Murphy's Sign: Causes & Reasons

Possible Causes for Murphy's Sign

Murphy's sign was absent in 3 (10%) of 29 of these patients. [ncbi.nlm.nih.gov]

Diagnosis: — Murphy’s sign — Patients with acute cholecystitis frequently have a positive “ Murphy’s sign “. [medical-institution.com]

Transabdominal ultrasonography may also be used to elicit Murphy's sign. [symptoma.com]

Pericholecystic Abscess

The sonographic Murphy’s sign is different from surgical Murphy’s sign, which consists of arrest of inspiration caused by pain from an inflamed gallbladder when the examiner [slideshare.net]

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]

The patient experiences pain when palpated on the right hypochondrium, with Murphy’s sign and a temperature of 38 oC. [semanticscholar.org]

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 [clinicalgate.com]

She was tender and had a positive murphy’s sign on clinical examination coupled with tachycardia and a low-grade fever. [scopemed.org]

sign - palpation of the inflamed gallbladder during inspiration that results in pain), as well as poor general condition, can point to gallbladder empyema. [symptoma.com]

Choledocholithiasis

Symptoms During physical examination, Murphy’s sign is usually negative, which helps to distinguish choledocholithiasis from cholecystitis. [ahealthgroup.com]

In addition to the Murphy sign (inspiratory arrest during RUQ palpation due to pain), typical signs include fever and RUQ guarding. [amboss.com]

To test for Murphy’s sign the patient is asked to breathe out, and then the doctor gently places his hand on the right side at the mid-clavicular line below the costal margin [ahealthgroup.com]

Pyruvate Kinase Deficiency

sign positive • Extremities—Chronic leg ulcers Causes • Medical conditions, such as acute leukemia, preleukemia and refractory sideroblastic anemia, as well as complications [namrata.co]

sign Chronic leg ulcers Cazzola M. [emedicine.medscape.com]

[…] pregnancy • Family history consistent with autosomal recessive inheritance • Frontal bossing • Jaundice • Abdomen—Splenomegaly mild to moderate, upper right quadrant tenderness, Murphy [namrata.co]

Cholelithiasis

Murphy's sign Purpose Differentiating upper right quadrant pain In medicine, Murphy[1] sign refers to a maneuver during a physical examination as part of the abdominal examination [en.wikipedia.org]

Acute pain can be associated with fever, nausea, vomiting with positive murphy sign. [youtube.com]

sign. [ncbi.nlm.nih.gov]

Biliary Colic

Signs on ultrasonograms include the presence of gallstones, an ultrasonographic Murphy sign, gallbladder wall thickening, and pericholecystic fluid. [emedicine.com]

Murphy’s Sign Whilst applying pressure in the RUQ, ask the patient to inspire. [teachmesurgery.com]

sign (86-92% sensitive, 35% specific) - pain when the probe is pushed directly on the gallbladder (not related to breathing) Ultrasonographic Murphy sign and cholelithiasis [emedicine.com]

Cholecystitis

[…] a positive sonographic Murphy's sign. [ultrasoundtraining.com]

CT cannot see noncalcified gallbladdercalculi, and cannot assess for a Murphys sign. 32. [slideshare.net]

Murphy's sign was absent in 3 (10%) of 29 of these patients. [ncbi.nlm.nih.gov]

Acute Emphysematous Cholecystitis

Tenderness over gallbladder during inspiration -> Murphy’s sign. [armandoh.org]

Significant findings: The patient’s vital signs were significant for tachycardia. Physical exam was notable for a positive Murphy’s sign. [jetem.org]

The test may also elicit local abdominal tenderness over the gallbladder (ultrasonographic Murphy sign). [msdmanuals.com]

Chronic Cholecystitis

1.GallStone 2.Pericholecystic fluid 3.GB wall thickening 4.Sonographic murphy’s sign 13. [slideshare.net]

On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign. [ncbi.nlm.nih.gov]

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 [cram.com]

Bacterial Hepatitis

Hepatitis Overview of the Etiologic Agent Viral hepatitis is an acute and/or chronic liver disease caused by several etiologic agents. The term "hepatitis" refers to inflammation of the liver; viruses are only some of the current causes of hepatitis, and will be the focus of this section. Five types of viral hepatitis[…] [sparknotes.com]

