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10 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[] Murphy's sign was absent in 3 (10%) of 29 of these patients.[] Findings indicative of AC (liberal criteria) included the demonstration of stones, a thick gallbladder wall, nonshadowing echoes, or the ultrasonographic 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[] 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[] A physical examination will reveal how tender the gallbladder is.[]

  • 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.[]

  • Acute Emphysematous Cholecystitis

    The chief complaint was pain in the right hypochondrium with severe right hypochondrial tenderness and distention of the gallbladder detected on examination.[] Abdominal exam is notable for tenderness to palpation in the right upper quadrant and a positive ultrasonic (US) murphy's sign.[] Biologically, there is some increase in white blood cell count, mainly through neutrophils associated with inflammation [ 1 ].[]

  • 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.[] Physical examination has a positive Murphy sign and appeared lethargic. She has no past history of any chronic systemic illness or malignancy.[]

  • 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.[] On admission, the temperature was 39ordm; C, his abdomen was tender in the right upper quadrant, with voluntary guarding but negative Murphy and Blumberg signs.[]

  • 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.[]

  • Biliary Tract Infection

    , AST, LDL-C, HDL-C and triglycerides, hs-CRP, neutrophil count, neutrophil percentage, T lymphocyte count, ratio of CD4 /CD8 and biliary tumor size.[] […] with pressure from the US transducer directly over the gallbladder).[] Abdominal tenderness and abnormally high liver function blood tests may be present.[]

  • Empyema

    During the hospitalization his pleural fluid became purulent and changes in blood counts were registered with the increase of leukocytes, especially neutrophils.[] 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 ie, arrest of inspiration as the gallbladder descends to the touch a hand previously placed deep within the mid right abdomen.[]

  • 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.[]