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14 Possible Causes for Gallbladder Tenderness, Murphy's Sign, Neutrophil Count Increased

  • Acute Cholecystitis

    These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[] Physical examination revealed a positive Murphy's sign. Laboratory data showed leukocytosis and mild increasement of liver enzymes.[] Diagnosis: — Murphy’s sign — Patients with acute cholecystitis frequently have a positive “ Murphy’s sign “.[]

  • Pericholecystic Abscess

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

  • Gallbladder Empyema

    Examine Oral gallbladder laparoscopy 1. laboratory check (1) blood Acute cholecystitis, the white blood cell count increased slightly, neutrophils increased.[] 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[] sign – Gallstones usually (but not always) present • Empyema CECT : Distended GB with intraluminal contents 15 HU – Wall thickening with pericholecystic fat stranding and[]

  • Choledocholithiasis

    gallbladder, weight loss Fever, right subcostal tenderness on inspiration (Murphy's sign), palpable gallbladder, mild jaundice Abdominal tenderness, abnormal liver chemistries[] Symptoms During physical examination , Murphy’s sign is usually negative , which helps to distinguish choledocholithiasis from cholecystitis .[] Signs and symptoms [ edit ] Murphy's sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis.[]

  • Liver Abscess

    […] serum white blood count and neutrophil level blood cultures for bacterial growth to determine which antibiotic(s) you need an MRI of the abdomen A pyogenic liver abscess[] Ultrasound (US) shows dilated CBD to 11 mm, cholelithiasis and gallbladder wall thickness.[] […] locate an abscess a CT scan with intravenous contrast, or injected dye, to find and measure the abscess blood tests to look for signs of infectious inflammation, such as an increased[]

  • Acute Pancreatitis

    Complete blood count: Demonstrates the acuteness of the disease while the neutrophil to lymphocyte ratio is valuable a predictor of pancreatitis prognosis.[] During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid.[] On physical exam he is hemodynamically stable, has a negative Murphy sign, and his abdomen is soft and nontender without palpable masses.[]

  • Acute Emphysematous Cholecystitis

    Biologically, there is some increase in white blood cell count, mainly through neutrophils associated with inflammation [ 1 ].[] The chief complaint was pain in the right hypochondrium with severe right hypochondrial tenderness and distention of the gallbladder detected on examination.[] Elicitation of "Murphy's sign" may be a useful diagnostic maneuver.[]

  • Empyema

    […] blood cell count (WBC) 15,000 or increased band neutrophils 1000 are suggestive of bacterial vs. viral pneumonia.[] 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[] Initial laboratory studies in patients with suspected pneumonia and parapneumonic effusion or empyema include: Complete blood cell count (CBC) and differential: Elevated white[]

  • 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[] Acalculous cholecystitis can be seen after trauma, surgery, burns and in those with HIV infection, immune suppression and DM 2 Murphy’s sign: inspiratory arrest during palpation[]

  • Pylephlebitis

    An increased white blood cell count (neutrophil-dominant), C-reactive protein concentration, and pro-calcitonin concentration were observed upon blood testing.[] 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.[]