Subcapsular Liver Hematoma

Ruptured subcapsular liver hematoma in pregnancy is a rare condition that is usually managed surgically. Recently, however, surgical and obstetric literature has discussed conservative management. We describe successful conservative management of ruptured subcapsular liver hematoma in a woman with preeclampsia who[…] [ncbi.nlm.nih.gov]

Hepatic Rupture

The HELLP-syndrome (haemolysis, elevated liver enzymes, low platelets) is associated with pre-eclampsia and may cause subcapsular liver haematomas. When hepatic rupture occurs the mortality of mother and unborn is high. Rupture remains a surgical emergency with control of bleeding based on trauma principles. We[…] [ncbi.nlm.nih.gov]

Cystic Duct Obstruction

The positive predictive value (PPV) of the presence of stones and a positive Murphy’s sign has been reported to be 92%. [cdemcurriculum.com]

sign* (general population) 5.0 0.4 65 87 Chills 2.6 0.9 13 95 Right upper quadrant pain 2.5 0.28 81 67 Murphy sign* (older patient) 2.3 0.66 48 79 Palpable gallbladder 2.0 [aafp.org]

=positive murphy sign Sonographic appearance of acalculous cholecystitis GB wall extremely thickened >4-5mm, possible sludge, pericholecystic fluid or edema Emphysematous [quizlet.com]

Biliary Tree Disease

The positive predictive value (PPV) of the presence of stones and a positive Murphy’s sign has been reported to be 92%. [cdemcurriculum.com]

[…] of cholecystitis : GB wall thickening >4 mm, pericholecystic fluid and a sonographic Murphy’s sign • HIDA scan : most Se test (80–90%) for acute cholecystitis. [doctorlib.info]

The classic exam finding for cholecystitis is Murphy's sign. How do you elicit it? Palpate the liver edge deeply at the midclavicular line and ask the patient to inhale. [cram.com]

Gallbladder Sludge

Murphy's sign positive. The common bile duct is dilated measuring up to 13 mm at the head of pancreas. No choledocholithiasis detected. [radiopaedia.org]

A key finding is the sonographic Murphy sign. [symptoma.com]

Signs on ultrasonograms include the presence of gallstones, an ultrasonographic Murphy sign, gallbladder wall thickening, and pericholecystic fluid. [emedicine.medscape.com]

Fitz-Hugh-Curtis Syndrome

Physical examination was significant for abdominal tenderness localized to the right upper quadrant with a negative Murphy sign. [amjmed.com]

Murphy’s sign has a high sensitivity but low specificity for cholecystitis, and it is possible to have a false-positive Murphy’s sign lead to unnecessary surgery [7]. 2. [hindawi.com]

Nausea is common, vomiting less so Murphy's sign (increased tenderness during inspiration with RUQ palpation). [tcd.ie]

Hydrops of the Gallbladder

sign – Gallstones usually (but not always) present • Empyema CECT : Distended GB with intraluminal contents > 15 HU – Wall thickening with pericholecystic fat stranding and [clinicalgate.com]

Elicitation of "Murphy's sign" may be a useful diagnostic maneuver. [sites.ualberta.ca]

RUQ pain positive Murphy's sign with inflammation pain radiates to shoulder Nausea, vomiting intolerance to fatty foods/dairy products Jaundice 26 27 What is the Prep for [easynotecards.com]

Xanthogranulomatous Cholecystitis

[…] pain, vomiting, obstructive jaundice, cholangitis, with a positive Murphy sign and a palpable mass. [radiopaedia.org]

Associations a relationship with gallbladder carcinoma is uncertain 6,7 Patients typically present with symptoms and signs similar to cholecystitis including right upper quadrant [radiopaedia.org]

Gallbladder Volvulus

Murphy's sign was present at physical examination. Hemogram showed 9.200 leukocytes/mm³, with six bands. [scienceopen.com]

LPAC Syndrome Type 1

Prospective evaluation of the sonographic Murphy Sign in supspected acute cholectystis. [physio-pedia.com]

Murphy sign has limited sensitivity and specificity. [unboundmedicine.com]

