causes for Elevated Sedimentation Rate, Gallbladder Tenderness, Murphy's Sign

  • Pericholecystic Abscess

    […] may or may not be present Abd/GI/GU RUQ tenderness (most common); may have diffuse epigastric tenderness w/o RUQ localization Rebound tenderness Palpable gallbladder may[] The patient experiences pain when palpated on the right hypochondrium, with Murphy’s sign and a temperature of 38 oC.[] 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[]

  • Chronic Cholecystitis

    rate Elevated levels in any of these tests, along with positive symptoms and signs or imaging studies showing gallbladder disease, could indicate gallbladder inflammation[] Cholecystitis is inflammation of the wall of gallbladder that results in pain in right upper quadrant of abdomen along with tenderness.[] On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign.[]

  • Liver Abscess

    Diagnostic Tests/Procedures Lab: anemia, leukocytosis, an elevated erythrocyte sedimentation rate, and abnormal liver function tests, especially an elevated serum alkaline[] Ultrasound (US) shows dilated CBD to 11 mm, cholelithiasis and gallbladder wall thickness.[] Laboratory exams may reveal alteration of the liver function tests, leukocytosis with neutrophilia, and increase in the erythrocyte sedimentation rate.[]

  • Subphrenic Abscess

    The erythrocyte sedimentation rate (ESR) is commonly elevated. Liver function tests are helpful.[] Patients can develop symptoms like tenderness and pressure in the abdomen, fever, restlessness, nausea, fatigue, and a feeling of general malaise.[] Air below the right diaphragm: Chilaiditi sign. Emerg Med J 2008;25;300. 5. Chang TY, Tiu CM, Chou YH, Huang LL, Yu C.[]

  • Abdominal Visceral Abscess

    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[] . — Acute cholecystitis – Symptoms include prolonged, steady, severe right upper quadrant or epigastric pain, fever, abdominal guarding, a positive Murphy’s sign, and leukocytosis[] The gallbladder is enlarged with edematous thickening of its wall (arrowhead), and some regional fat-stranding can be found.[]

  • Pylephlebitis

    During his evaluation, the surgeon found no tenderness or distension on physical exam, but noted the abnormal lab findings, as well as the gallbladder wall thickening on ultrasound[] Her abdomen was soft, mildly distended, and tender to palpation in the epigastrium without Murphy’s sign or rebound tenderness.[] He had no rebound tenderness, no involuntary guarding, no Rovsing’s, Obturator or Murphy’s signs. The remainder of his abdomen was non-tender.[]

  • Omental Infarction

    Physical examination revealed epigastric and right upper abdominal fullness, and laboratory studies showed elevated erythrocyte sedimentation rates, with normal leukocyte[] On examination, the patient was tender and Murphy’s sign was elicited.[] rate.[]

  • Gallbladder Sludge

    rate Elevated levels in any of these tests, along with positive symptoms and signs or imaging studies showing gallbladder disease, could indicate gallbladder inflammation[] Everyday I have tenderness or some sort of pain in the gallbladder area.[] A key finding is the sonographic Murphy sign.[]

  • Acute Pancreatitis

    During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid.[] Physical examination has a positive Murphy sign and appeared lethargic. She has no past history of any chronic systemic illness or malignancy.[] The typical presentation of multiple myeloma is anemia, back pain, and an elevated sedimentation rate.[]

  • Gonococcal Perihepatitis

    […] white count Increased ESR (erythrocyte sedimentation rate) Abdominal CT (with IV contrast) Subtle enhancement of the liver capsule May also show the inflammatory process[] Abdominal findings range from mild to severe RUQ pain and tenderness.[] Vaginal discharge, cervical motion tenderness, and adnexal tenderness, diagnosed via a bimanual pelvic examination, are also signs of PID [ 1 ].[]