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35 Possible Causes for Murphy's Sign, Right Shoulder Pain, Tenderness in the Right Upper Quadrant

  • Acute Cholecystitis

    Murphy's sign was absent in 3 (10%) of 29 of these patients.[ncbi.nlm.nih.gov] Constant right upper quadrant pain that can radiate to the right shoulder.[radiopaedia.org] We report the case of a 47-year-old male patient who presented with right upper quadrant pain, tenderness, mild jaundice, moderately elevated liver function tests, and ultrasound[ncbi.nlm.nih.gov]

  • Subcapsular Liver Hematoma

    CONCLUSION: A patient with a liver hematoma will usually experience right upper quadrant or epigastric pain.[ncbi.nlm.nih.gov] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[ispub.com] Patients can present with right upper quadrant pain, right shoulder tip pain (from diaphragmatic irritation), hypotension and shock 3 .[radiopaedia.org]

  • Hepatic Rupture

    […] chest tenderness and upper right upper side pain (from liver distention) Shoulder pain or pain when breathing deeply Bleeding Changes in vision Swelling Signs to look for[preeclampsia.org] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[ispub.com] Lesser hemorrhage or hematomas cause right upper quadrant abdominal pain and tenderness.[merckmanuals.com]

  • Liver Abscess

    Initial evaluation showed a patient without acute stress, with normal vital signs and right upper quadrant tenderness with positive Murphy’s sign.[sages.org] shoulder pain (referred pain) Treatment usually consists of placing a tube through the skin into the liver to drain the abscess.[nlm.nih.gov] On systemic examination there was mild tenderness of the right upper quadrant of the abdomen.[hepatitis.imedpub.com]

  • Choledocholithiasis

    Symptoms During physical examination, Murphy’s sign is usually negative, which helps to distinguish choledocholithiasis from cholecystitis.[ahealthgroup.com] Asymptomatic (30–50%) Right upper quadrant (RUQ) pain: Moderate/intense spasmodic pain, often intermittent, transient, recurrent (biliary colic) May radiate to right shoulder[5minuteconsult.com] upper quadrant.[de.slideshare.net]

  • Biliary Colic

    Pain in the right hypochondrium, referred pain, and Murphy's sign were scored before and after treatment. Data indicate that ceruletide is effective in biliary colic.[ncbi.nlm.nih.gov] Gallbladder and Right Shoulder Pain Gallbladder pain can be referred to the tip of the right shoulder or both shoulders, but not likely only to the left shoulder [4] .[ehealthstar.com] On physical examination the right upper quadrant of the patient may show tenderness.[symptoma.com]

  • Chronic Cholecystitis

    On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign.[ncbi.nlm.nih.gov] Nausea is common and vomiting occurs in 75% of people with cholecystitis. [14] In addition to abdominal pain, right shoulder pain can be present. [13] On physical examination[en.wikipedia.org] Cholecystitis is inflammation of the wall of gallbladder that results in pain in right upper quadrant of abdomen along with tenderness.[tandurust.com]

  • Cholecystitis

    Murphy's sign was absent in 3 (10%) of 29 of these patients.[ncbi.nlm.nih.gov] Constant right upper quadrant pain that can radiate to the right shoulder.[radiopaedia.org] An abdominal examination revealed marked tenderness in his right upper quadrant.[jmedicalcasereports.com]

  • Ascending Cholangitis

    sign, anorexia, weight loss; spontaneous remission is rare.[medical-dictionary.thefreedictionary.com] The abdomen is tender in the right upper quadrant. Liver function test (LFTs) reveal elevated direct and total bilirubin and alkaline phosphatase of 500 U/L.[medbullets.com] The pain also moves to the back region or just below the patient’s right shoulder blade.[diethealthclub.com]

  • Gallbladder Disease

    Physical examination: A physical examination of the abdomen is necessary including Murphy’s signs.[symptoma.com] […] in the upper right portion of the abdomen, beneath the breastbone, between the shoulder blades or in the right shoulder.[healdove.com] Upper-right-quadrant tenderness and palpable infiltrate in the region of the gallbladder are revealed upon physical examination. 5,10 Cholecystitis presents in the same manner[uspharmacist.com]