Acute cholecystitis should be suspected in case of colicky pain lasting for more than 5 hours, positive Murphy sign (ie, tenderness above the gallbladder), fever, leukocytosis [basicmedicalkey.com]

Porcelain Gallbladder

Murphy’s sign was positive. Plain abdominal radiography was performed (fig 1 ⇓ ). [bmj.com]

Mirizzi Syndrome

The classic physical examination will demonstrate right upper abdominal pain with deep palpation (Murphy’s sign). [healthjade.net]

The classic physical examination will demonstrate right upper abdominal pain with deep palpation (Murphy's sign). [ncbi.nlm.nih.gov]

Ortner's sign and Murphy's sign became highly positive. [cyberleninka.org]

Acute Alcohol Intoxication

Tenderness over gallbladder during inspiration -> Murphy’s sign. [armandoh.org]

Significant findings: The patient’s vital signs were significant for tachycardia. Physical exam was notable for a positive Murphy’s sign. [jetem.org]

The test may also elicit local abdominal tenderness over the gallbladder (ultrasonographic Murphy sign). [msdmanuals.com]

Gallbladder Disease

Murphys sign is demonstrated by asking the patient to inspire whilst the examiner palpates deeply in the right subcostal region. [rcemlearning.co.uk]

Physical examination: A physical examination of the abdomen is necessary including Murphy’s signs. [symptoma.com]

On examination, there is pain to palpation in the right upper quadrant (Murphy's sign). [clevelandclinicmeded.com]

Cholecystolithiasis

In addition to the Murphy sign (inspiratory arrest during RUQ palpation due to pain), typical signs include fever and RUQ guarding. [amboss.com]

’s sign, (-) CVA tenderness, (-) mass 16 Pulses full and equal, no cyanosis, no edema No tenderness of joints, no swelling, no limitation in ROM 17 Mental Status: conscious [slideplayer.com]

Sonographic Murphy sign Presence of concrement or gallstones HIDA scan (cholescintigraphy) if US is not diagnostic Radioactive tracer 99mTc-hepatic iminodiacetic acid is [amboss.com]

Malignant Neoplasm of the Gallbladder

On examination, there is pain to palpation in the right upper quadrant (Murphy's sign). [clevelandclinicmeded.com]

GB carcinoma Acalculous Cholecystits (Clinical Finding) Elev. serum amylase Abnormal LFTs US Findings - Dilation of GB + Murphy's sign Thick GB wall with irregular wall [quizlet.com]

*RUQ tenderness and Murphy's sign.  Diagnosis: *WBC: 12-15, LFT *US *HIDA *CT 16.  Treatment: *intravenous fluids, antibiotics (G –ve and anaerobes), and analgesia. [slideshare.net]

Omental Infarction

On examination, the patient was tender and Murphy’s sign was elicited. [cureus.com]

Murphy’s sign was elicited. His examination was otherwise unremarkable. Urinalysis was normal. [ncbi.nlm.nih.gov]

Her abdomen was soft, but she was tender in the right upper quadrant of the abdomen with a positive Murphy’s sign. [cureus.com]

Biliary Peritonitis

Clinically, the patient presented with a localized abdominal guarding; Murphy’s sign was positive. [websurg.com]

Murphy's Sign Clin Med Res [online] 2005/08/01 00:00, 3(3):132 [viewed 30 December 2015] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1237152 2. [clinicalsenseapp.com]

The most significant ultrasonographic criteria for diagnosis include gall bladder thickness of > 3 mm, ultrasonographical Murphy´s sign, enlarged tense gall bladder, pericholecystic [panafrican-med-journal.com]

Calcification of the Gallbladder

sign* (general population) 5.0 0.4 65 87 Chills 2.6 0.9 13 95 Right upper quadrant pain 2.5 0.28 81 67 Murphy sign* (older patient) 2.3 0.66 48 79 Palpable gallbladder 2.0 [aafp.org]

sign. [radcharts.org]

[…] gallstone, hydropical dilatation of the gallbladder, a positive sonographic Murphy's sign ( i.e., pain elicited by pressure over the sonographically located gallbladder), [radiologyassistant.nl]