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

  • Pericholecystic Abscess

    An oedematous gallbladder surrounded by omentum may be palpable as a tender mass in the RUQ.[gponline.com] 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[clinicalgate.com] […] 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[fprmed.com]

  • Liver Abscess

    Diagnostic Tests/Procedures Lab: anemia, leukocytosis, an elevated erythrocyte sedimentation rate, and abnormal liver function tests, especially an elevated serum alkaline[enotes.tripod.com] Ultrasound (US) shows dilated CBD to 11 mm, cholelithiasis and gallbladder wall thickness.[sages.org] The erythrocyte sedimentation rate was 65 mm/ hour. Liver function tests showed mildly elevated liver enzymes and an increased alkaline phosphatase level.[hepatitis.imedpub.com]

  • 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[healthline.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]

  • Primary Biliary Cirrhosis

    Laboratory data showed elevated erythrocyte sedimentation rate and hepatobiliary enzymes, renal dysfunction, high titers of antinuclear antibody, anti-SS-A antibody and anti-mitochondrial[ncbi.nlm.nih.gov] […] with pressure from the US transducer directly over the gallbladder).[cdemcurriculum.org] rate Elevated bilirubin level, prolonged prothrombin time, and decreased albumin level: Indicate progression of disease to cirrhosis Thrombocytopenia: Indicates portal hypertension[emedicine.medscape.com]

  • Acute Pancreatitis

    The typical presentation of multiple myeloma is anemia, back pain, and an elevated sedimentation rate.[ncbi.nlm.nih.gov] During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid.[merckmanuals.com] On physical exam he is hemodynamically stable, has a negative Murphy sign, and his abdomen is soft and nontender without palpable masses.[medbullets.com]

  • Omental Infarction

    Physical examination revealed epigastric and right upper abdominal fullness, and laboratory studies showed elevated erythrocyte sedimentation rates, with normal leukocyte[ncbi.nlm.nih.gov] On examination, the patient was tender and Murphy’s sign was elicited.[cureus.com] rate.[bhj.org.in]

  • Abdominal Visceral Abscess

    General signs of inflammation (such as elevated sedimentation rate, leucocytosis, and fever) may be absent.[jmedicalcasereports.biomedcentral.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]

  • 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[healthline.com] Everyday I have tenderness or some sort of pain in the gallbladder area.[ehealthforum.com] Of the remaining 120 patients, 13 had sludge, 11 had a dilated common bile duct, one had a positive sonographic Murphy sign, and 95 had no abnormalities.[ccforum.biomedcentral.com]

  • Gonococcal Perihepatitis

    […] erythrocyte sedimentation rate Elevated C-reactive protein level Laboratory documentation of cervical infection with gonorrhea or chlamydia The following test results are[aafp.org] Abdominal findings range from mild to severe RUQ pain and tenderness.[tcd.ie] Insistence on rigid diagnostic criteria such as fever, abdominal tenderness, leukocytosis, and an elevated sedimentation rate can uncover only the most overt cases of PID[glowm.com]

  • Biliary Cirrhosis

    rate Elevated bilirubin level, prolonged prothrombin time, and decreased albumin level: Indicate progression of disease to cirrhosis Thrombocytopenia: Indicates portal hypertension[emedicine.medscape.com] […] with pressure from the US transducer directly over the gallbladder).[cdemcurriculum.org] ’s sign, and no intrahepatic or extrahepatic biliary dilation or pericholecystic fluid.[consultant360.com]